1     
HEALTH AND HUMAN SERVICES RECODIFICATION -

2     
CROSS REFERENCES, TITLES 58-63J

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 58 through 63J.
12     Highlighted Provisions:
13          This bill:
14          ▸     makes technical updates in Titles 58 through 63J 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          58-17b-622, as last amended by Laws of Utah 2021, Chapter 340
32          58-17b-701, as last amended by Laws of Utah 2013, Chapter 364
33          58-17b-902, as last amended by Laws of Utah 2022, Chapters 253, 255
34          58-17b-1002, as enacted by Laws of Utah 2020, Chapter 372
35          58-17b-1004, as last amended by Laws of Utah 2020, Fifth Special Session, Chapter 4
36          58-28-502, as last amended by Laws of Utah 2022, Chapter 103
37          58-31b-102, as last amended by Laws of Utah 2022, Chapter 277
38          58-31b-305, as last amended by Laws of Utah 2019, Chapter 447
39          58-31b-401, as last amended by Laws of Utah 2021, Chapter 404
40          58-31b-502, as last amended by Laws of Utah 2022, Chapter 290
41          58-31b-703, as last amended by Laws of Utah 2016, Chapters 202, 207 and 208 and
42     last amended by Coordination Clause, Laws of Utah 2016, Chapter 202
43          58-37-3.6, as last amended by Laws of Utah 2018, Third Special Session, Chapter 1
44          58-37-3.7, as last amended by Laws of Utah 2021, Chapters 337, 350 and further
45     amended by Revisor Instructions, Laws of Utah 2021, Chapter 337
46          58-37-3.8, as last amended by Laws of Utah 2019, First Special Session, Chapter 5
47          58-37-3.9, as last amended by Laws of Utah 2021, Chapter 350
48          58-37-6.5, as last amended by Laws of Utah 2021, Chapter 337
49          58-37-7, as last amended by Laws of Utah 2018, Chapter 145
50          58-37-8, as last amended by Laws of Utah 2022, Chapters 116, 415 and 430
51          58-37-19, as enacted by Laws of Utah 2019, Chapter 130
52          58-37-22, as enacted by Laws of Utah 2021, Chapter 165
53          58-37f-102, as last amended by Laws of Utah 2013, Chapter 130
54          58-37f-201, as last amended by Laws of Utah 2022, Chapter 116
55          58-37f-301, as last amended by Laws of Utah 2021, Chapters 104, 315
56          58-37f-702, as last amended by Laws of Utah 2019, Chapter 128
57          58-41-4, as last amended by Laws of Utah 2022, Chapter 415
58          58-57-7, as last amended by Laws of Utah 2011, Chapter 340

59          58-60-114, as last amended by Laws of Utah 2022, Chapter 335
60          58-60-509, as last amended by Laws of Utah 2022, Chapter 335
61          58-61-602, as last amended by Laws of Utah 2021, Chapter 283
62          58-61-704, as last amended by Laws of Utah 2022, Chapter 415
63          58-61-713, as last amended by Laws of Utah 2022, Chapter 335
64          58-67-302, as last amended by Laws of Utah 2020, Chapter 339
65          58-67-304, as last amended by Laws of Utah 2020, Chapters 12, 339
66          58-67-502, as last amended by Laws of Utah 2021, Chapter 337
67          58-67-601, as last amended by Laws of Utah 2017, Chapter 299
68          58-67-702, as last amended by Laws of Utah 2016, Chapters 202, 207 and 208 and last
69     amended by Coordination Clause, Laws of Utah 2016, Chapter 202
70          58-68-302, as last amended by Laws of Utah 2020, Chapter 339
71          58-68-304, as last amended by Laws of Utah 2020, Chapters 12, 339
72          58-68-502, as last amended by Laws of Utah 2021, Chapter 337
73          58-68-601, as last amended by Laws of Utah 2017, Chapter 299
74          58-68-702, as last amended by Laws of Utah 2016, Chapters 202, 207 and 208 and last
75     amended by Coordination Clause, Laws of Utah 2016, Chapter 202
76          58-69-601, as last amended by Laws of Utah 2013, Chapter 364
77          58-69-702, as enacted by Laws of Utah 2016, Chapter 207 and last amended by
78     Coordination Clause, Laws of Utah 2016, Chapter 207
79          58-70a-102, as last amended by Laws of Utah 2021, Chapters 312, 313
80          58-70a-303, as last amended by Laws of Utah 2018, Third Special Session, Chapter 1
81          58-70a-503, as last amended by Laws of Utah 2022, Chapter 290
82          58-70a-505, as last amended by Laws of Utah 2016, Chapters 202, 207 and 208 and last
83     amended by Coordination Clause, Laws of Utah 2016, Chapter 202
84          58-71-601, as last amended by Laws of Utah 2013, Chapter 364
85          58-80a-601, as renumbered and amended by Laws of Utah 2010, Chapter 127
86          58-85-104, as last amended by Laws of Utah 2018, Third Special Session, Chapter 1
87          58-88-201, as enacted by Laws of Utah 2022, Chapter 353
88          59-1-210, as last amended by Laws of Utah 2010, Chapter 278
89          59-1-403, as last amended by Laws of Utah 2022, Chapter 447

90          59-2-1901, as enacted by Laws of Utah 2019, Chapter 453
91          59-10-529, as last amended by Laws of Utah 2021, Chapter 260
92          59-10-1004, as renumbered and amended by Laws of Utah 2006, Chapter 223
93          59-10-1308, as last amended by Laws of Utah 2010, Chapter 278
94          59-10-1320, as enacted by Laws of Utah 2018, Chapter 414
95          59-12-102, as last amended by Laws of Utah 2021, Chapters 64, 367 and 414 and last
96     amended by Coordination Clause, Laws of Utah 2021, Chapter 367
97          59-12-103, as last amended by Laws of Utah 2022, Chapters 77, 106 and 433
98          59-12-104.10, as last amended by Laws of Utah 2019, First Special Session, Chapter 5
99          59-12-801, as last amended by Laws of Utah 2014, Chapter 50
100          59-14-807, as last amended by Laws of Utah 2020, Fifth Special Session, Chapter 20
101          61-1-13, as last amended by Laws of Utah 2020, Chapter 77
102          61-1-201, as enacted by Laws of Utah 2018, Chapter 159
103          62A-2-101, as last amended by Laws of Utah 2022, Chapters 334, 468
104          62A-2-106, as last amended by Laws of Utah 2021, Chapter 400
105          62A-2-110, as last amended by Laws of Utah 2005, Chapter 188
106          62A-3-322, as enacted by Laws of Utah 2018, Third Special Session, Chapter 1
107          62A-5a-102, as last amended by Laws of Utah 2019, Chapter 187
108          62A-11-103, as last amended by Laws of Utah 2012, Chapter 41
109          63A-5b-303, as last amended by Laws of Utah 2022, Chapters 169, 421
110          63A-5b-607, as last amended by Laws of Utah 2022, Chapters 169, 443
111          63A-5b-910, as last amended by Laws of Utah 2022, Chapter 421
112          63A-9-701, as last amended by Laws of Utah 2003, Chapter 22
113          63A-13-102, as last amended by Laws of Utah 2022, Chapter 255
114          63A-13-204, as last amended by Laws of Utah 2016, Chapters 222, 348
115          63A-13-301, as last amended by Laws of Utah 2016, Chapter 225
116          63A-16-803, as renumbered and amended by Laws of Utah 2021, Chapter 344
117          63A-17-806, as last amended by Laws of Utah 2022, Chapter 169
118          63A-17-1001, as renumbered and amended by Laws of Utah 2021, Chapter 344
119          63B-16-401, as last amended by Laws of Utah 2013, Chapter 465
120          63C-9-403, as last amended by Laws of Utah 2022, Chapters 421, 443

121          63C-18-102, as last amended by Laws of Utah 2020, Chapter 303
122          63C-18-202, as last amended by Laws of Utah 2021, Chapter 76
123          63C-18-203, as last amended by Laws of Utah 2021, Chapter 76
124          63G-2-202, as last amended by Laws of Utah 2021, Chapter 231
125          63G-2-302, as last amended by Laws of Utah 2022, Chapters 169, 334
126          63G-2-305, as last amended by Laws of Utah 2022, Chapters 11, 109, 198, 201, 303,
127     335, 388, 391, and 415
128          63G-3-501, as last amended by Laws of Utah 2022, Chapter 443
129          63G-4-102, as last amended by Laws of Utah 2022, Chapter 307
130          63G-7-201, as last amended by Laws of Utah 2021, Chapter 352
131          63I-1-262, as last amended by Laws of Utah 2022, Chapters 34, 35, 149, 257, and 335
132          63I-2-262, as last amended by Laws of Utah 2022, Chapters 114, 334
133          63J-1-315, as last amended by Laws of Utah 2022, Chapter 255
134     REPEALS AND REENACTS:
135          63I-1-226, as last amended by Laws of Utah 2022, Chapters 194, 206, 224, 253, 255,
136     347, and 451
137          63I-2-226, as last amended by Laws of Utah 2022, Chapters 255, 365
138     

139     Be it enacted by the Legislature of the state of Utah:
140          Section 1. Section 58-17b-622 is amended to read:
141          58-17b-622. Pharmacy benefit management services -- Auditing of pharmacy
142     records -- Appeals.
143          (1) For purposes of this section:
144          (a) "Audit" means a review of the records of a pharmacy by or on behalf of an entity
145     that finances or reimburses the cost of health care services or pharmaceutical products.
146          (b) "Audit completion date" means:
147          (i) for an audit that does not require an on-site visit at the pharmacy, the date on which
148     the pharmacy, in response to the initial audit request, submits records or other documents to the
149     entity conducting the audit, as determined by:
150          (A) postmark or other evidence of the date of mailing; or
151          (B) the date of transmission if the records or other documents are transmitted

152     electronically; and
153          (ii) for an audit that requires an on-site visit at a pharmacy, the date on which the
154     auditing entity completes the on-site visit, including any follow-up visits or analysis which
155     shall be completed within 60 days after the day on which the on-site visit begins.
156          (c) "Entity" includes:
157          (i) a pharmacy benefits manager or coordinator;
158          (ii) a health benefit plan;
159          (iii) a third party administrator as defined in Section 31A-1-301;
160          (iv) a state agency; or
161          (v) a company, group, or agent that represents, or is engaged by, one of the entities
162     described in Subsections (1)(c)(i) through (iv).
163          (d) "Fraud" means an intentional act of deception, misrepresentation, or concealment in
164     order to gain something of value.
165          (e) "Health benefit plan" means:
166          (i) a health benefit plan as defined in Section 31A-1-301; or
167          (ii) a health, dental, medical, Medicare supplement, or conversion program offered
168     under Title 49, Chapter 20, Public Employees' Benefit and Insurance Program Act.
169          (2) (a) Except as provided in Subsection (2)(b), this section applies to:
170          (i) a contract for the audit of a pharmacy entered into, amended, or renewed on or after
171     July 1, 2012; and
172          (ii) an entity that conducts an audit of the pharmacy records of a pharmacy licensed
173     under this chapter.
174          (b) This section does not apply to an audit of pharmacy records:
175          (i) for a federally funded prescription drug program, including:
176          (A) the state Medicaid program;
177          (B) the Medicare Part D program;
178          (C) a Department of Defense prescription drug program; and
179          (D) a Veterans Affairs prescription drug program; or
180          (ii) when fraud or other intentional and willful misrepresentation is alleged and the
181     pharmacy audit entity has evidence that the pharmacy's actions reasonably indicate fraud or
182     intentional and willful misrepresentation.

183          (3) (a) An audit that involves clinical or professional judgment shall be conducted by
184     or in consultation with a pharmacist who is employed by or working with the auditing entity
185     and who is licensed in the state or another state.
186          (b) If an audit is conducted on site at a pharmacy, the entity conducting the audit:
187          (i) shall give the pharmacy 10 days advanced written notice of:
188          (A) the audit; and
189          (B) the range of prescription numbers or a date range included in the audit; and
190          (ii) may not audit a pharmacy during the first five business days of the month, unless
191     the pharmacy agrees to the timing of the audit.
192          (c) An entity may not audit claims:
193          (i) submitted more than 18 months prior to the audit, unless:
194          (A) required by federal law; or
195          (B) the originating prescription is dated in the preceding six months; or
196          (ii) that exceed 200 selected prescription claims.
197          (4) (a) An entity may not:
198          (i) include dispensing fees in the calculations of overpayments unless the prescription
199     is considered a misfill;
200          (ii) recoup funds for prescription clerical or recordkeeping errors, including
201     typographical errors, scrivener's errors, and computer errors on a required document or record
202     unless the audit entity is alleging fraud or other intentional or willful misrepresentation and the
203     audit entity has evidence that the pharmacy's actions reasonably indicate fraud or intentional
204     and willful misrepresentation;
205          (iii) recoup funds for refills dispensed in accordance with Section 58-17b-608.1, unless
206     the health benefit plan does not cover the prescription drug dispensed by the pharmacy;
207          (iv) collect any funds, charge-backs, or penalties until the audit and all appeals are
208     final, unless the audit entity is alleging fraud or other intentional or willful misrepresentation
209     and the audit entity has evidence that the pharmacy's actions reasonably indicate fraud or
210     intentional and willful misrepresentation; or
211          (v) recoup funds or collect any funds, charge-backs, or penalties from a pharmacy in
212     response to a request for audit unless the pharmacy confirms to the entity the date on which the
213     pharmacy received the request for audit.

214          (b) Auditors shall only have access to previous audit reports on a particular pharmacy
215     if the previous audit was conducted by the same entity except as required for compliance with
216     state or federal law.
217          (5) A pharmacy subject to an audit:
218          (a) may use one or more of the following to validate a claim for a prescription, refill, or
219     change in a prescription:
220          (i) electronic or physical copies of records of a health care facility, or a health care
221     provider with prescribing authority;
222          (ii) any prescription that complies with state law;
223          (iii) the pharmacy's own physical or electronic records; or
224          (iv) the physical or electronic records, or valid copies of the physical or electronic
225     records, of a practitioner or health care facility as defined in Section [26-21-2] 26B-2-201; and
226          (b) may not be required to provide the following records to validate a claim for a
227     prescription, refill, or change in a prescription:
228          (i) if the prescription was handwritten, the physical handwritten version of the
229     prescription; or
230          (ii) a note from the practitioner regarding the patient or the prescription that is not
231     otherwise required for a prescription under state or federal law.
232          (6) (a) (i) An entity that audits a pharmacy shall establish:
233          (A) a maximum time for the pharmacy to submit records or other documents to the
234     entity following receipt of an audit request for records or documents; and
235          (B) a maximum time for the entity to provide the pharmacy with a preliminary audit
236     report following submission of records under Subsection (6)(a)(i)(A).
237          (ii) The time limits established under Subsections (6)(a)(i)(A) and (B):
238          (A) shall be identical; and
239          (B) may not be less than seven days or more than 60 days.
240          (iii) An entity that audits a pharmacy may not, after the audit completion date, request
241     additional records or other documents from the pharmacy to complete the preliminary audit
242     report described in Subsection (6)(b).
243          (b) An entity that audits a pharmacy shall provide the pharmacy with a preliminary
244     audit report, delivered to the pharmacy or its corporate office of record, within the time limit

245     established under Subsection (6)(a)(i)(B).
246          (c) (i) Except as provided in Subsection (6)(c)(ii), a pharmacy has 30 days following
247     receipt of the preliminary audit report to respond to questions, provide additional
248     documentation, and comment on and clarify findings of the audit.
249          (ii) An entity may grant a reasonable extension under Subsection (6)(c)(i) upon request
250     by the pharmacy.
251          (iii) Receipt of the report under Subsection (6)(c)(i) shall be determined by:
252          (A) postmark or other evidence of the date of mailing; or
253          (B) the date of transmission if the report is transmitted electronically.
254          (iv) If a dispute exists between the records of the auditing entity and the pharmacy, the
255     records maintained by the pharmacy shall be presumed valid for the purpose of the audit.
256          (7) If an audit results in the dispute or denial of a claim, the entity conducting the audit
257     shall allow:
258          (a) the pharmacy to resubmit a claim using any commercially reasonable method,
259     including fax, mail, or electronic claims submission provided that the period of time when a
260     claim may be resubmitted has not expired under the rules of the plan sponsor; and
261          (b) the health benefit plan or other entity that finances or reimburses the cost of health
262     care services or pharmaceutical products to rerun the claim if the health benefit plan or other
263     entity chooses to rerun the claim at no cost to the pharmacy.
264          (8) (a) Within 60 days after the completion of the appeals process under Subsection
265     (9), a final audit report shall be delivered to the pharmacy or its corporate office of record.
266          (b) The final audit report shall include a disclosure of any money recovered by the
267     entity that conducted the audit.
268          (9) (a) An entity that audits a pharmacy shall establish a written appeals process for
269     appealing a preliminary audit report and a final audit report, and shall provide the pharmacy
270     with notice of the written appeals process.
271          (b) If the pharmacy benefit manager's contract or provider manual contains the
272     information required by this Subsection (9), the requirement for notice is met.
273          Section 2. Section 58-17b-701 is amended to read:
274          58-17b-701. Mentally incompetent or incapacitated pharmacist -- Division action
275     and procedures.

276          (1) As used in this section:
277          (a) "Incapacitated person" is a person who is incapacitated, as defined in Section
278     75-1-201.
279          (b) "Mental illness" is as defined in Section [62A-15-602] 26B-5-301.
280          (2) If a court of competent jurisdiction determines a pharmacist is an incapacitated
281     person, or that the pharmacist has a mental illness and is unable to safely engage in the practice
282     of pharmacy, the director shall immediately suspend the license of the pharmacist upon the
283     entry of the judgment of the court, without further proceedings under Title 63G, Chapter 4,
284     Administrative Procedures Act, regardless of whether an appeal from the court's ruling is
285     pending. The director shall promptly notify the pharmacist, in writing, of the suspension.
286          (3) (a) If the division and a majority of the board find reasonable cause to believe a
287     pharmacist, who is not determined judicially to be an incapacitated person or to have a mental
288     illness, is incapable of practicing pharmacy with reasonable skill regarding the safety of
289     patients, because of illness, excessive use of drugs or alcohol, or as a result of any mental or
290     physical condition, the board shall recommend that the director file a petition with the division,
291     and cause the petition to be served upon the pharmacist with a notice of hearing on the sole
292     issue of the capacity of the pharmacist to competently and safely engage in the practice of
293     pharmacy.
294          (b) The hearing shall be conducted under Section 58-1-109 and Title 63G, Chapter 4,
295     Administrative Procedures Act, except as provided in Subsection (4).
296          (4) (a) Every pharmacist who accepts the privilege of being licensed under this chapter
297     gives consent to:
298          (i) submitting at the pharmacist's own expense to an immediate mental or physical
299     examination when directed in writing by the division, with the consent of a majority of the
300     board, to do so; and
301          (ii) the admissibility of the reports of the examining practitioner's testimony or
302     examination in any proceeding regarding the license of the pharmacist, and waives all
303     objections on the ground the reports constitute a privileged communication.
304          (b) The examination may be ordered by the division, with the consent of a majority of
305     the board, only upon a finding of reasonable cause to believe:
306          (i) the pharmacist has a mental illness, is incapacitated or otherwise unable to practice

307     pharmacy with reasonable skill and safety; and
308          (ii) immediate action by the division and the board is necessary to prevent harm to the
309     pharmacist's patients or the general public.
310          (c) (i) Failure of a pharmacist to submit to the examination ordered under this section
311     is a ground for the division's immediate suspension of the pharmacist's license by written order
312     of the director.
313          (ii) The division may enter the order of suspension without further compliance with
314     Title 63G, Chapter 4, Administrative Procedures Act, unless the division finds the failure to
315     submit to the examination ordered under this section was due to circumstances beyond the
316     control of the pharmacist and was not related directly to the illness or incapacity of the
317     pharmacist.
318          (5) (a) A pharmacist whose license is suspended under Subsection (2) or (4) has the
319     right to a hearing to appeal the suspension within 10 days after the license is suspended.
320          (b) The hearing held under this Subsection (5) shall be conducted in accordance with
321     Sections 58-1-108 and 58-1-109 for the sole purpose of determining if sufficient basis exists
322     for the continuance of the order of suspension in order to prevent harm to the pharmacist's
323     patients or the general public.
324          (6) A pharmacist whose license is revoked, suspended, or in any way restricted under
325     this section may request the division and the board to consider, at reasonable intervals,
326     evidence presented by the pharmacist, under procedures established by division rule, regarding
327     any change in the pharmacist's condition, to determine whether:
328          (a) the pharmacist is or is not able to safely and competently engage in the practice of
329     pharmacy; and
330          (b) the pharmacist is qualified to have the pharmacist's licensure to practice under this
331     chapter restored completely or in part.
332          Section 3. Section 58-17b-902 is amended to read:
333          58-17b-902. Definitions.
334          As used in this part:
335          (1) "Assisted living facility" means the same as that term is defined in Section
336     [26-21-2] 26B-2-201.
337          (2) "Cancer drug" means a drug that controls or kills neoplastic cells and includes a

338     drug used in chemotherapy to destroy cancer cells.
339          (3) "Charitable clinic" means a charitable nonprofit corporation that:
340          (a) holds a valid exemption from federal income taxation issued under Section 501(a),
341     Internal Revenue Code;
342          (b) is exempt from federal income taxation under Section 501(c)(3), Internal Revenue
343     Code;
344          (c) provides, on an outpatient basis, for a period of less than 24 consecutive hours, to
345     an individual not residing or confined at a facility owned or operated by the charitable
346     nonprofit corporation:
347          (i) advice;
348          (ii) counseling;
349          (iii) diagnosis;
350          (iv) treatment;
351          (v) surgery; or
352          (vi) care or services relating to the preservation or maintenance of health; and
353          (d) has a licensed outpatient pharmacy.
354          (4) "Charitable pharmacy" means an eligible pharmacy that is operated by a charitable
355     clinic.
356          (5) "County health department" means the same as that term is defined in Section
357     26A-1-102.
358          (6) "Donated prescription drug" means a prescription drug that an eligible donor or
359     individual donates to an eligible pharmacy under the program.
360          (7) "Eligible donor" means a donor that donates a prescription drug from within the
361     state and is:
362          (a) a nursing care facility;
363          (b) an assisted living facility;
364          (c) a licensed intermediate care facility for people with an intellectual disability;
365          (d) a manufacturer;
366          (e) a pharmaceutical wholesale distributor;
367          (f) an eligible pharmacy; or
368          (g) a physician's office.

369          (8) "Eligible pharmacy" means a pharmacy that:
370          (a) is registered by the division as eligible to participate in the program; and
371          (b) (i) is licensed in the state as a Class A retail pharmacy; or
372          (ii) is operated by:
373          (A) a county;
374          (B) a county health department;
375          (C) a pharmacy under contract with a county health department;
376          (D) the Department of Health and Human Services created in Section 26B-1-201; or
377          (E) a charitable clinic.
378          (9) (a) "Eligible prescription drug" means a prescription drug, described in Section
379     58-17b-904, that is not:
380          (i) except as provided in Subsection (9)(b), a controlled substance; or
381          (ii) a drug that can only be dispensed to a patient registered with the drug's
382     manufacturer in accordance with federal Food and Drug Administration requirements.
383          (b) "Eligible prescription drug" includes a medication-assisted treatment drug that may
384     be accepted, transferred, and dispensed under the program in accordance with federal law.
385          (10) "Licensed intermediate care facility for people with an intellectual disability"
386     means the same as that term is defined in Section 58-17b-503.
387          (11) "Medically indigent individual" means an individual who:
388          (a) (i) does not have health insurance; and
389          (ii) lacks reasonable means to purchase prescribed medications; or
390          (b) (i) has health insurance; and
391          (ii) lacks reasonable means to pay the insured's portion of the cost of the prescribed
392     medications.
393          (12) "Medication-assisted treatment drug" means buprenorphine prescribed to treat
394     substance use withdrawal symptoms or an opiate use disorder.
395          (13) "Nursing care facility" means the same as that term is defined in Section
396     [26-18-501] 26B-2-201.
397          (14) "Physician's office" means a fixed medical facility that:
398          (a) is staffed by a physician, physician's assistant, nurse practitioner, or registered
399     nurse, licensed under Title 58, Occupations and Professions; and

400          (b) treats an individual who presents at, or is transported to, the facility.
401          (15) "Program" means the Charitable Prescription Drug Recycling Program created in
402     Section 58-17b-903.
403          (16) "Unit pack" means the same as that term is defined in Section 58-17b-503.
404          (17) "Unlawful conduct" means the same as that term is defined in Sections 58-1-501
405     and 58-17b-501.
406          (18) "Unprofessional conduct" means the same as that term is defined in Sections
407     58-1-501 and 58-17b-502.
408          Section 4. Section 58-17b-1002 is amended to read:
409          58-17b-1002. Definitions.
410          As used in this part:
411          (1) "Epinephrine auto-injector" means the same as that term is defined in Section
412     [26-41-102] 26B-4-401.
413          (2) "Local health department" means the same as that term is defined in Section
414     26A-1-102.
415          (3) "Physician" means the same as that term is defined in Section 58-67-102.
416          (4) "Qualified adult" means the same as that term is defined in Section [26-41-102]
417     26B-4-401.
418          (5) "Qualified epinephrine auto-injector entity" means the same as that term is defined
419     in Section [26-41-102] 26B-4-401.
420          (6) "Qualified stock albuterol entity" means the same as that term is defined in Section
421     [26-41-102] 26B-4-401.
422          (7) "Stock albuterol" means the same as that term is defined in Section [26-41-102]
423     26B-4-401.
424          Section 5. Section 58-17b-1004 is amended to read:
425          58-17b-1004. Authorization to dispense an epinephrine auto-injector and stock
426     albuterol pursuant to a standing order.
427          (1) Notwithstanding any other provision of this chapter, a pharmacist or pharmacy
428     intern may dispense an epinephrine auto-injector:
429          (a) (i) to a qualified adult for use in accordance with [Title 26, Chapter 41, Emergency
430     Response for Life-threatening Conditions] Title 26B, Chapter 4, Part 4, School Health; or

431          (ii) to a qualified epinephrine auto-injector entity for use in accordance with [Title 26,
432     Chapter 41, Emergency Response for Life-threatening Conditions] Title 26B, Chapter 4, Part 4,
433     School Health;
434          (b) pursuant to a standing prescription drug order made in accordance with Section
435     58-17b-1005;
436          (c) without any other prescription drug order from a person licensed to prescribe an
437     epinephrine auto-injector; and
438          (d) in accordance with the dispensing guidelines in Section 58-17b-1006.
439          (2) Notwithstanding any other provision of this chapter, a pharmacist or pharmacy
440     intern may dispense stock albuterol:
441          (a) (i) to a qualified adult for use in accordance with [Title 26, Chapter 41, Emergency
442     Response for Life-threatening Conditions] Title 26B, Chapter 4, Part 4, School Health; or
443          (ii) to a qualified stock albuterol entity for use in accordance with [Title 26, Chapter
444     41, Emergency Response for Life-threatening Conditions] Title 26B, Chapter 4, Part 4, School
445     Health;
446          (b) pursuant to a standing prescription drug order made in accordance with Section
447     58-17b-1005;
448          (c) without any other prescription drug order from a person licensed to prescribe stock
449     albuterol; and
450          (d) in accordance with the dispensing guidelines in Section 58-17b-1006.
451          Section 6. Section 58-28-502 is amended to read:
452          58-28-502. Unprofessional conduct.
453          (1) "Unprofessional conduct" includes, in addition to the definitions in Section
454     58-1-501:
455          (a) applying unsanitary methods or procedures in the treatment of any animal, contrary
456     to rules adopted by the board and approved by the division;
457          (b) procuring any fee or recompense on the assurance that a manifestly incurable
458     diseased condition of the body of an animal can be permanently cured;
459          (c) selling any biologics containing living or dead organisms or products or such
460     organisms, except in a manner which will prevent indiscriminate use of such biologics;
461          (d) swearing falsely in any testimony or affidavit, relating to, or in the course of, the

462     practice of veterinary medicine, surgery, or dentistry;
463          (e) willful failure to report any dangerous, infectious, or contagious disease, as required
464     by law;
465          (f) willful failure to report the results of any medical tests, as required by law, or rule
466     adopted pursuant to law;
467          (g) violating Chapter 37, Utah Controlled Substances Act;
468          (h) delegating tasks to unlicensed assistive personnel in violation of standards of the
469     profession and in violation of Subsection (2); and
470          (i) making any unsubstantiated claim of superiority in training or skill as a veterinarian
471     in the performance of professional services.
472          (2) (a) "Unprofessional conduct" does not include the following:
473          (i) delegating to a veterinary technologist, while under the indirect supervision of a
474     veterinarian licensed under this chapter, patient care and treatment that requires a technical
475     understanding of veterinary medicine if written or oral instructions are provided to the
476     technologist by the veterinarian;
477          (ii) delegating to a state certified veterinary technician, while under the direct or
478     indirect supervision of a veterinarian licensed under this chapter, patient care and treatment that
479     requires a technical understanding of veterinary medicine if the veterinarian provides written or
480     oral instructions to the state certified veterinary technician;
481          (iii) delegating to a veterinary technician, while under the direct supervision of a
482     veterinarian licensed under this chapter, patient care and treatment that requires a technical
483     understanding of veterinary medicine if written or oral instructions are provided to the
484     technician by the veterinarian;
485          (iv) delegating to a veterinary assistant, under the immediate supervision of a licensed
486     veterinarian, tasks that are consistent with the standards and ethics of the profession;
487          (v) delegating to an individual described in Subsection 58-28-307(16), under the direct
488     supervision of a licensed veterinarian, the administration of a sedative drug for teeth floating;
489     or
490          (vi) discussing the effects of the following on an animal with the owner of an animal:
491          (A) a cannabinoid or industrial hemp product, as those terms are defined in Section
492     4-41-102; or

493          (B) THC or medical cannabis, as those terms are defined in Section [26-61a-102]
494     26B-4-201.
495          (b) The delegation of tasks permitted under Subsections (2)(a)(i) through (v) does not
496     include:
497          (i) diagnosing;
498          (ii) prognosing;
499          (iii) surgery; or
500          (iv) prescribing drugs, medicines, or appliances.
501          (3) Notwithstanding any provision of this section, a veterinarian licensed under this
502     chapter is not prohibited from engaging in a discussion described in Subsection (2)(a)(vi).
503          Section 7. Section 58-31b-102 is amended to read:
504          58-31b-102. Definitions.
505          In addition to the definitions in Section 58-1-102, as used in this chapter:
506          (1) "Administrative penalty" means a monetary fine or citation imposed by the division
507     for acts or omissions determined to be unprofessional or unlawful conduct in accordance with a
508     fine schedule established by division rule made in accordance with Title 63G, Chapter 3, Utah
509     Administrative Rulemaking Act, and as a result of an adjudicative proceeding conducted in
510     accordance with Title 63G, Chapter 4, Administrative Procedures Act.
511          (2) "Applicant" means an individual who applies for licensure or certification under
512     this chapter by submitting a completed application for licensure or certification and the
513     required fees to the department.
514          (3) "Approved education program" means a nursing education program that is
515     accredited by an accrediting body for nursing education that is approved by the United States
516     Department of Education.
517          (4) "Board" means the Board of Nursing created in Section 58-31b-201.
518          (5) "Diagnosis" means the identification of and discrimination between physical and
519     psychosocial signs and symptoms essential to the effective execution and management of
520     health care.
521          (6) "Examinee" means an individual who applies to take or does take any examination
522     required under this chapter for licensure.
523          (7) "Licensee" means an individual who is licensed or certified under this chapter.

524          (8) "Long-term care facility" means any of the following facilities licensed by the
525     [Department of Health pursuant to Title 26, Chapter 21, Health Care Facility Licensing and
526     Inspection Act] Department of Health and Human Services pursuant to Title 26B, Chapter 2,
527     Part 2, Health Care Facility Licensing and Inspection:
528          (a) a nursing care facility;
529          (b) a small health care facility;
530          (c) an intermediate care facility for people with an intellectual disability;
531          (d) an assisted living facility Type I or II; or
532          (e) a designated swing bed unit in a general hospital.
533          (9) "Medication aide certified" means a certified nurse aide who:
534          (a) has a minimum of 2,000 hours experience working as a certified nurse aide;
535          (b) has received a minimum of 60 hours of classroom and 40 hours of practical training
536     that is approved by the division in collaboration with the board, in administering routine
537     medications to patients or residents of long-term care facilities; and
538          (c) is certified by the division as a medication aide certified.
539          (10) (a) "Practice as a medication aide certified" means the limited practice of nursing
540     under the supervision, as defined by the division by rule made in accordance with Title 63G,
541     Chapter 3, Utah Administrative Rulemaking Act, of a licensed nurse, involving routine patient
542     care that requires minimal or limited specialized or general knowledge, judgment, and skill, to
543     an individual who:
544          (i) is ill, injured, infirm, has a physical, mental, developmental, or intellectual
545     disability; and
546          (ii) is in a regulated long-term care facility.
547          (b) "Practice as a medication aide certified":
548          (i) includes:
549          (A) providing direct personal assistance or care; and
550          (B) administering routine medications to patients in accordance with a formulary and
551     protocols to be defined by the division by rule made in accordance with Title 63G, Chapter 3,
552     Utah Administrative Rulemaking Act; and
553          (ii) does not include assisting a resident of an assisted living facility, a long term care
554     facility, or an intermediate care facility for people with an intellectual disability to self

555     administer a medication, as regulated by the Department of [Health] Health and Human
556     Services by rule made in accordance with Title 63G, Chapter 3, Utah Administrative
557     Rulemaking Act.
558          (11) "Practice of advanced practice registered nursing" means the practice of nursing
559     within the generally recognized scope and standards of advanced practice registered nursing as
560     defined by rule and consistent with professionally recognized preparation and education
561     standards of an advanced practice registered nurse by a person licensed under this chapter as an
562     advanced practice registered nurse. "Practice of advanced practice registered nursing" includes:
563          (a) maintenance and promotion of health and prevention of disease;
564          (b) diagnosis, treatment, correction, consultation, and referral;
565          (c) prescription or administration of prescription drugs or devices including:
566          (i) local anesthesia;
567          (ii) Schedule III-V controlled substances; and
568          (iii) Subject to Section 58-31b-803, Schedule II controlled substances; or
569          (d) the provision of preoperative, intraoperative, and postoperative anesthesia care and
570     related services upon the request of a licensed health care professional by an advanced practice
571     registered nurse specializing as a certified registered nurse anesthetist, including:
572          (i) preanesthesia preparation and evaluation including:
573          (A) performing a preanesthetic assessment of the patient;
574          (B) ordering and evaluating appropriate lab and other studies to determine the health of
575     the patient; and
576          (C) selecting, ordering, or administering appropriate medications;
577          (ii) anesthesia induction, maintenance, and emergence, including:
578          (A) selecting and initiating the planned anesthetic technique;
579          (B) selecting and administering anesthetics and adjunct drugs and fluids; and
580          (C) administering general, regional, and local anesthesia;
581          (iii) postanesthesia follow-up care, including:
582          (A) evaluating the patient's response to anesthesia and implementing corrective
583     actions; and
584          (B) selecting, ordering, or administering the medications and studies listed in this
585     Subsection (11)(d);

586          (iv) other related services within the scope of practice of a certified registered nurse
587     anesthetist, including:
588          (A) emergency airway management;
589          (B) advanced cardiac life support; and
590          (C) the establishment of peripheral, central, and arterial invasive lines; and
591          (v) for purposes of this Subsection (11)(d), "upon the request of a licensed health care
592     professional":
593          (A) means a health care professional practicing within the scope of the health care
594     professional's license, requests anesthesia services for a specific patient; and
595          (B) does not require an advanced practice registered nurse specializing as a certified
596     registered nurse anesthetist to obtain additional authority to select, administer, or provide
597     preoperative, intraoperative, or postoperative anesthesia care and services.
598          (12) "Practice of nursing" means assisting individuals or groups to maintain or attain
599     optimal health, implementing a strategy of care to accomplish defined goals and evaluating
600     responses to care and treatment, and requires substantial specialized or general knowledge,
601     judgment, and skill based upon principles of the biological, physical, behavioral, and social
602     sciences. "Practice of nursing" includes:
603          (a) initiating and maintaining comfort measures;
604          (b) promoting and supporting human functions and responses;
605          (c) establishing an environment conducive to well-being;
606          (d) providing health counseling and teaching;
607          (e) collaborating with health care professionals on aspects of the health care regimen;
608          (f) performing delegated procedures only within the education, knowledge, judgment,
609     and skill of the licensee;
610          (g) delegating nursing tasks that may be performed by others, including an unlicensed
611     assistive personnel; and
612          (h) supervising an individual to whom a task is delegated under Subsection (12)(g) as
613     the individual performs the task.
614          (13) "Practice of practical nursing" means the performance of nursing acts in the
615     generally recognized scope of practice of licensed practical nurses as defined by division rule
616     made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, and as

617     provided in this Subsection (13) by an individual licensed under this chapter as a licensed
618     practical nurse and under the direction of a registered nurse, licensed physician, or other
619     specified health care professional as defined by division rule made in accordance with Title
620     63G, Chapter 3, Utah Administrative Rulemaking Act. Practical nursing acts include:
621          (a) contributing to the assessment of the health status of individuals and groups;
622          (b) participating in the development and modification of the strategy of care;
623          (c) implementing appropriate aspects of the strategy of care;
624          (d) maintaining safe and effective nursing care rendered to a patient directly or
625     indirectly; and
626          (e) participating in the evaluation of responses to interventions.
627          (14) "Practice of registered nursing" means performing acts of nursing as provided in
628     this Subsection (14) by an individual licensed under this chapter as a registered nurse within
629     the generally recognized scope of practice of registered nurses as defined by division rule made
630     in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act. Registered
631     nursing acts include:
632          (a) assessing the health status of individuals and groups;
633          (b) identifying health care needs;
634          (c) establishing goals to meet identified health care needs;
635          (d) planning a strategy of care;
636          (e) prescribing nursing interventions to implement the strategy of care;
637          (f) implementing the strategy of care;
638          (g) maintaining safe and effective nursing care that is rendered to a patient directly or
639     indirectly;
640          (h) evaluating responses to interventions;
641          (i) teaching the theory and practice of nursing; and
642          (j) managing and supervising the practice of nursing.
643          (15) "Registered nurse apprentice" means an individual licensed under Subsection
644     58-31b-301(2)(b) who is learning and engaging in the practice of registered nursing under the
645     indirect supervision of an individual licensed under:
646          (a) Subsection 58-31b-301(2)(c), (e), or (f);
647          (b) Chapter 67, Utah Medical Practice Act; or

648          (c) Chapter 68, Utah Osteopathic Medical Practice Act.
649          (16) "Routine medications":
650          (a) means established medications administered to a medically stable individual as
651     determined by a licensed health care practitioner or in consultation with a licensed medical
652     practitioner; and
653          (b) is limited to medications that are administered by the following routes:
654          (i) oral;
655          (ii) sublingual;
656          (iii) buccal;
657          (iv) eye;
658          (v) ear;
659          (vi) nasal;
660          (vii) rectal;
661          (viii) vaginal;
662          (ix) skin ointments, topical including patches and transdermal;
663          (x) premeasured medication delivered by aerosol/nebulizer; and
664          (xi) medications delivered by metered hand-held inhalers.
665          (17) "Unlawful conduct" means the same as that term is defined in Sections 58-1-501
666     and 58-31b-501.
667          (18) "Unlicensed assistive personnel" means any unlicensed individual, regardless of
668     title, who is delegated a task by a licensed nurse as permitted by division rule made in
669     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, and the standards
670     of the profession.
671          (19) "Unprofessional conduct" means the same as that term is defined in Sections
672     58-1-501 and 58-31b-502 and as may be further defined by division rule made in accordance
673     with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
674          Section 8. Section 58-31b-305 is amended to read:
675          58-31b-305. Term of license -- Expiration -- Renewal.
676          (1) (a) The division shall issue each license or certification under this chapter in
677     accordance with a two-year renewal cycle established by rule.
678          (b) The division may by rule extend or shorten a renewal period by as much as one year

679     to stagger the renewal cycles the division administers.
680          (2) The division shall renew the license of a licensee who, at the time of renewal:
681          (a) completes and submits an application for renewal in a form prescribed by the
682     division;
683          (b) pays a renewal fee established by the division under Section 63J-1-504;
684          (c) views a suicide prevention video described in Section 58-1-601 and submits proof
685     in the form required by the division; and
686          (d) meets continuing competency requirements as established by rule.
687          (3) In addition to the renewal requirements under Subsection (2), a person licensed as
688     an advanced practice registered nurse shall be currently certified by a program approved by the
689     division in collaboration with the board and submit evidence satisfactory to the division of that
690     qualification or if licensed prior to July 1, 1992, meet the requirements established by rule.
691          (4) In addition to the requirements described in Subsections (2) and (3), an advanced
692     practice registered nurse licensee specializing in psychiatric mental health nursing who, as of
693     the day on which the division originally issued the licensee's license had not completed the
694     division's clinical practice requirements in psychiatric and mental health nursing, shall, to
695     qualify for renewal:
696          (a) if renewing less than two years after the day on which the division originally issued
697     the license, demonstrate satisfactory progress toward completing the clinical practice
698     requirements; or
699          (b) have completed the clinical practice requirements.
700          (5) Each license or certification automatically expires on the expiration date shown on
701     the license or certification unless renewed in accordance with Section 58-1-308.
702          (6) The division shall accept and apply toward an hour requirement that the division
703     establishes under Subsection (2)(d) continuing education that an advanced practice registered
704     nurse completes in accordance with Section [26-61a-106] 26B-4-204.
705          Section 9. Section 58-31b-401 is amended to read:
706          58-31b-401. Grounds for denial of licensure or certification and disciplinary
707     proceedings.
708          (1) (a) As used in this section, "licensed" or "license" includes certified or certification
709     under this chapter.

710          (b) A term or condition applied to the word "nurse" under this section applies to a
711     medication aide certified.
712          (2) Grounds for refusal to issue a license to an applicant, for refusal to renew the
713     license of a licensee, to revoke, suspend, restrict, or place on probation the license of a licensee,
714     to issue a public or private reprimand to a licensee, and to issue cease and desist orders shall be
715     in accordance with Section 58-1-401.
716          (3) (a) (i) Subject to Subsection (7), if a court of competent jurisdiction determines a
717     nurse is incapacitated as defined in Section 75-1-201 or that the nurse has a mental illness, as
718     defined in Section [62A-15-602] 26B-5-301, and is unable to safely engage in the practice of
719     nursing, the director shall immediately suspend the license of the nurse upon the entry of the
720     judgment of the court, without further proceedings under Title 63G, Chapter 4, Administrative
721     Procedures Act, regardless of whether an appeal from the court's ruling is pending.
722          (ii) The director shall promptly notify the nurse in writing of a suspension under
723     Subsection (3)(a)(i).
724          (b) (i) Subject to Subsection (7), if the division and the majority of the board find
725     reasonable cause to believe a nurse who is not determined judicially to be an incapacitated
726     person or to have a mental illness, is incapable of practicing nursing with reasonable skill
727     regarding the safety of patients, because of illness, excessive use of drugs or alcohol, or as a
728     result of any mental or physical condition, the board shall recommend that the director file a
729     petition with the division, and cause the petition to be served upon the nurse with a notice of
730     hearing on the sole issue of the capacity of the nurse to competently, safely engage in the
731     practice of nursing.
732          (ii) Except as provided in Subsection (4), the hearing described in Subsection (3)(b)(i)
733     shall be conducted under Section 58-1-109 and Title 63G, Chapter 4, Administrative
734     Procedures Act.
735          (4) (a) Every nurse who accepts the privilege of being licensed under this chapter gives
736     consent to:
737          (i) submitting to an immediate mental or physical examination, at the nurse's expense
738     and by a division-approved practitioner selected by the nurse when directed in writing by the
739     division and a majority of the board to do so; and
740          (ii) the admissibility of the reports of the examining practitioner's testimony or

741     examination, and waives all objections on the ground the reports constitute a privileged
742     communication.
743          (b) The examination may be ordered by the division, with the consent of a majority of
744     the board, only upon a finding of reasonable cause to believe:
745          (i) the nurse has a mental illness, is incapacitated, or otherwise unable to practice
746     nursing with reasonable skill and safety; and
747          (ii) immediate action by the division and the board is necessary to prevent harm to the
748     nurse's patients or the general public.
749          (c) (i) Failure of a nurse to submit to the examination ordered under this section is a
750     ground for the division's immediate suspension of the nurse's license by written order of the
751     director.
752          (ii) The division may enter the order of suspension without further compliance with
753     Title 63G, Chapter 4, Administrative Procedures Act, unless the division finds the failure to
754     submit to the examination ordered under this section was due to circumstances beyond the
755     control of the nurse and was not related directly to the illness or incapacity of the nurse.
756          (5) (a) A nurse whose license is suspended under Subsection (3) or (4)(c) has the right
757     to a hearing to appeal the suspension within 10 days after the license is suspended.
758          (b) The hearing held under this Subsection (5) shall be conducted in accordance with
759     Sections 58-1-108 and 58-1-109 for the sole purpose of determining if sufficient basis exists
760     for the continuance of the order of suspension in order to prevent harm to the nurse's patients or
761     the general public.
762          (6) A nurse whose license is revoked, suspended, or in any way restricted under this
763     section may request the division and the board to consider, at reasonable intervals, evidence
764     presented by the nurse, under procedures established by division rule, regarding any change in
765     the nurse's condition, to determine whether:
766          (a) the nurse is or is not able to safely and competently engage in the practice of
767     nursing; and
768          (b) the nurse is qualified to have the nurse's license to practice under this chapter
769     restored completely or in part.
770          (7) The division may not refuse, revoke, suspend, or in any way restrict an applicant or
771     licensee's license under this chapter solely because the applicant or licensee seeks or

772     participates in mental health or substance abuse treatment.
773          (8) Section 63G-2-206 may not be construed as limiting the authority of the division to
774     report current significant investigative information to the coordinated licensure information
775     system for transmission to party states as required of the division by Article VII of the Nurse
776     Licensure Compact - Revised in Section 58-31e-102.
777          Section 10. Section 58-31b-502 is amended to read:
778          58-31b-502. Unprofessional conduct.
779          (1) "Unprofessional conduct" includes:
780          (a) failure to safeguard a patient's right to privacy as to the patient's person, condition,
781     diagnosis, personal effects, or any other matter about which the licensee is privileged to know
782     because of the licensee's or person with a certification's position or practice as a nurse or
783     practice as a medication aide certified;
784          (b) failure to provide nursing service or service as a medication aide certified in a
785     manner that demonstrates respect for the patient's human dignity and unique personal character
786     and needs without regard to the patient's race, religion, ethnic background, socioeconomic
787     status, age, sex, or the nature of the patient's health problem;
788          (c) engaging in sexual relations with a patient during any:
789          (i) period when a generally recognized professional relationship exists between the
790     person licensed or certified under this chapter and the patient; or
791          (ii) extended period when a patient has reasonable cause to believe a professional
792     relationship exists between the person licensed or certified under the provisions of this chapter
793     and the patient;
794          (d) (i) as a result of any circumstance under Subsection (1)(c), exploiting or using
795     information about a patient or exploiting the licensee's or the person with a certification's
796     professional relationship between the licensee or holder of a certification under this chapter and
797     the patient; or
798          (ii) exploiting the patient by use of the licensee's or person with a certification's
799     knowledge of the patient obtained while acting as a nurse or a medication aide certified;
800          (e) unlawfully obtaining, possessing, or using any prescription drug or illicit drug;
801          (f) unauthorized taking or personal use of nursing supplies from an employer;
802          (g) unauthorized taking or personal use of a patient's personal property;

803          (h) unlawful or inappropriate delegation of nursing care;
804          (i) failure to exercise appropriate supervision of persons providing patient care services
805     under supervision of the licensed nurse;
806          (j) employing or aiding and abetting the employment of an unqualified or unlicensed
807     person to practice as a nurse;
808          (k) failure to file or record any medical report as required by law, impeding or
809     obstructing the filing or recording of such a report, or inducing another to fail to file or record
810     such a report;
811          (l) breach of a statutory, common law, regulatory, or ethical requirement of
812     confidentiality with respect to a person who is a patient, unless ordered by a court;
813          (m) failure to pay a penalty imposed by the division;
814          (n) prescribing a Schedule II controlled substance without complying with the
815     requirements in Section 58-31b-803, if applicable;
816          (o) violating Section 58-31b-801;
817          (p) violating the dispensing requirements of Section 58-17b-309 or Chapter 17b, Part
818     8, Dispensing Medical Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, if
819     applicable;
820          (q) falsely making an entry in, or altering, a medical record with the intent to conceal:
821          (i) a wrongful or negligent act or omission of an individual licensed under this chapter
822     or an individual under the direction or control of an individual licensed under this chapter; or
823          (ii) conduct described in Subsections (1)(a) through (o) or Subsection 58-1-501(1); or
824          (r) violating the requirements of [Title 26, Chapter 61a, Utah Medical Cannabis Act]
825     Title 26B, Chapter 4, Part 2, Cannabinoid Research and Medical Cannabis.
826          (2) "Unprofessional conduct" does not include, in accordance with [Title 26, Chapter
827     61a, Utah Medical Cannabis Act] Title 26B, Chapter 4, Part 2, Cannabinoid Research and
828     Medical Cannabis, when registered as a qualified medical provider, or acting as a limited
829     medical provider, as those terms are defined in Section [26-61a-102] 26B-4-201,
830     recommending the use of medical cannabis.
831          (3) Notwithstanding Subsection (2), the division, in consultation with the board and in
832     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
833     unprofessional conduct for an advanced practice registered nurse described in Subsection (2).

834          Section 11. Section 58-31b-703 is amended to read:
835          58-31b-703. Opiate antagonist -- Exclusion from unprofessional or unlawful
836     conduct.
837          (1) As used in this section:
838          (a) "Dispense" means the same as that term is defined in Section 58-17b-102.
839          (b) "Increased risk" means the same as that term is defined in Section [26-55-102]
840     26B-4-501.
841          (c) "Opiate antagonist" means the same as that term is defined in Section [26-55-102]
842     26B-4-501.
843          (d) "Opiate-related drug overdose event" means the same as that term is defined in
844     Section [26-55-102] 26B-4-501.
845          (e) "Prescribe" means the same as that term is defined in Section 58-17b-102.
846          (2) The prescribing or dispensing of an opiate antagonist by a licensee under this
847     chapter is not unprofessional or unlawful conduct if the licensee prescribed or dispensed the
848     opiate antagonist:
849          (a) in a good faith effort to assist:
850          (i) an individual who is at increased risk of experiencing an opiate-related drug
851     overdose event; or
852          (ii) a family member of, friend of, or other person, including a person described in
853     Subsections [26-55-107(1)(a)(i)(A)] 26B-4-512(1)(a)(i)(A) through (1)(a)(i)(F), that is in a
854     position to assist an individual who is at increased risk of experiencing an opiate-related drug
855     overdose event; or
856          (b) to an overdose outreach provider pursuant to Subsection [26-55-104(2)(a)(iii)]
857     26B-4-509.
858          (3) The provisions of this section and [Title 26, Chapter 55, Opiate Overdose Response
859     Act] Title 26B, Chapter 4, Part 5, Treatment Access, do not establish a duty or standard of care
860     in the prescribing, dispensing, or administration of an opiate antagonist.
861          Section 12. Section 58-37-3.6 is amended to read:
862          58-37-3.6. Exemption for possession or distribution of a cannabinoid product or
863     expanded cannabinoid product pursuant to an approved study.
864          (1) As used in this section:

865          (a) "Cannabinoid product" means a product intended for human ingestion that:
866          (i) contains an extract or concentrate that is obtained from cannabis;
867          (ii) is prepared in a medicinal dosage form; and
868          (iii) contains at least 10 units of cannabidiol for every one unit of tetrahydrocannabinol.
869          (b) "Cannabis" means any part of the plant cannabis sativa, whether growing or not.
870          (c) "Drug paraphernalia" means the same as that term is defined in Section 58-37a-3.
871          (d) "Expanded cannabinoid product" means a product intended for human ingestion
872     that:
873          (i) contains an extract or concentrate that is obtained from cannabis;
874          (ii) is prepared in a medicinal dosage form; and
875          (iii) contains less than 10 units of cannabidiol for every one unit of
876     tetrahydrocannabinol.
877          (e) "Medicinal dosage form" means:
878          (i) a tablet;
879          (ii) a capsule;
880          (iii) a concentrated oil;
881          (iv) a liquid suspension;
882          (v) a transdermal preparation; or
883          (vi) a sublingual preparation.
884          (f) "Tetrahydrocannabinol" means a substance derived from cannabis that meets the
885     description in Subsection 58-37-4(2)(a)(iii)(AA).
886          (2) Notwithstanding any other provision of this chapter an individual who possesses or
887     distributes a cannabinoid product or an expanded cannabinoid product is not subject to the
888     penalties described in this title for the possession or distribution of marijuana or
889     tetrahydrocannabinol to the extent that the individual's possession or distribution of the
890     cannabinoid product or expanded cannabinoid product complies with Title 26, Chapter 61,
891     Cannabinoid Research Act.
892          Section 13. Section 58-37-3.7 is amended to read:
893          58-37-3.7. Medical cannabis decriminalization.
894          (1) As used in this section:
895          (a) "Cannabis" means the same as that term is defined in Section [26-61a-102]

896     26B-4-201.
897          (b) "Cannabis product" means the same as that term is defined in Section [26-61a-102]
898     26B-4-201.
899          (c) "Legal dosage limit" means the same as that term is defined in Section
900     [26-61a-102] 26B-4-201.
901          (d) "Medical cannabis card" means the same as that term is defined in Section
902     [26-61a-102] 26B-4-201.
903          (e) "Medical cannabis device" means the same as that term is defined in Section
904     [26-61a-102] 26B-4-201.
905          (f) "Medicinal dosage form" means the same as that term is defined in Section
906     [26-61a-102] 26B-4-201.
907          (g) "Nonresident patient" means the same as that term is defined in Section
908     [26-61a-102] 26B-4-201.
909          (h) "Qualifying condition" means the same as that term is defined in Section
910     [26-61a-102] 26B-4-201.
911          (i) "Tetrahydrocannabinol" means the same as that term is defined in Section
912     58-37-3.9.
913          (2) Before July 1, 2021, including during the period between January 1, 2021, and
914     March 17, 2021, an individual is not guilty under this chapter for the use or possession of
915     marijuana, tetrahydrocannabinol, or marijuana drug paraphernalia if:
916          (a) at the time of the arrest or citation, the individual:
917          (i) for possession, was a medical cannabis cardholder; or
918          (ii) for use, was a medical cannabis patient cardholder or a minor with a provisional
919     patient card under the supervision of a medical cannabis guardian cardholder; and
920          (b) (i) for use or possession of marijuana or tetrahydrocannabinol, the marijuana or
921     tetrahydrocannabinol is one of the following in an amount that does not exceed the legal
922     dosage limit:
923          (A) unprocessed cannabis in a medicinal dosage form; or
924          (B) a cannabis product in a medicinal dosage form; and
925          (ii) for use or possession of marijuana drug paraphernalia, the paraphernalia is a
926     medical cannabis device.

927          (3) A nonresident patient is not guilty under this chapter for the use or possession of
928     marijuana, tetrahydrocannabinol, or marijuana drug paraphernalia under this chapter if:
929          (a) for use or possession of marijuana or tetrahydrocannabinol, the marijuana or
930     tetrahydrocannabinol is one of the following in an amount that does not exceed the legal
931     dosage limit:
932          (i) unprocessed cannabis in a medicinal dosage form; or
933          (ii) a cannabis product in a medicinal dosage form; and
934          (b) for use or possession of marijuana drug paraphernalia, the paraphernalia is a
935     medical cannabis device.
936          (4) (a) There is a rebuttable presumption against an allegation of use or possession of
937     marijuana or tetrahydrocannabinol if:
938          (i) an individual fails a drug test based on the presence of tetrahydrocannabinol in the
939     sample; and
940          (ii) the individual provides evidence that the individual possessed or used cannabidiol
941     or a cannabidiol product.
942          (b) The presumption described in Subsection (4)(a) may be rebutted with evidence that
943     the individual purchased or possessed marijuana or tetrahydrocannabinol that is not authorized
944     under:
945          (i) Section 4-41-402; or
946          (ii) [Title 26, Chapter 61a, Utah Medical Cannabis Act] Title 26B, Chapter 4, Part 2,
947     Cannabinoid Research and Medical Cannabis.
948          (5) (a) An individual is not guilty under this chapter for the use or possession of
949     marijuana drug paraphernalia if the drug paraphernalia is a medical cannabis device.
950          (b) Nothing in this section prohibits a person, either within the state or outside the
951     state, from selling a medical cannabis device within the state.
952          (c) A person is not required to hold a license under Title 4, Chapter 41a, Cannabis
953     Production Establishments, or [Title 26, Chapter 61a, Utah Medical Cannabis Act] Title 26B,
954     Chapter 4, Part 2, Cannabinoid Research and Medical Cannabis, to qualify for the protections
955     of this section to sell a medical cannabis device.
956          Section 14. Section 58-37-3.8 is amended to read:
957          58-37-3.8. Enforcement.

958          (1) A law enforcement officer, as that term is defined in Section 53-13-103, except for
959     an officially designated drug enforcement task force regarding conduct that is not in accordance
960     with [Title 26, Chapter 61a, Utah Medical Cannabis Act] Title 26B, Chapter 4, Part 2,
961     Cannabinoid Research and Medical Cannabis, may not expend any state or local resources,
962     including the officer's time, to:
963          (a) effect any arrest or seizure of cannabis, as that term is defined in Section
964     [26-61a-102] 26B-4-201, or conduct any investigation, on the sole basis of activity the officer
965     believes to constitute a violation of federal law if the officer has reason to believe that the
966     activity is in compliance with the state medical cannabis laws;
967          (b) enforce a law that restricts an individual's right to acquire, own, or possess a
968     firearm based solely on the individual's possession or use of cannabis in accordance with state
969     medical cannabis laws; or
970          (c) provide any information or logistical support related to an activity described in
971     Subsection (1)(a) to any federal law enforcement authority or prosecuting entity.
972          (2) An agency or political subdivision of the state may not take an adverse action
973     against a person for providing a professional service to a medical cannabis pharmacy, as that
974     term is defined in Section [26-61a-102] 26B-4-201, the state central patient portal, as that term
975     is defined in Section [26-61a-102] 26B-4-201, or a cannabis production establishment, as that
976     term is defined in Section 4-41a-102, on the sole basis that the service is a violation of federal
977     law.
978          Section 15. Section 58-37-3.9 is amended to read:
979          58-37-3.9. Exemption for possession or use of cannabis to treat a qualifying
980     illness.
981          (1) As used in this section:
982          (a) "Cannabis" means marijuana.
983          (b) "Cannabis product" means the same as that term is defined in Section [26-61a-102]
984     26B-4-201.
985          (c) "Drug paraphernalia" means the same as that term is defined in Section 58-37a-3.
986          (d) "Medical cannabis cardholder" means the same as that term is defined in Section
987     [26-61a-102] 26B-4-201.
988          (e) "Medical cannabis device" means the same as that term is defined in Section

989     [26-61a-102] 26B-4-201.
990          (f) "Medicinal dosage form" means the same as that term is defined in Section
991     [26-61a-102] 26B-4-201.
992          (g) "Tetrahydrocannabinol" means a substance derived from cannabis or a synthetic
993     description as described in Subsection 58-37-4(2)(a)(iii)(AA).
994          (2) Notwithstanding any other provision of law, except as otherwise provided in this
995     section:
996          (a) an individual is not guilty of a violation of this title for the following conduct if the
997     individual engages in the conduct in accordance with Title 4, Chapter 41a, Cannabis
998     Production Establishments, or [Title 26, Chapter 61a, Utah Medical Cannabis Act] Title 26B,
999     Chapter 4, Part 2, Cannabinoid Research and Medical Cannabis:
1000          (i) possessing, ingesting, inhaling, producing, manufacturing, dispensing, distributing,
1001     selling, or offering to sell cannabis or a cannabis product; or
1002          (ii) possessing cannabis or a cannabis product with the intent to engage in the conduct
1003     described in Subsection (2)(a)(i); and
1004          (b) an individual is not guilty of a violation of this title regarding drug paraphernalia if
1005     the individual, in accordance with Title 4, Chapter 41a, Cannabis Production Establishments,
1006     and [Title 26, Chapter 61a, Utah Medical Cannabis Act] Title 26B, Chapter 4, Part 2,
1007     Cannabinoid Research and Medical Cannabis:
1008          (i) possesses, manufactures, distributes, sells, or offers to sell a medical cannabis
1009     device; or
1010          (ii) possesses a medical cannabis device with the intent to engage in any of the conduct
1011     described in Subsection (2)(b)(i).
1012          (3) (a) As used in this Subsection (3), "smoking" does not include the vaporization or
1013     heating of medical cannabis.
1014          (b) [Title 26, Chapter 61a, Utah Medical Cannabis Act] Title 26B, Chapter 4, Part 2,
1015     Cannabinoid Research and Medical Cannabis, does not authorize a medical cannabis
1016     cardholder to smoke or combust cannabis or to use a device to facilitate the smoking or
1017     combustion of cannabis.
1018          (c) A medical cannabis cardholder or a nonresident patient who smokes cannabis or
1019     engages in any other conduct described in Subsection (3)(b):

1020          (i) does not possess the cannabis in accordance with [Title 26, Chapter 61a, Utah
1021     Medical Cannabis Act] Title 26B, Chapter 4, Part 2, Cannabinoid Research and Medical
1022     Cannabis; and
1023          (ii) is, for the use or possession of marijuana, tetrahydrocannabinol, or marijuana drug
1024     paraphernalia for the conduct described in Subsection (3)(b):
1025          (A) for the first offense, guilty of an infraction and subject to a fine of up to $100; and
1026          (B) for a second or subsequent offense, subject to charges under this chapter.
1027          (4) An individual who is assessed a penalty or convicted of a crime under Title 4,
1028     Chapter 41a, Cannabis Production Establishments, or [Title 26, Chapter 61a, Utah Medical
1029     Cannabis Act] Title 26B, Chapter 4, Part 2, Cannabinoid Research and Medical Cannabis, is
1030     not, based on the conduct underlying that penalty or conviction, subject to a penalty described
1031     in this chapter for:
1032          (a) the possession, manufacture, sale, or offer for sale of cannabis or a cannabis
1033     product; or
1034          (b) the possession, manufacture, sale, or offer for sale of drug paraphernalia.
1035          (5) (a) Nothing in this section prohibits a person, either within the state or outside the
1036     state, from selling a medical cannabis device within the state.
1037          (b) A person is not required to hold a license under Title 4, Chapter 41a, Cannabis
1038     Production Establishments, or [Title 26, Chapter 61a, Utah Medical Cannabis Act] Title 26B,
1039     Chapter 4, Part 2, Cannabinoid Research and Medical Cannabis, to qualify for the protections
1040     of this section to sell a medical cannabis device.
1041          Section 16. Section 58-37-6.5 is amended to read:
1042          58-37-6.5. Continuing education for controlled substance prescribers.
1043          (1) For the purposes of this section:
1044          (a) "Controlled substance prescriber" means an individual, other than a veterinarian,
1045     who:
1046          (i) is licensed to prescribe a controlled substance under Title 58, Chapter 37, Utah
1047     Controlled Substances Act; and
1048          (ii) possesses the authority, in accordance with the individual's scope of practice, to
1049     prescribe schedule II controlled substances and schedule III controlled substances that are
1050     applicable to opioid narcotics, hypnotic depressants, or psychostimulants.

1051          (b) "D.O." means an osteopathic physician and surgeon licensed under Title 58,
1052     Chapter 68, Utah Osteopathic Medical Practice Act.
1053          (c) "FDA" means the United States Food and Drug Administration.
1054          (d) "M.D." means a physician and surgeon licensed under Title 58, Chapter 67, Utah
1055     Medical Practice Act.
1056          (e) "SBIRT" means the Screening, Brief Intervention, and Referral to Treatment
1057     approach used by the federal Substance Abuse and Mental Health Services Administration or
1058     defined by the division, in consultation with the Division of Substance Abuse and Mental
1059     Health, by administrative rule, in accordance with Title 63G, Chapter 3, Utah Administrative
1060     Rulemaking Act.
1061          (2) (a) Beginning with the licensing period that begins after January 1, 2014, as a
1062     condition precedent for license renewal, each controlled substance prescriber shall complete at
1063     least 3.5 continuing education hours per licensing period that satisfy the requirements of
1064     Subsection (3).
1065          (b) (i) Beginning with the licensing period that begins after January 1, 2024, as a
1066     condition precedent for license renewal, each controlled substance prescriber shall complete at
1067     least 3.5 continuing education hours in an SBIRT-training class that satisfies the requirements
1068     of Subsection (4).
1069          (ii) Completion of the SBIRT-training class, in compliance with Subsection (2)(b)(i),
1070     fulfills the continuing education hours requirement in Subsection (3) for the licensing period in
1071     which the class was completed.
1072          (iii) A controlled substance prescriber:
1073          (A) need only take the SBIRT-training class once during the controlled substance
1074     prescriber's licensure in the state; and
1075          (B) shall provide a completion record of the SBIRT-training class in order to be
1076     reimbursed for SBIRT services to patients, in accordance with Sections [26-18-22] 26B-3-131
1077     and 49-20-416.
1078          (3) A controlled substance prescriber shall complete at least 3.5 hours of continuing
1079     education in one or more controlled substance prescribing classes, except dentists who shall
1080     complete at least two hours, that satisfy the requirements of Subsections (4) and (6).
1081          (4) A controlled substance prescribing class shall:

1082          (a) satisfy the division's requirements for the continuing education required for the
1083     renewal of the controlled substance prescriber's respective license type;
1084          (b) be delivered by an accredited or approved continuing education provider
1085     recognized by the division as offering continuing education appropriate for the controlled
1086     substance prescriber's respective license type; and
1087          (c) include a postcourse knowledge assessment.
1088          (5) An M.D. or D.O. completing continuing professional education hours under
1089     Subsection (4) shall complete those hours in classes that qualify for the American Medical
1090     Association Physician's Recognition Award Category 1 Credit.
1091          (6) The 3.5 hours of the controlled substance prescribing classes under Subsection (4)
1092     shall include educational content covering the following:
1093          (a) the scope of the controlled substance abuse problem in Utah and the nation;
1094          (b) all elements of the FDA Blueprint for Prescriber Education under the FDA's
1095     Extended-Release and Long-Acting Opioid Analgesics Risk Evaluation and Mitigation
1096     Strategy, as published July 9, 2012, or as it may be subsequently revised;
1097          (c) the national and Utah-specific resources available to prescribers to assist in
1098     appropriate controlled substance and opioid prescribing;
1099          (d) patient record documentation for controlled substance and opioid prescribing;
1100          (e) office policies, procedures, and implementation; and
1101          (f) some training regarding medical cannabis, as that term is defined in Section
1102     [26-61a-102] 26B-4-201.
1103          (7) (a) The division, in consultation with the Utah Medical Association Foundation,
1104     shall determine whether a particular controlled substance prescribing class satisfies the
1105     educational content requirements of Subsections (4) and (6) for an M.D. or D.O.
1106          (b) The division, in consultation with the applicable professional licensing boards,
1107     shall determine whether a particular controlled substance prescribing class satisfies the
1108     educational content requirements of Subsections (4) and (6) for a controlled substance
1109     prescriber other than an M.D. or D.O.
1110          (c) The division may by rule establish a committee that may audit compliance with the
1111     Utah Risk Evaluation and Mitigation Strategy (REMS) Educational Programming Project
1112     grant, that satisfies the educational content requirements of Subsections (4) and (6) for a

1113     controlled substance prescriber.
1114          (d) The division shall consult with the Department of [Health] Health and Human
1115     Services regarding the medical cannabis training described in Subsection (6)(f).
1116          (8) A controlled substance prescribing class required under this section:
1117          (a) may be held:
1118          (i) in conjunction with other continuing professional education programs; and
1119          (ii) online; and
1120          (b) does not increase the total number of state-required continuing professional
1121     education hours required for prescriber licensing.
1122          (9) The division may establish rules, in accordance with Title 63G, Chapter 3, Utah
1123     Administrative Rulemaking Act, to implement this section.
1124          (10) A controlled substance prescriber who, on or after July 1, 2017, obtains a waiver
1125     to treat opioid dependency with narcotic medications, in accordance with the Drug Addiction
1126     Treatment Act of 2000, 21 U.S.C. Sec. 823 et seq., may use the waiver to satisfy the 3.5 hours
1127     of the continuing education requirement under Subsection (3) for two consecutive licensing
1128     periods.
1129          Section 17. Section 58-37-7 is amended to read:
1130          58-37-7. Labeling and packaging controlled substance -- Informational pamphlet
1131     for opiates.
1132          (1) A person licensed pursuant to this act may not distribute a controlled substance
1133     unless it is packaged and labeled in compliance with the requirements of Section 305 of the
1134     Federal Comprehensive Drug Abuse Prevention and Control Act of 1970.
1135          (2) No person except a pharmacist for the purpose of filling a prescription shall alter,
1136     deface, or remove any label affixed by the manufacturer.
1137          (3) Whenever a pharmacist sells or dispenses any controlled substance on a
1138     prescription issued by a practitioner, the pharmacist shall affix to the container in which the
1139     substance is sold or dispensed:
1140          (a) a label showing the:
1141          (i) pharmacy name and address;
1142          (ii) serial number; and
1143          (iii) date of initial filling;

1144          (b) the prescription number, the name of the patient, or if the patient is an animal, the
1145     name of the owner of the animal and the species of the animal;
1146          (c) the name of the practitioner by whom the prescription was written;
1147          (d) any directions stated on the prescription; and
1148          (e) any directions required by rules and regulations promulgated by the department.
1149          (4) Whenever a pharmacist sells or dispenses a Schedule II or Schedule III controlled
1150     substance that is an opiate, a pharmacist shall affix a warning to the container or the lid for the
1151     container in which the substance is sold or dispensed that contains the following text:
1152          (a) "Caution: Opioid. Risk of overdose and addiction"; or
1153          (b) any other language that is approved by the Department of [Health] Health and
1154     Human Services.
1155          (5) (a) A pharmacist who sells or dispenses a Schedule II or Schedule III controlled
1156     substance that is an opiate shall, if available from the Department of [Health] Health and
1157     Human Services, prominently display at the point of sale the informational pamphlet developed
1158     by the Department of [Health] Health and Human Services under Section [26-55-109]
1159     26B-4-514.
1160          (b) The board and the Department of [Health] Health and Human Services shall
1161     encourage pharmacists to use the informational pamphlet to engage in patient counseling
1162     regarding the risks associated with taking opiates.
1163          (c) The requirement in Subsection (5)(a) does not apply to a pharmacist if the
1164     pharmacist is unable to obtain the informational pamphlet from the Department of [Health]
1165     Health and Human Services for any reason.
1166          (6) A person may not alter the face or remove any label so long as any of the original
1167     contents remain.
1168          (7) (a) An individual to whom or for whose use any controlled substance has been
1169     prescribed, sold, or dispensed by a practitioner and the owner of any animal for which any
1170     controlled substance has been prescribed, sold, or dispensed by a veterinarian may lawfully
1171     possess it only in the container in which it was delivered to the individual by the person selling
1172     or dispensing it.
1173          (b) It is a defense to a prosecution under this subsection that the person being
1174     prosecuted produces in court a valid prescription for the controlled substance or the original

1175     container with the label attached.
1176          Section 18. Section 58-37-8 is amended to read:
1177          58-37-8. Prohibited acts -- Penalties.
1178          (1) Prohibited acts A -- Penalties and reporting:
1179          (a) Except as authorized by this chapter, it is unlawful for a person to knowingly and
1180     intentionally:
1181          (i) produce, manufacture, or dispense, or to possess with intent to produce,
1182     manufacture, or dispense, a controlled or counterfeit substance;
1183          (ii) distribute a controlled or counterfeit substance, or to agree, consent, offer, or
1184     arrange to distribute a controlled or counterfeit substance;
1185          (iii) possess a controlled or counterfeit substance with intent to distribute; or
1186          (iv) engage in a continuing criminal enterprise where:
1187          (A) the person participates, directs, or engages in conduct that results in a violation of
1188     Chapter 37, Utah Controlled Substances Act, Chapter 37a, Utah Drug Paraphernalia Act,
1189     Chapter 37b, Imitation Controlled Substances Act, Chapter 37c, Utah Controlled Substance
1190     Precursor Act, or Chapter 37d, Clandestine Drug Lab Act, that is a felony; and
1191          (B) the violation is a part of a continuing series of two or more violations of Chapter
1192     37, Utah Controlled Substances Act, Chapter 37a, Utah Drug Paraphernalia Act, Chapter 37b,
1193     Imitation Controlled Substances Act, Chapter 37c, Utah Controlled Substance Precursor Act,
1194     or Chapter 37d, Clandestine Drug Lab Act, on separate occasions that are undertaken in concert
1195     with five or more persons with respect to whom the person occupies a position of organizer,
1196     supervisor, or any other position of management.
1197          (b) A person convicted of violating Subsection (1)(a) with respect to:
1198          (i) a substance or a counterfeit of a substance classified in Schedule I or II, a controlled
1199     substance analog, or gammahydroxybutyric acid as listed in Schedule III is guilty of a second
1200     degree felony, punishable by imprisonment for not more than 15 years, and upon a second or
1201     subsequent conviction is guilty of a first degree felony;
1202          (ii) a substance or a counterfeit of a substance classified in Schedule III or IV, or
1203     marijuana, or a substance listed in Section 58-37-4.2 is guilty of a third degree felony, and
1204     upon a second or subsequent conviction is guilty of a second degree felony; or
1205          (iii) a substance or a counterfeit of a substance classified in Schedule V is guilty of a

1206     class A misdemeanor and upon a second or subsequent conviction is guilty of a third degree
1207     felony.
1208          (c) A person who has been convicted of a violation of Subsection (1)(a)(ii) or (iii) may
1209     be sentenced to imprisonment for an indeterminate term as provided by law, but if the trier of
1210     fact finds a firearm as defined in Section 76-10-501 was used, carried, or possessed on the
1211     person or in the person's immediate possession during the commission or in furtherance of the
1212     offense, the court shall additionally sentence the person convicted for a term of one year to run
1213     consecutively and not concurrently; and the court may additionally sentence the person
1214     convicted for an indeterminate term not to exceed five years to run consecutively and not
1215     concurrently.
1216          (d) (i) A person convicted of violating Subsection (1)(a)(iv) is guilty of a first degree
1217     felony punishable by imprisonment for an indeterminate term of not less than:
1218          (A) seven years and which may be for life; or
1219          (B) 15 years and which may be for life if the trier of fact determined that the defendant
1220     knew or reasonably should have known that any subordinate under Subsection (1)(a)(iv)(B)
1221     was under 18 years old.
1222          (ii) Imposition or execution of the sentence may not be suspended, and the person is
1223     not eligible for probation.
1224          (iii) Subsection (1)(d)(i)(B) does not apply to any defendant who, at the time of the
1225     offense, was under 18 years old.
1226          (e) The Administrative Office of the Courts shall report to the Division of Professional
1227     Licensing the name, case number, date of conviction, and if known, the date of birth of each
1228     person convicted of violating Subsection (1)(a).
1229          (2) Prohibited acts B -- Penalties and reporting:
1230          (a) It is unlawful:
1231          (i) for a person knowingly and intentionally to possess or use a controlled substance
1232     analog or a controlled substance, unless it was obtained under a valid prescription or order,
1233     directly from a practitioner while acting in the course of the person's professional practice, or as
1234     otherwise authorized by this chapter;
1235          (ii) for an owner, tenant, licensee, or person in control of a building, room, tenement,
1236     vehicle, boat, aircraft, or other place knowingly and intentionally to permit them to be occupied

1237     by persons unlawfully possessing, using, or distributing controlled substances in any of those
1238     locations; or
1239          (iii) for a person knowingly and intentionally to possess an altered or forged
1240     prescription or written order for a controlled substance.
1241          (b) A person convicted of violating Subsection (2)(a)(i) with respect to:
1242          (i) marijuana, if the amount is 100 pounds or more, is guilty of a second degree felony;
1243     or
1244          (ii) a substance classified in Schedule I or II, or a controlled substance analog, is guilty
1245     of a class A misdemeanor on a first or second conviction, and on a third or subsequent
1246     conviction if each prior offense was committed within seven years before the date of the
1247     offense upon which the current conviction is based is guilty of a third degree felony.
1248          (c) Upon a person's conviction of a violation of this Subsection (2) subsequent to a
1249     conviction under Subsection (1)(a), that person shall be sentenced to a one degree greater
1250     penalty than provided in this Subsection (2).
1251          (d) A person who violates Subsection (2)(a)(i) with respect to all other controlled
1252     substances not included in Subsection (2)(b)(i) or (ii), including a substance listed in Section
1253     58-37-4.2, or marijuana, is guilty of a class B misdemeanor.
1254          (i) Upon a third conviction the person is guilty of a class A misdemeanor, if each prior
1255     offense was committed within seven years before the date of the offense upon which the
1256     current conviction is based.
1257          (ii) Upon a fourth or subsequent conviction the person is guilty of a third degree felony
1258     if each prior offense was committed within seven years before the date of the offense upon
1259     which the current conviction is based.
1260          (e) A person convicted of violating Subsection (2)(a)(i) while inside the exterior
1261     boundaries of property occupied by a correctional facility as defined in Section 64-13-1 or a
1262     public jail or other place of confinement shall be sentenced to a penalty one degree greater than
1263     provided in Subsection (2)(b), and if the conviction is with respect to controlled substances as
1264     listed in:
1265          (i) Subsection (2)(b), the person may be sentenced to imprisonment for an
1266     indeterminate term as provided by law, and:
1267          (A) the court shall additionally sentence the person convicted to a term of one year to

1268     run consecutively and not concurrently; and
1269          (B) the court may additionally sentence the person convicted for an indeterminate term
1270     not to exceed five years to run consecutively and not concurrently; and
1271          (ii) Subsection (2)(d), the person may be sentenced to imprisonment for an
1272     indeterminate term as provided by law, and the court shall additionally sentence the person
1273     convicted to a term of six months to run consecutively and not concurrently.
1274          (f) A person convicted of violating Subsection (2)(a)(ii) or (iii) is:
1275          (i) on a first conviction, guilty of a class B misdemeanor;
1276          (ii) on a second conviction, guilty of a class A misdemeanor; and
1277          (iii) on a third or subsequent conviction, guilty of a third degree felony.
1278          (g) The Administrative Office of the Courts shall report to the Division of Professional
1279     Licensing the name, case number, date of conviction, and if known, the date of birth of each
1280     person convicted of violating Subsection (2)(a).
1281          (3) Prohibited acts C -- Penalties:
1282          (a) It is unlawful for a person knowingly and intentionally:
1283          (i) to use in the course of the manufacture or distribution of a controlled substance a
1284     license number which is fictitious, revoked, suspended, or issued to another person or, for the
1285     purpose of obtaining a controlled substance, to assume the title of, or represent oneself to be, a
1286     manufacturer, wholesaler, apothecary, physician, dentist, veterinarian, or other authorized
1287     person;
1288          (ii) to acquire or obtain possession of, to procure or attempt to procure the
1289     administration of, to obtain a prescription for, to prescribe or dispense to a person known to be
1290     attempting to acquire or obtain possession of, or to procure the administration of a controlled
1291     substance by misrepresentation or failure by the person to disclose receiving a controlled
1292     substance from another source, fraud, forgery, deception, subterfuge, alteration of a
1293     prescription or written order for a controlled substance, or the use of a false name or address;
1294          (iii) to make a false or forged prescription or written order for a controlled substance,
1295     or to utter the same, or to alter a prescription or written order issued or written under the terms
1296     of this chapter; or
1297          (iv) to make, distribute, or possess a punch, die, plate, stone, or other thing designed to
1298     print, imprint, or reproduce the trademark, trade name, or other identifying mark, imprint, or

1299     device of another or any likeness of any of the foregoing upon any drug or container or labeling
1300     so as to render a drug a counterfeit controlled substance.
1301          (b) (i) A first or second conviction under Subsection (3)(a)(i), (ii), or (iii) is a class A
1302     misdemeanor.
1303          (ii) A third or subsequent conviction under Subsection (3)(a)(i), (ii), or (iii) is a third
1304     degree felony.
1305          (c) A violation of Subsection (3)(a)(iv) is a third degree felony.
1306          (4) Prohibited acts D -- Penalties:
1307          (a) Notwithstanding other provisions of this section, a person not authorized under this
1308     chapter who commits any act that is unlawful under Subsection (1)(a) or Section 58-37b-4 is
1309     upon conviction subject to the penalties and classifications under this Subsection (4) if the trier
1310     of fact finds the act is committed:
1311          (i) in a public or private elementary or secondary school or on the grounds of any of
1312     those schools during the hours of 6 a.m. through 10 p.m.;
1313          (ii) in a public or private vocational school or postsecondary institution or on the
1314     grounds of any of those schools or institutions during the hours of 6 a.m. through 10 p.m.;
1315          (iii) in or on the grounds of a preschool or child-care facility during the preschool's or
1316     facility's hours of operation;
1317          (iv) in a public park, amusement park, arcade, or recreation center when the public or
1318     amusement park, arcade, or recreation center is open to the public;
1319          (v) in or on the grounds of a house of worship as defined in Section 76-10-501;
1320          (vi) in or on the grounds of a library when the library is open to the public;
1321          (vii) within an area that is within 100 feet of any structure, facility, or grounds included
1322     in Subsections (4)(a)(i), (ii), (iii), (iv), (v), and (vi);
1323          (viii) in the presence of a person younger than 18 years old, regardless of where the act
1324     occurs; or
1325          (ix) for the purpose of facilitating, arranging, or causing the transport, delivery, or
1326     distribution of a substance in violation of this section to an inmate or on the grounds of a
1327     correctional facility as defined in Section 76-8-311.3.
1328          (b) (i) A person convicted under this Subsection (4) is guilty of a first degree felony
1329     and shall be imprisoned for a term of not less than five years if the penalty that would

1330     otherwise have been established but for this Subsection (4) would have been a first degree
1331     felony.
1332          (ii) Imposition or execution of the sentence may not be suspended, and the person is
1333     not eligible for probation.
1334          (c) If the classification that would otherwise have been established would have been
1335     less than a first degree felony but for this Subsection (4), a person convicted under this
1336     Subsection (4) is guilty of one degree more than the maximum penalty prescribed for that
1337     offense.
1338          (d) (i) If the violation is of Subsection (4)(a)(ix):
1339          (A) the person may be sentenced to imprisonment for an indeterminate term as
1340     provided by law, and the court shall additionally sentence the person convicted for a term of
1341     one year to run consecutively and not concurrently; and
1342          (B) the court may additionally sentence the person convicted for an indeterminate term
1343     not to exceed five years to run consecutively and not concurrently; and
1344          (ii) the penalties under this Subsection (4)(d) apply also to a person who, acting with
1345     the mental state required for the commission of an offense, directly or indirectly solicits,
1346     requests, commands, coerces, encourages, or intentionally aids another person to commit a
1347     violation of Subsection (4)(a)(ix).
1348          (e) It is not a defense to a prosecution under this Subsection (4) that:
1349          (i) the actor mistakenly believed the individual to be 18 years old or older at the time of
1350     the offense or was unaware of the individual's true age; or
1351          (ii) the actor mistakenly believed that the location where the act occurred was not as
1352     described in Subsection (4)(a) or was unaware that the location where the act occurred was as
1353     described in Subsection (4)(a).
1354          (5) A violation of this chapter for which no penalty is specified is a class B
1355     misdemeanor.
1356          (6) (a) For purposes of penalty enhancement under Subsections (1) and (2), a plea of
1357     guilty or no contest to a violation or attempted violation of this section or a plea which is held
1358     in abeyance under Title 77, Chapter 2a, Pleas in Abeyance, is the equivalent of a conviction,
1359     even if the charge has been subsequently reduced or dismissed in accordance with the plea in
1360     abeyance agreement.

1361          (b) A prior conviction used for a penalty enhancement under Subsection (2) shall be a
1362     conviction that is:
1363          (i) from a separate criminal episode than the current charge; and
1364          (ii) from a conviction that is separate from any other conviction used to enhance the
1365     current charge.
1366          (7) A person may be charged and sentenced for a violation of this section,
1367     notwithstanding a charge and sentence for a violation of any other section of this chapter.
1368          (8) (a) A penalty imposed for violation of this section is in addition to, and not in lieu
1369     of, a civil or administrative penalty or sanction authorized by law.
1370          (b) When a violation of this chapter violates a federal law or the law of another state,
1371     conviction or acquittal under federal law or the law of another state for the same act is a bar to
1372     prosecution in this state.
1373          (9) In any prosecution for a violation of this chapter, evidence or proof that shows a
1374     person or persons produced, manufactured, possessed, distributed, or dispensed a controlled
1375     substance or substances, is prima facie evidence that the person or persons did so with
1376     knowledge of the character of the substance or substances.
1377          (10) This section does not prohibit a veterinarian, in good faith and in the course of the
1378     veterinarian's professional practice only and not for humans, from prescribing, dispensing, or
1379     administering controlled substances or from causing the substances to be administered by an
1380     assistant or orderly under the veterinarian's direction and supervision.
1381          (11) Civil or criminal liability may not be imposed under this section on:
1382          (a) a person registered under this chapter who manufactures, distributes, or possesses
1383     an imitation controlled substance for use as a placebo or investigational new drug by a
1384     registered practitioner in the ordinary course of professional practice or research; or
1385          (b) a law enforcement officer acting in the course and legitimate scope of the officer's
1386     employment.
1387          (12) (a) Civil or criminal liability may not be imposed under this section on any Indian,
1388     as defined in Section 58-37-2, who uses, possesses, or transports peyote for bona fide
1389     traditional ceremonial purposes in connection with the practice of a traditional Indian religion
1390     as defined in Section 58-37-2.
1391          (b) In a prosecution alleging violation of this section regarding peyote as defined in

1392     Section 58-37-4, it is an affirmative defense that the peyote was used, possessed, or transported
1393     by an Indian for bona fide traditional ceremonial purposes in connection with the practice of a
1394     traditional Indian religion.
1395          (c) (i) The defendant shall provide written notice of intent to claim an affirmative
1396     defense under this Subsection (12) as soon as practicable, but not later than 10 days before
1397     trial.
1398          (ii) The notice shall include the specific claims of the affirmative defense.
1399          (iii) The court may waive the notice requirement in the interest of justice for good
1400     cause shown, if the prosecutor is not unfairly prejudiced by the lack of timely notice.
1401          (d) The defendant shall establish the affirmative defense under this Subsection (12) by
1402     a preponderance of the evidence. If the defense is established, it is a complete defense to the
1403     charges.
1404          (13) (a) It is an affirmative defense that the person produced, possessed, or
1405     administered a controlled substance listed in Section 58-37-4.2 if the person was:
1406          (i) engaged in medical research; and
1407          (ii) a holder of a valid license to possess controlled substances under Section 58-37-6.
1408          (b) It is not a defense under Subsection (13)(a) that the person prescribed or dispensed
1409     a controlled substance listed in Section 58-37-4.2.
1410          (14) It is an affirmative defense that the person possessed, in the person's body, a
1411     controlled substance listed in Section 58-37-4.2 if:
1412          (a) the person was the subject of medical research conducted by a holder of a valid
1413     license to possess controlled substances under Section 58-37-6; and
1414          (b) the substance was administered to the person by the medical researcher.
1415          (15) The application of any increase in penalty under this section to a violation of
1416     Subsection (2)(a)(i) may not result in any greater penalty than a second degree felony. This
1417     Subsection (15) takes precedence over any conflicting provision of this section.
1418          (16) (a) It is an affirmative defense to an allegation of the commission of an offense
1419     listed in Subsection (16)(b) that the person or bystander:
1420          (i) reasonably believes that the person or another person is experiencing an overdose
1421     event due to the ingestion, injection, inhalation, or other introduction into the human body of a
1422     controlled substance or other substance;

1423          (ii) reports, or assists a person who reports, in good faith the overdose event to a
1424     medical provider, an emergency medical service provider as defined in Section [26-8a-102]
1425     26B-4-101, a law enforcement officer, a 911 emergency call system, or an emergency dispatch
1426     system, or the person is the subject of a report made under this Subsection (16);
1427          (iii) provides in the report under Subsection (16)(a)(ii) a functional description of the
1428     actual location of the overdose event that facilitates responding to the person experiencing the
1429     overdose event;
1430          (iv) remains at the location of the person experiencing the overdose event until a
1431     responding law enforcement officer or emergency medical service provider arrives, or remains
1432     at the medical care facility where the person experiencing an overdose event is located until a
1433     responding law enforcement officer arrives;
1434          (v) cooperates with the responding medical provider, emergency medical service
1435     provider, and law enforcement officer, including providing information regarding the person
1436     experiencing the overdose event and any substances the person may have injected, inhaled, or
1437     otherwise introduced into the person's body; and
1438          (vi) is alleged to have committed the offense in the same course of events from which
1439     the reported overdose arose.
1440          (b) The offenses referred to in Subsection (16)(a) are:
1441          (i) the possession or use of less than 16 ounces of marijuana;
1442          (ii) the possession or use of a scheduled or listed controlled substance other than
1443     marijuana; and
1444          (iii) any violation of Chapter 37a, Utah Drug Paraphernalia Act, or Chapter 37b,
1445     Imitation Controlled Substances Act.
1446          (c) As used in this Subsection (16) and in Section 76-3-203.11, "good faith" does not
1447     include seeking medical assistance under this section during the course of a law enforcement
1448     agency's execution of a search warrant, execution of an arrest warrant, or other lawful search.
1449          (17) If any provision of this chapter, or the application of any provision to any person
1450     or circumstances, is held invalid, the remainder of this chapter shall be given effect without the
1451     invalid provision or application.
1452          (18) A legislative body of a political subdivision may not enact an ordinance that is
1453     less restrictive than any provision of this chapter.

1454          (19) If a minor who is under 18 years old is found by a court to have violated this
1455     section or Subsection 76-5-102.1(2)(b) or 76-5-207(2)(b), the court may order the minor to
1456     complete:
1457          (a) a screening as defined in Section 41-6a-501;
1458          (b) an assessment as defined in Section 41-6a-501 if the screening indicates an
1459     assessment to be appropriate; and
1460          (c) an educational series as defined in Section 41-6a-501 or substance use disorder
1461     treatment as indicated by an assessment.
1462          Section 19. Section 58-37-19 is amended to read:
1463          58-37-19. Opiate prescription consultation.
1464          (1) As used in this section:
1465          (a) "Hospice" means the same as that term is defined in Section [26-21-2] 26B-2-201.
1466          (b) "Initial opiate prescription" means a prescription for an opiate to a patient who:
1467          (i) has never previously been issued a prescription for an opiate; or
1468          (ii) was previously issued a prescription for an opiate, but the date on which the current
1469     prescription is being issued is more than one year after the date on which an opiate was
1470     previously prescribed or administered to the patient.
1471          (c) "Prescriber" means an individual authorized to prescribe a controlled substance
1472     under this chapter.
1473          (2) Except as provided in Subsection (3), a prescriber may not issue an initial opiate
1474     prescription without discussing with the patient, or the patient's parent or guardian if the patient
1475     is under 18 years of age and is not an emancipated minor:
1476          (a) the risks of addiction and overdose associated with opiate drugs;
1477          (b) the dangers of taking opiates with alcohol, benzodiazepines, and other central
1478     nervous system depressants;
1479          (c) the reasons why the prescription is necessary;
1480          (d) alternative treatments that may be available; and
1481          (e) other risks associated with the use of the drugs being prescribed.
1482          (3) This section does not apply to a prescription for:
1483          (a) a patient who is currently in active treatment for cancer;
1484          (b) a patient who is receiving hospice care from a licensed hospice; or

1485          (c) a medication that is being prescribed to a patient for the treatment of the patient's
1486     substance abuse or opiate dependence.
1487          Section 20. Section 58-37-22 is amended to read:
1488          58-37-22. Electronic prescriptions for controlled substances.
1489          (1) Beginning January 1, 2022, each prescription issued for a controlled substance shall
1490     be transmitted electronically as an electronic prescription unless the prescription is:
1491          (a) for a patient residing in an assisted living facility as that term is defined in Section
1492     [26-21-2] 26B-2-201, a long-term care facility as that term is defined in Section 58-31b-102, or
1493     a correctional facility as that term is defined in Section 64-13-1;
1494          (b) issued by a veterinarian licensed under Title 58, Chapter 28, Veterinary Practice
1495     Act;
1496          (c) dispensed by a Department of Veterans Affairs pharmacy;
1497          (d) issued during a temporary technical or electronic failure at the practitioner's or
1498     pharmacy's location; or
1499          (e) issued in an emergency situation.
1500          (2) The division, in collaboration with the appropriate boards that govern the licensure
1501     of the licensees who are authorized by the division to prescribe or to dispense controlled
1502     substances, shall make rules in accordance with Title 63G, Chapter 3, Utah Administrative
1503     Rulemaking Act, to:
1504          (a) require that controlled substances prescribed or dispensed under Subsection (1)(d)
1505     indicate on the prescription that the prescribing practitioner or the pharmacy is experiencing a
1506     technical difficulty or an electronic failure;
1507          (b) define an emergency situation for purposes of Subsection (1)(e);
1508          (c) establish additional exemptions to the electronic prescription requirements
1509     established in this section;
1510          (d) establish guidelines under which a prescribing practitioner or a pharmacy may
1511     obtain an extension of up to two additional years to comply with Subsection (1);
1512          (e) establish a protocol to follow if the pharmacy that receives the electronic
1513     prescription is not able to fill the prescription; and
1514          (f) establish requirements that comply with federal laws and regulations for software
1515     used to issue and dispense electronic prescriptions.

1516          (3) Beginning July 1, 2024, a pharmacy software program for receiving an electronic
1517     prescription for a controlled substance shall be capable of electronically transferring a
1518     prescription to a different pharmacy:
1519          (a) upon the request of the patient or the practitioner;
1520          (b) with the approval of a pharmacist at the originating pharmacy; and
1521          (c) if the prescription is unfilled.
1522          Section 21. Section 58-37f-102 is amended to read:
1523          58-37f-102. Definitions.
1524          (1) The definitions in Section 58-37-2 apply to this chapter.
1525          (2) As used in this chapter:
1526          (a) "Board" means the Utah State Board of Pharmacy created in Section 58-17b-201.
1527          (b) "Business associate" is as defined under the HIPAA privacy, security, and breach
1528     notification rules in 45 C.F.R. 164.502(a), 164.504(e), and 164.532(d) and (e).
1529          (c) "Database" means the controlled substance database created in Section 58-37f-201.
1530          (d) "De-identified" is as defined in 45 C.F.R. 164.502(d) and 164.514(a), (b), and (c).
1531          (e) "Health care facility" is as defined in Section [26-21-2] 26B-2-201.
1532          (f) "Mental health therapist" is as defined in Section 58-60-102.
1533          (g) "Pharmacy" or "pharmaceutical facility" is as defined in Section 58-17b-102.
1534          (h) "Prospective patient" means an individual who:
1535          (i) is seeking medical advice, medical treatment, or medical services from a
1536     practitioner; and
1537          (ii) the practitioner described in Subsection (2)(h)(i) is considering accepting as a
1538     patient.
1539          (i) "Substance abuse treatment program" is as defined in Section [62A-2-101]
1540     26B-2-101.
1541          Section 22. Section 58-37f-201 is amended to read:
1542          58-37f-201. Controlled substance database -- Creation -- Purpose.
1543          (1) There is created within the division a controlled substance database.
1544          (2) The division shall administer and direct the functioning of the database in
1545     accordance with this chapter.
1546          (3) The division may, under state procurement laws, contract with another state agency

1547     or a private entity to establish, operate, or maintain the database.
1548          (4) The division shall, in collaboration with the board, determine whether to operate
1549     the database within the division or contract with another entity to operate the database, based
1550     on an analysis of costs and benefits.
1551          (5) The purpose of the database is to contain:
1552          (a) the data described in Section 58-37f-203 regarding prescriptions for dispensed
1553     controlled substances;
1554          (b) data reported to the division under Section [26-21-26] 26B-2-201 regarding
1555     poisoning or overdose;
1556          (c) data reported to the division under Subsection 41-6a-502(4) or 41-6a-502.5(5)(b)
1557     regarding convictions for driving under the influence of a prescribed controlled substance or
1558     impaired driving; and
1559          (d) data reported to the division under Subsection 58-37-8(1)(e) or 58-37-8(2)(g)
1560     regarding certain violations of the Utah Controlled Substances Act.
1561          (6) The division shall maintain the database in an electronic file or by other means
1562     established by the division to facilitate use of the database for identification of:
1563          (a) prescribing practices and patterns of prescribing and dispensing controlled
1564     substances;
1565          (b) practitioners prescribing controlled substances in an unprofessional or unlawful
1566     manner;
1567          (c) individuals receiving prescriptions for controlled substances from licensed
1568     practitioners, and who subsequently obtain dispensed controlled substances from a drug outlet
1569     in quantities or with a frequency inconsistent with generally recognized standards of dosage for
1570     that controlled substance;
1571          (d) individuals presenting forged or otherwise false or altered prescriptions for
1572     controlled substances to a pharmacy;
1573          (e) individuals admitted to a general acute hospital for poisoning or overdose involving
1574     a prescribed controlled substance; and
1575          (f) individuals convicted for:
1576          (i) driving under the influence of a prescribed controlled substance that renders the
1577     individual incapable of safely operating a vehicle;

1578          (ii) driving while impaired, in whole or in part, by a prescribed controlled substance; or
1579          (iii) certain violations of the Utah Controlled Substances Act.
1580          Section 23. Section 58-37f-301 is amended to read:
1581          58-37f-301. Access to database.
1582          (1) The division shall make rules, in accordance with Title 63G, Chapter 3, Utah
1583     Administrative Rulemaking Act, to:
1584          (a) effectively enforce the limitations on access to the database as described in this
1585     part; and
1586          (b) establish standards and procedures to ensure accurate identification of individuals
1587     requesting information or receiving information without request from the database.
1588          (2) The division shall make information in the database and information obtained from
1589     other state or federal prescription monitoring programs by means of the database available only
1590     to the following individuals, in accordance with the requirements of this chapter and division
1591     rules:
1592          (a) (i) personnel of the division specifically assigned to conduct investigations related
1593     to controlled substance laws under the jurisdiction of the division; and
1594          (ii) the following law enforcement officers, but the division may only provide
1595     nonidentifying information, limited to gender, year of birth, and postal ZIP code, regarding
1596     individuals for whom a controlled substance has been prescribed or to whom a controlled
1597     substance has been dispensed:
1598          (A) a law enforcement agency officer who is engaged in a joint investigation with the
1599     division; and
1600          (B) a law enforcement agency officer to whom the division has referred a suspected
1601     criminal violation of controlled substance laws;
1602          (b) authorized division personnel engaged in analysis of controlled substance
1603     prescription information as a part of the assigned duties and responsibilities of their
1604     employment;
1605          (c) a board member if:
1606          (i) the board member is assigned to monitor a licensee on probation; and
1607          (ii) the board member is limited to obtaining information from the database regarding
1608     the specific licensee on probation;

1609          (d) a person the division authorizes to obtain that information on behalf of the Utah
1610     Professionals Health Program established in Subsection 58-4a-103(1) if:
1611          (i) the person the division authorizes is limited to obtaining information from the
1612     database regarding the person whose conduct is the subject of the division's consideration; and
1613          (ii) the conduct that is the subject of the division's consideration includes a violation or
1614     a potential violation of Chapter 37, Utah Controlled Substances Act, or another relevant
1615     violation or potential violation under this title;
1616          (e) in accordance with a written agreement entered into with the department,
1617     employees of the Department of [Health] Health and Human Services:
1618          (i) whom the director of the Department of [Health] Health and Human Services
1619     assigns to conduct scientific studies regarding the use or abuse of controlled substances, if the
1620     identity of the individuals and pharmacies in the database are confidential and are not disclosed
1621     in any manner to any individual who is not directly involved in the scientific studies;
1622          (ii) when the information is requested by the Department of [Health] Health and
1623     Human Services in relation to a person or provider whom the Department of [Health] Health
1624     and Human Services suspects may be improperly obtaining or providing a controlled
1625     substance; or
1626          (iii) in the medical examiner's office;
1627          (f) in accordance with a written agreement entered into with the department, a designee
1628     of the director of the Department of [Health] Health and Human Services, who is not an
1629     employee of the Department of [Health] Health and Human Services, whom the director of the
1630     Department of [Health] Health and Human Services assigns to conduct scientific studies
1631     regarding the use or abuse of controlled substances pursuant to an application process
1632     established in rule by the Department of [Health] Health and Human Services, if:
1633          (i) the designee provides explicit information to the Department of [Health] Health and
1634     Human Services regarding the purpose of the scientific studies;
1635          (ii) the scientific studies to be conducted by the designee:
1636          (A) fit within the responsibilities of the Department of [Health] Health and Human
1637     Services for health and welfare;
1638          (B) are reviewed and approved by an Institutional Review Board that is approved for
1639     human subject research by the United States Department of Health and Human Services;

1640          (C) are not conducted for profit or commercial gain; and
1641          (D) are conducted in a research facility, as defined by division rule, that is associated
1642     with a university or college accredited by one or more regional or national accrediting agencies
1643     recognized by the United States Department of Education;
1644          (iii) the designee protects the information as a business associate of the Department of
1645     [Health] Health and Human Services; and
1646          (iv) the identity of the prescribers, patients, and pharmacies in the database are
1647     de-identified, confidential, and not disclosed in any manner to the designee or to any individual
1648     who is not directly involved in the scientific studies;
1649          (g) in accordance with a written agreement entered into with the department and the
1650     Department of [Health] Health and Human Services, authorized employees of a managed care
1651     organization, as defined in 42 C.F.R. Sec. 438, if:
1652          (i) the managed care organization contracts with the Department of [Health] Health and
1653     Human Services under the provisions of Section [26-18-405] 26B-3-202 and the contract
1654     includes provisions that:
1655          (A) require a managed care organization employee who will have access to information
1656     from the database to submit to a criminal background check; and
1657          (B) limit the authorized employee of the managed care organization to requesting
1658     either the division or the Department of [Health] Health and Human Services to conduct a
1659     search of the database regarding a specific Medicaid enrollee and to report the results of the
1660     search to the authorized employee; and
1661          (ii) the information is requested by an authorized employee of the managed care
1662     organization in relation to a person who is enrolled in the Medicaid program with the managed
1663     care organization, and the managed care organization suspects the person may be improperly
1664     obtaining or providing a controlled substance;
1665          (h) a licensed practitioner having authority to prescribe controlled substances, to the
1666     extent the information:
1667          (i) (A) relates specifically to a current or prospective patient of the practitioner; and
1668          (B) is provided to or sought by the practitioner for the purpose of:
1669          (I) prescribing or considering prescribing any controlled substance to the current or
1670     prospective patient;

1671          (II) diagnosing the current or prospective patient;
1672          (III) providing medical treatment or medical advice to the current or prospective
1673     patient; or
1674          (IV) determining whether the current or prospective patient:
1675          (Aa) is attempting to fraudulently obtain a controlled substance from the practitioner;
1676     or
1677          (Bb) has fraudulently obtained, or attempted to fraudulently obtain, a controlled
1678     substance from the practitioner;
1679          (ii) (A) relates specifically to a former patient of the practitioner; and
1680          (B) is provided to or sought by the practitioner for the purpose of determining whether
1681     the former patient has fraudulently obtained, or has attempted to fraudulently obtain, a
1682     controlled substance from the practitioner;
1683          (iii) relates specifically to an individual who has access to the practitioner's Drug
1684     Enforcement Administration identification number, and the practitioner suspects that the
1685     individual may have used the practitioner's Drug Enforcement Administration identification
1686     number to fraudulently acquire or prescribe a controlled substance;
1687          (iv) relates to the practitioner's own prescribing practices, except when specifically
1688     prohibited by the division by administrative rule;
1689          (v) relates to the use of the controlled substance database by an employee of the
1690     practitioner, described in Subsection (2)(i); or
1691          (vi) relates to any use of the practitioner's Drug Enforcement Administration
1692     identification number to obtain, attempt to obtain, prescribe, or attempt to prescribe, a
1693     controlled substance;
1694          (i) in accordance with Subsection (3)(a), an employee of a practitioner described in
1695     Subsection (2)(h), for a purpose described in Subsection (2)(h)(i) or (ii), if:
1696          (i) the employee is designated by the practitioner as an individual authorized to access
1697     the information on behalf of the practitioner;
1698          (ii) the practitioner provides written notice to the division of the identity of the
1699     employee; and
1700          (iii) the division:
1701          (A) grants the employee access to the database; and

1702          (B) provides the employee with a password that is unique to that employee to access
1703     the database in order to permit the division to comply with the requirements of Subsection
1704     58-37f-203(7) with respect to the employee;
1705          (j) an employee of the same business that employs a licensed practitioner under
1706     Subsection (2)(h) if:
1707          (i) the employee is designated by the practitioner as an individual authorized to access
1708     the information on behalf of the practitioner;
1709          (ii) the practitioner and the employing business provide written notice to the division of
1710     the identity of the designated employee; and
1711          (iii) the division:
1712          (A) grants the employee access to the database; and
1713          (B) provides the employee with a password that is unique to that employee to access
1714     the database in order to permit the division to comply with the requirements of Subsection
1715     58-37f-203(7) with respect to the employee;
1716          (k) a licensed pharmacist having authority to dispense a controlled substance, or a
1717     licensed pharmacy intern or pharmacy technician working under the general supervision of a
1718     licensed pharmacist, to the extent the information is provided or sought for the purpose of:
1719          (i) dispensing or considering dispensing any controlled substance;
1720          (ii) determining whether a person:
1721          (A) is attempting to fraudulently obtain a controlled substance from the pharmacy,
1722     practitioner, or health care facility; or
1723          (B) has fraudulently obtained, or attempted to fraudulently obtain, a controlled
1724     substance from the pharmacy, practitioner, or health care facility;
1725          (iii) reporting to the controlled substance database; or
1726          (iv) verifying the accuracy of the data submitted to the controlled substance database
1727     on behalf of a pharmacy where the licensed pharmacist, pharmacy intern, or pharmacy
1728     technician is employed;
1729          (l) pursuant to a valid search warrant, federal, state, and local law enforcement officers
1730     and state and local prosecutors who are engaged in an investigation related to:
1731          (i) one or more controlled substances; and
1732          (ii) a specific person who is a subject of the investigation;

1733          (m) subject to Subsection (7), a probation or parole officer, employed by the
1734     Department of Corrections or by a political subdivision, to gain access to database information
1735     necessary for the officer's supervision of a specific probationer or parolee who is under the
1736     officer's direct supervision;
1737          (n) employees of the Office of Internal Audit and Program Integrity within the
1738     Department of [Health] Health and Human Services who are engaged in their specified duty of
1739     ensuring Medicaid program integrity under Section [26-18-2.3] 26B-3-104;
1740          (o) a mental health therapist, if:
1741          (i) the information relates to a patient who is:
1742          (A) enrolled in a licensed substance abuse treatment program; and
1743          (B) receiving treatment from, or under the direction of, the mental health therapist as
1744     part of the patient's participation in the licensed substance abuse treatment program described
1745     in Subsection (2)(o)(i)(A);
1746          (ii) the information is sought for the purpose of determining whether the patient is
1747     using a controlled substance while the patient is enrolled in the licensed substance abuse
1748     treatment program described in Subsection (2)(o)(i)(A); and
1749          (iii) the licensed substance abuse treatment program described in Subsection
1750     (2)(o)(i)(A) is associated with a practitioner who:
1751          (A) is a physician, a physician assistant, an advance practice registered nurse, or a
1752     pharmacist; and
1753          (B) is available to consult with the mental health therapist regarding the information
1754     obtained by the mental health therapist, under this Subsection (2)(o), from the database;
1755          (p) an individual who is the recipient of a controlled substance prescription entered into
1756     the database, upon providing evidence satisfactory to the division that the individual requesting
1757     the information is in fact the individual about whom the data entry was made;
1758          (q) an individual under Subsection (2)(p) for the purpose of obtaining a list of the
1759     persons and entities that have requested or received any information from the database
1760     regarding the individual, except if the individual's record is subject to a pending or current
1761     investigation as authorized under this Subsection (2);
1762          (r) the inspector general, or a designee of the inspector general, of the Office of
1763     Inspector General of Medicaid Services, for the purpose of fulfilling the duties described in

1764     Title 63A, Chapter 13, Part 2, Office and Powers;
1765          (s) the following licensed physicians for the purpose of reviewing and offering an
1766     opinion on an individual's request for workers' compensation benefits under Title 34A, Chapter
1767     2, Workers' Compensation Act, or Title 34A, Chapter 3, Utah Occupational Disease Act:
1768          (i) a member of the medical panel described in Section 34A-2-601;
1769          (ii) a physician employed as medical director for a licensed workers' compensation
1770     insurer or an approved self-insured employer; or
1771          (iii) a physician offering a second opinion regarding treatment;
1772          (t) members of Utah's Opioid Fatality Review Committee, for the purpose of reviewing
1773     a specific fatality due to opioid use and recommending policies to reduce the frequency of
1774     opioid use fatalities;
1775          (u) a licensed pharmacist who is authorized by a managed care organization as defined
1776     in Section 31A-1-301 to access the information on behalf of the managed care organization, if:
1777          (i) the managed care organization believes that an enrollee of the managed care
1778     organization has obtained or provided a controlled substance in violation of a medication
1779     management program contract between the enrollee and the managed care organization; and
1780          (ii) the managed care organization included a description of the medication
1781     management program in the enrollee's outline of coverage described in Subsection
1782     31A-22-605(7); and
1783          (v) the Utah Medicaid Fraud Control Unit of the attorney general's office for the
1784     purpose of investigating active cases, in exercising the unit's authority to investigate and
1785     prosecute Medicaid fraud, abuse, neglect, or exploitation under 42 U.S.C. Sec. 1396b(q).
1786          (3) (a) A practitioner described in Subsection (2)(h) may designate one or more
1787     employees to access information from the database under Subsection (2)(i), (2)(j), or (4)(c).
1788          (b) The division shall make rules, in accordance with Title 63G, Chapter 3, Utah
1789     Administrative Rulemaking Act, to:
1790          (i) establish background check procedures to determine whether an employee
1791     designated under Subsection (2)(i), (2)(j), or (4)(c) should be granted access to the database;
1792          (ii) establish the information to be provided by an emergency department employee
1793     under Subsection (4); and
1794          (iii) facilitate providing controlled substance prescription information to a third party

1795     under Subsection (5).
1796          (c) The division shall grant an employee designated under Subsection (2)(i), (2)(j), or
1797     (4)(c) access to the database, unless the division determines, based on a background check, that
1798     the employee poses a security risk to the information contained in the database.
1799          (4) (a) An individual who is employed in the emergency department of a hospital may
1800     exercise access to the database under this Subsection (4) on behalf of a licensed practitioner if
1801     the individual is designated under Subsection (4)(c) and the licensed practitioner:
1802          (i) is employed or privileged to work in the emergency department;
1803          (ii) is treating an emergency department patient for an emergency medical condition;
1804     and
1805          (iii) requests that an individual employed in the emergency department and designated
1806     under Subsection (4)(c) obtain information regarding the patient from the database as needed in
1807     the course of treatment.
1808          (b) The emergency department employee obtaining information from the database
1809     shall, when gaining access to the database, provide to the database the name and any additional
1810     identifiers regarding the requesting practitioner as required by division administrative rule
1811     established under Subsection (3)(b).
1812          (c) An individual employed in the emergency department under this Subsection (4)
1813     may obtain information from the database as provided in Subsection (4)(a) if:
1814          (i) the employee is designated by the hospital as an individual authorized to access the
1815     information on behalf of the emergency department practitioner;
1816          (ii) the hospital operating the emergency department provide written notice to the
1817     division of the identity of the designated employee; and
1818          (iii) the division:
1819          (A) grants the employee access to the database; and
1820          (B) provides the employee with a password that is unique to that employee to access
1821     the database.
1822          (d) The division may impose a fee, in accordance with Section 63J-1-504, on a
1823     practitioner who designates an employee under Subsection (2)(i), (2)(j), or (4)(c) to pay for the
1824     costs incurred by the division to conduct the background check and make the determination
1825     described in Subsection (3)(b).

1826          (5) (a) (i) An individual may request that the division provide the information under
1827     Subsection (5)(b) to a third party who is designated by the individual each time a controlled
1828     substance prescription for the individual is dispensed.
1829          (ii) The division shall upon receipt of the request under this Subsection (5)(a) advise
1830     the individual in writing that the individual may direct the division to discontinue providing the
1831     information to a third party and that notice of the individual's direction to discontinue will be
1832     provided to the third party.
1833          (b) The information the division shall provide under Subsection (5)(a) is:
1834          (i) the fact a controlled substance has been dispensed to the individual, but without
1835     identifying the controlled substance; and
1836          (ii) the date the controlled substance was dispensed.
1837          (c) (i) An individual who has made a request under Subsection (5)(a) may direct that
1838     the division discontinue providing information to the third party.
1839          (ii) The division shall:
1840          (A) notify the third party that the individual has directed the division to no longer
1841     provide information to the third party; and
1842          (B) discontinue providing information to the third party.
1843          (6) (a) An individual who is granted access to the database based on the fact that the
1844     individual is a licensed practitioner or a mental health therapist shall be denied access to the
1845     database when the individual is no longer licensed.
1846          (b) An individual who is granted access to the database based on the fact that the
1847     individual is a designated employee of a licensed practitioner shall be denied access to the
1848     database when the practitioner is no longer licensed.
1849          (7) A probation or parole officer is not required to obtain a search warrant to access the
1850     database in accordance with Subsection (2)(m).
1851          (8) The division shall review and adjust the database programming which
1852     automatically logs off an individual who is granted access to the database under Subsections
1853     (2)(h), (2)(i), (2)(j), and (4)(c) to maximize the following objectives:
1854          (a) to protect patient privacy;
1855          (b) to reduce inappropriate access; and
1856          (c) to make the database more useful and helpful to a person accessing the database

1857     under Subsections (2)(h), (2)(i), (2)(j), and (4)(c), especially in high usage locations such as an
1858     emergency department.
1859          (9) Any person who knowingly and intentionally accesses the database without express
1860     authorization under this section is guilty of a class A misdemeanor.
1861          Section 24. Section 58-37f-702 is amended to read:
1862          58-37f-702. Reporting prescribed controlled substance poisoning or overdose to a
1863     practitioner.
1864          (1) (a) The division shall take the actions described in Subsection (1)(b) if the division
1865     receives a report from a general acute hospital under Section [26-21-26] 26B-2-225 regarding
1866     admission to a general acute hospital for poisoning or overdose involving a prescribed
1867     controlled substance.
1868          (b) The division shall, within three business days after the day on which a report in
1869     Subsection (1)(a) is received:
1870          (i) attempt to identify, through the database, each practitioner who may have prescribed
1871     the controlled substance to the patient; and
1872          (ii) provide each practitioner identified under Subsection (1)(a) with:
1873          (A) a copy of the report provided by the general acute hospital under Section
1874     [26-21-26] 26B-2-225; and
1875          (B) the information obtained from the database that led the division to determine that
1876     the practitioner receiving the information may have prescribed the controlled substance to the
1877     person named in the report.
1878          (2) (a) When the division receives a report from the medical examiner under Section
1879     [26-4-10.5] 26B-8-210 regarding a death caused by poisoning or overdose involving a
1880     prescribed controlled substance, for each practitioner identified by the medical examiner under
1881     Subsection [26-4-10.5(1)(c)] 26B-8-210(1)(e), the division:
1882          (i) shall, within five business days after the day on which the division receives the
1883     report, provide the practitioner with a copy of the report; and
1884          (ii) may offer the practitioner an educational visit to review the report.
1885          (b) A practitioner may decline an educational visit described in Subsection (2)(a)(ii).
1886          (c) The division may not use, in a licensing investigation or action by the division:
1887          (i) information from an educational visit described in Subsection (2)(a)(ii); or

1888          (ii) a practitioner's decision to decline an educational visit described in Subsection
1889     (2)(a)(ii).
1890          (3) It is the intent of the Legislature that the information provided under Subsection (1)
1891     or (2) is provided for the purpose of assisting the practitioner in:
1892          (a) discussing with the patient or others issues relating to the poisoning or overdose;
1893          (b) advising the patient or others of measures that may be taken to avoid a future
1894     poisoning or overdose; and
1895          (c) making decisions regarding future prescriptions written for the patient or others.
1896          (4) Any record created by the division as a result of an educational visit described in
1897     Subsection (2)(a)(ii) is a protected record for purposes of Title 63G, Chapter 2, Government
1898     Records Access and Management Act.
1899          (5) Beginning on July 1, 2010, the division shall, in accordance with Section
1900     63J-1-504, increase the licensing fee described in Subsection 58-37-6(1)(b) to pay the startup
1901     and ongoing costs of the division for complying with the requirements of this section.
1902          Section 25. Section 58-41-4 is amended to read:
1903          58-41-4. Exemptions from chapter.
1904          (1) In addition to the exemptions from licensure in Section 58-1-307, the following
1905     persons may engage in the practice of speech-language pathology and audiology subject to the
1906     stated circumstances and limitations without being licensed under this chapter:
1907          (a) a qualified person licensed in this state under any law existing in this state prior to
1908     May 13, 1975, engaging in the profession for which the person is licensed;
1909          (b) a medical doctor, physician, physician assistant, or surgeon licensed in this state,
1910     engaging in his or her specialty in the practice of medicine;
1911          (c) a hearing aid dealer or salesperson selling, fitting, adjusting, and repairing hearing
1912     aids, and conducting hearing tests solely for that purpose. However, a hearing aid dealer may
1913     not conduct audiologic testing on persons younger than 18 years old except under the direct
1914     supervision of an audiologist licensed under this chapter;
1915          (d) a person who has obtained a valid and current credential issued by the State Board
1916     of Education while specifically performing the functions of a speech-language pathologist or
1917     audiologist solely within the confines of, under the direction and jurisdiction of, and in the
1918     academic interest of the school employing the person;

1919          (e) a person employed as a speech-language pathologist or audiologist by federal
1920     government agencies or subdivisions or, prior to July 1, 1989, by state or local government
1921     agencies or subdivisions, while specifically performing speech-language pathology or
1922     audiology services solely within the confines of, under the direction and jurisdiction of, and in
1923     the specific interest of the agency or subdivision;
1924          (f) a person identified in Subsections (1)(d) and (e) may offer lectures for a fee, or
1925     monetary or other compensation, without being licensed;
1926          (g) a person employed by an accredited college or university as a speech-language
1927     pathologist or audiologist performing the services or functions described in this chapter if the
1928     services or functions are:
1929          (i) performed solely as an assigned teaching function of the person's employment;
1930          (ii) solely in academic interest and pursuit as a function of the person's employment;
1931          (iii) in no way for the person's own interest; and
1932          (iv) provided for no fee, monetary or otherwise, other than the person's agreed
1933     institutional salary;
1934          (h) a person pursuing a course of study leading to a degree in speech-language
1935     pathology or audiology while enrolled in an accredited college or university, provided:
1936          (i) those activities constitute an assigned, directed, and supervised part of the person's
1937     curricular study, and in no other interest;
1938          (ii) that all examinations, tests, histories, charts, progress notes, reports,
1939     correspondence, documents, and records the person produces be identified clearly as having
1940     been conducted and prepared by a student in training;
1941          (iii) that the person is obviously identified and designated by appropriate title clearly
1942     indicating the person's training status; and
1943          (iv) that the person does not hold out directly or indirectly to the public or otherwise
1944     represent that the person is qualified to practice independently;
1945          (i) a person trained in elementary audiometry and qualified to perform basic
1946     audiometric tests while employed by and under the direct supervision of a licensed medical
1947     doctor to perform solely for the licensed medical doctor, the elementary conventional
1948     audiometric tests of air conduction screening, air conduction threshold testing, and
1949     tympanometry;

1950          (j) a person performing the functions of a speech-language pathologist or audiologist
1951     for the sole purpose of obtaining required professional experience under the provisions of this
1952     chapter and only during the period the person is obtaining the required professional experience,
1953     if the person:
1954          (i) meets all training requirements; and
1955          (ii) is professionally responsible to and under the supervision of a speech-language
1956     pathologist or audiologist who holds the CCC or a state license in speech-language pathology
1957     or audiology;
1958          (k) a corporation, partnership, trust, association, group practice, or similar organization
1959     engaging in speech-language pathology or audiology services without certification or license, if
1960     acting only through employees or consisting only of persons who are licensed under this
1961     chapter;
1962          (l) a person who is not a resident of this state performing speech-language pathology or
1963     audiology services in this state if:
1964          (i) the services are performed for no more than one month in any calendar year in
1965     association with a speech-language pathologist or audiologist licensed under this chapter; and
1966          (ii) the person meets the qualifications and requirements for application for licensure
1967     described in Section 58-41-5;
1968          (m) a person certified under Title 53E, Public Education System -- State
1969     Administration, as a teacher of the deaf, from providing the services or performing the
1970     functions the person is certified to perform; and
1971          (n) a person who is:
1972          (i) trained in newborn hearing screening as described in rules made by the Department
1973     of Health and Human Services in accordance with Title 63G, Chapter 3, Utah Administrative
1974     Rulemaking Act; and
1975          (ii) is working under the indirect supervision of a licensed audiologist responsible for a
1976     newborn hearing screening program established by the Department of Health and Human
1977     Services under Section [26-10-6] 26B-4-319.
1978          (2) No person is exempt from the requirements of this chapter who performs or
1979     provides any services as a speech-language pathologist or audiologist for which a fee, salary,
1980     bonus, gratuity, or compensation of any kind paid by the recipient of the service; or who

1981     engages any part of his professional work for a fee practicing in conjunction with, by
1982     permission of, or apart from his position of employment as speech-language pathologist or
1983     audiologist in any branch or subdivision of local, state, or federal government or as otherwise
1984     identified in this section.
1985          Section 26. Section 58-57-7 is amended to read:
1986          58-57-7. Exemptions from licensure.
1987          (1) (a) For purposes of Subsection (2)(b), "qualified" means an individual who is a
1988     registered polysomnographic technologist or a Diplomate certified by the American Board of
1989     Sleep Medicine.
1990          (b) For purposes of Subsections (2)(f) and (g), "supervision" means one of the
1991     following will be immediately available for consultation in person or by phone:
1992          (i) a practitioner;
1993          (ii) a respiratory therapist;
1994          (iii) a Diplomate of the American Board of Sleep Medicine; or
1995          (iv) a registered polysomnographic technologist.
1996          (2) In addition to the exemptions from licensure in Section 58-1-307, the following
1997     persons may engage in the practice of respiratory therapy subject to the stated circumstances
1998     and limitations without being licensed under this chapter:
1999          (a) any person who provides gratuitous care for a member of his immediate family
2000     without representing himself as a licensed respiratory care practitioner;
2001          (b) any person who is a licensed or qualified member of another health care profession,
2002     if this practice is consistent with the accepted standards of the profession and if the person does
2003     not represent himself as a respiratory care practitioner;
2004          (c) any person who serves in the Armed Forces of the United States or any other
2005     agency of the federal government and is engaged in the performance of his official duties;
2006          (d) any person who acts under a certification issued pursuant to [Title 26, Chapter 8a,
2007     Utah Emergency Medical Services System Act] Title 26B, Chapter 4, Part 1, Utah Emergency
2008     Medical Services System, while providing emergency medical services;
2009          (e) any person who delivers, installs, or maintains respiratory related durable medical
2010     equipment and who gives instructions regarding the use of that equipment in accordance with
2011     Subsections 58-57-2(3) and (6), except that this exemption does not include any clinical

2012     evaluation or treatment of the patient;
2013          (f) any person who is working in a practitioner's office, acting under supervision; and
2014          (g) a polysomnographic technician or trainee, acting under supervision, as long as the
2015     technician or trainee administers the following only in a sleep lab, sleep center, or sleep
2016     facility:
2017          (i) oxygen titration; and
2018          (ii) positive airway pressure that does not include mechanical ventilation.
2019          (3) Nothing in this chapter permits a respiratory care practitioner to engage in the
2020     unauthorized practice of other health disciplines.
2021          Section 27. Section 58-60-114 is amended to read:
2022          58-60-114. Confidentiality -- Exemptions.
2023          (1) Notwithstanding Title 63G, Chapter 2, Government Records Access and
2024     Management Act, a mental health therapist under this chapter may not disclose any confidential
2025     communication with a client or patient without the express written consent of:
2026          (a) the client or patient;
2027          (b) the parent or legal guardian of a minor client or patient; or
2028          (c) a person authorized to consent to the disclosure of the confidential communication
2029     by the client or patient in a written document:
2030          (i) that is signed by the client or the patient; and
2031          (ii) in which the client's or the patient's signature is reasonably verifiable.
2032          (2) A mental health therapist under this chapter is not subject to Subsection (1) if:
2033          (a) the mental health therapist is permitted or required by state or federal law, rule,
2034     regulation, or order to report or disclose any confidential communication, including:
2035          (i) reporting under [Title 62A, Chapter 3, Part 3, Abuse, Neglect, or Exploitation of a
2036     Vulnerable Adult] Title 26B, Chapter 6, Part 2, Abuse, Neglect, or Exploitation of a
2037     Vulnerable Adult;
2038          (ii) reporting under Title 80, Chapter 2, Part 6, Child Abuse and Neglect Reports;
2039          (iii) reporting under Title 78B, Chapter 3, Part 5, Limitation of Therapist's Duty to
2040     Warn; or
2041          (iv) reporting of a communicable disease as required under Section [26-6-6]
2042     26B-7-206;

2043          (b) the disclosure is part of an administrative, civil, or criminal proceeding and is made
2044     under an exemption from evidentiary privilege under Rule 506, Utah Rules of Evidence; or
2045          (c) the disclosure is made under a generally recognized professional or ethical standard
2046     that authorizes or requires the disclosure.
2047          Section 28. Section 58-60-509 is amended to read:
2048          58-60-509. Confidentiality -- Exemptions.
2049          (1) A licensee under this part may not disclose any confidential communication with a
2050     client or patient without the express consent of:
2051          (a) the client or patient;
2052          (b) the parent or legal guardian of a minor client or patient; or
2053          (c) the authorized agent of a client or patient.
2054          (2) A licensee under this part is not subject to Subsection (1) if:
2055          (a) the licensee is permitted or required by state or federal law, rule, regulation, or
2056     order to report or disclose any confidential communication, including:
2057          (i) reporting under [Title 62A, Chapter 3, Part 3, Abuse, Neglect, or Exploitation of a
2058     Vulnerable Adult] Title 26B, Chapter 6, Part 2, Abuse, Neglect, or Exploitation of a
2059     Vulnerable Adult;
2060          (ii) reporting under Title 80, Chapter 2, Part 6, Child Abuse and Neglect Reports;
2061          (iii) reporting under Title 78B, Chapter 3, Part 5, Limitation of Therapist's Duty to
2062     Warn; or
2063          (iv) reporting of a communicable disease as required under Section [26-6-6]
2064     26B-7-206;
2065          (b) the disclosure is part of an administrative, civil, or criminal proceeding and is made
2066     under an exemption from evidentiary privilege under Rule 506, Utah Rules of Evidence; or
2067          (c) the disclosure is made under a generally recognized professional or ethical standard
2068     that authorizes or requires the disclosure.
2069          Section 29. Section 58-61-602 is amended to read:
2070          58-61-602. Confidentiality -- Exemptions.
2071          (1) Notwithstanding Title 63G, Chapter 2, Government Records Access and
2072     Management Act, a psychologist under this chapter may not disclose any confidential
2073     communication with a client or patient without the express written consent of:

2074          (a) the client or patient;
2075          (b) the parent or legal guardian of a minor client or patient; or
2076          (c) a person authorized to consent to the disclosure of the confidential communication
2077     by the client or patient in a written document:
2078          (i) that is signed by the client or the patient; and
2079          (ii) in which the client's or the patient's signature is reasonably verifiable.
2080          (2) A psychologist under this chapter is not subject to Subsection (1) if:
2081          (a) the psychologist is permitted or required by state or federal law, rule, regulation, or
2082     order to report or disclose any confidential communication, including:
2083          (i) reporting under [Title 62A, Chapter 3, Part 3, Abuse, Neglect, or Exploitation of a
2084     Vulnerable Adult] Title 26B, Chapter 6, Part 2, Abuse, Neglect, or Exploitation of a
2085     Vulnerable Adult;
2086          (ii) reporting under Title 62A, Chapter 4a, Part 4, Child Abuse or Neglect Reporting
2087     Requirements;
2088          (iii) reporting under Title 78B, Chapter 3, Part 5, Limitation of Therapist's Duty to
2089     Warn; or
2090          (iv) reporting of a communicable disease as required under Section [26-6-6]
2091     26B-7-206;
2092          (b) the disclosure is part of an administrative, civil, or criminal proceeding and is made
2093     under an exemption from evidentiary privilege under Rule 506, Utah Rules of Evidence; or
2094          (c) the disclosure is made under a generally recognized professional or ethical standard
2095     that authorizes or requires the disclosure.
2096          Section 30. Section 58-61-704 is amended to read:
2097          58-61-704. Term of license or registration.
2098          (1) (a) The division shall issue each license under this part with a two-year renewal
2099     cycle established by division rule.
2100          (b) The division may by rule extend or shorten a renewal cycle by as much as one year
2101     to stagger the renewal cycles it administers.
2102          (2) At the time of renewal, the licensed individual shall show satisfactory evidence of
2103     renewal requirements as required under this part.
2104          (3) Each license or registration expires on the expiration date shown on the license

2105     unless renewed by the licensed individual in accordance with Section 58-1-308.
2106          (4) (a) A registration as a registered behavior specialist or a registered assistant
2107     behavior specialist:
2108          (i) expires on the day the individual is no longer employed in accordance with
2109     Subsection 58-61-705(5)(d) or (6)(d); and
2110          (ii) may not be renewed.
2111          (b) The Department of [Human Services] Health and Human Services, or an
2112     organization contracted with a division of the Department of [Human Services] Health and
2113     Human Services, shall notify the Division of Professional Licensing when a person registered
2114     under this part is no longer employed as a registered behavior specialist or a registered assistant
2115     behavior specialist.
2116          Section 31. Section 58-61-713 is amended to read:
2117          58-61-713. Confidentiality -- Exemptions.
2118          (1) A behavior analyst or behavior specialist under this chapter may not disclose any
2119     confidential communication with a client or patient without the express written consent of:
2120          (a) the client or patient;
2121          (b) the parent or legal guardian of a minor client or patient; or
2122          (c) a person authorized to consent to the disclosure of the confidential communication
2123     by the client or patient in a written document:
2124          (i) that is signed by the client or the patient; and
2125          (ii) in which the client's or the patient's signature is reasonably verifiable.
2126          (2) A behavior analyst or behavior specialist is not subject to Subsection (1) if:
2127          (a) the behavior analyst or behavior specialist is permitted or required by state or
2128     federal law, rule, regulation, or order to report or disclose any confidential communication,
2129     including:
2130          (i) reporting under Title 62A, Chapter 3, Part 3, Abuse, Neglect, or Exploitation of a
2131     Vulnerable Adult;
2132          (ii) reporting under Title 80, Chapter 2, Part 6, Child Abuse and Neglect Reports;
2133          (iii) reporting under Title 78B, Chapter 3, Part 5, Limitation of Therapist's Duty to
2134     Warn; or
2135          (iv) reporting of a communicable disease as required under Section [26-6-6]

2136     26B-7-206;
2137          (b) the disclosure is part of an administrative, civil, or criminal proceeding and is made
2138     under an exemption from evidentiary privilege under Utah Rules of Evidence, Rule 506; or
2139          (c) the disclosure is made under a generally recognized professional or ethical standard
2140     that authorizes or requires the disclosure.
2141          Section 32. Section 58-67-302 is amended to read:
2142          58-67-302. Qualifications for licensure.
2143          (1) An applicant for licensure as a physician and surgeon, except as set forth in
2144     Subsection (2), shall:
2145          (a) submit an application in a form prescribed by the division, which may include:
2146          (i) submissions by the applicant of information maintained by practitioner data banks,
2147     as designated by division rule, with respect to the applicant;
2148          (ii) a record of professional liability claims made against the applicant and settlements
2149     paid by or on behalf of the applicant; and
2150          (iii) authorization to use a record coordination and verification service approved by the
2151     division in collaboration with the board;
2152          (b) pay a fee determined by the department under Section 63J-1-504;
2153          (c) if the applicant is applying to participate in the Interstate Medical Licensure
2154     Compact under Chapter 67b, Interstate Medical Licensure Compact, consent to a criminal
2155     background check in accordance with Section 58-67-302.1 and any requirements established by
2156     rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act;
2157          (d) provide satisfactory documentation of having successfully completed a program of
2158     professional education preparing an individual as a physician and surgeon, as evidenced by:
2159          (i) having received an earned degree of doctor of medicine from an LCME accredited
2160     medical school or college; or
2161          (ii) if the applicant graduated from a medical school or college located outside the
2162     United States or its territories, submitting a current certification by the Educational
2163     Commission for Foreign Medical Graduates or any successor organization approved by the
2164     division in collaboration with the board;
2165          (e) satisfy the division and board that the applicant:
2166          (i) has successfully completed 24 months of progressive resident training in a program

2167     approved by the ACGME, the Royal College of Physicians and Surgeons, the College of
2168     Family Physicians of Canada, or any similar body in the United States or Canada approved by
2169     the division in collaboration with the board; or
2170          (ii) (A) has successfully completed 12 months of resident training in an ACGME
2171     approved program after receiving a degree of doctor of medicine as required under Subsection
2172     (1)(d);
2173          (B) has been accepted in and is successfully participating in progressive resident
2174     training in an ACGME approved program within Utah, in the applicant's second or third year
2175     of postgraduate training; and
2176          (C) has agreed to surrender to the division the applicant's license as a physician and
2177     surgeon without any proceedings under Title 63G, Chapter 4, Administrative Procedures Act,
2178     and has agreed the applicant's license as a physician and surgeon will be automatically revoked
2179     by the division if the applicant fails to continue in good standing in an ACGME approved
2180     progressive resident training program within the state;
2181          (f) pass the licensing examination sequence required by division rule made in
2182     collaboration with the board;
2183          (g) be able to read, write, speak, understand, and be understood in the English language
2184     and demonstrate proficiency to the satisfaction of the board if requested by the board;
2185          (h) meet with the board and representatives of the division, if requested, for the
2186     purpose of evaluating the applicant's qualifications for licensure;
2187          (i) designate:
2188          (i) a contact person for access to medical records in accordance with the federal Health
2189     Insurance Portability and Accountability Act; and
2190          (ii) an alternate contact person for access to medical records, in the event the original
2191     contact person is unable or unwilling to serve as the contact person for access to medical
2192     records; and
2193          (j) establish a method for notifying patients of the identity and location of the contact
2194     person and alternate contact person, if the applicant will practice in a location with no other
2195     persons licensed under this chapter.
2196          (2) An applicant for licensure as a physician and surgeon by endorsement who is
2197     currently licensed to practice medicine in any state other than Utah, a district or territory of the

2198     United States, or Canada shall:
2199          (a) be currently licensed with a full unrestricted license in good standing in any state,
2200     district, or territory of the United States, or Canada;
2201          (b) have been actively engaged in the legal practice of medicine in any state, district, or
2202     territory of the United States, or Canada for not less than 6,000 hours during the five years
2203     immediately preceding the date of application for licensure in Utah;
2204          (c) comply with the requirements for licensure under Subsections (1)(a) through (d),
2205     (1)(e)(i), and (1)(g) through (j);
2206          (d) have passed the licensing examination sequence required in Subsection (1)(e) or
2207     another medical licensing examination sequence in another state, district or territory of the
2208     United States, or Canada that the division in collaboration with the board by rulemaking
2209     determines is equivalent to its own required examination;
2210          (e) not have any investigation or action pending against any health care license of the
2211     applicant, not have a health care license that was suspended or revoked in any state, district or
2212     territory of the United States, or Canada, and not have surrendered a health care license in lieu
2213     of a disciplinary action, unless:
2214          (i) the license was subsequently reinstated as a full unrestricted license in good
2215     standing; or
2216          (ii) the division in collaboration with the board determines to its satisfaction, after full
2217     disclosure by the applicant, that:
2218          (A) the conduct has been corrected, monitored, and resolved; or
2219          (B) a mitigating circumstance exists that prevents its resolution, and the division in
2220     collaboration with the board is satisfied that, but for the mitigating circumstance, the license
2221     would be reinstated;
2222          (f) submit to a records review, a practice history review, and comprehensive
2223     assessments, if requested by the division in collaboration with the board; and
2224          (g) produce satisfactory evidence that the applicant meets the requirements of this
2225     Subsection (2) to the satisfaction of the division in collaboration with the board.
2226          (3) An applicant for licensure by endorsement may engage in the practice of medicine
2227     under a temporary license while the applicant's application for licensure is being processed by
2228     the division, provided:

2229          (a) the applicant submits a complete application required for temporary licensure to the
2230     division;
2231          (b) the applicant submits a written document to the division from:
2232          (i) a health care facility licensed under [Title 26, Chapter 21, Health Care Facility
2233     Licensing and Inspection Act] Title 26B, Chapter 2, Part 2, Health Care Facility Licensing and
2234     Inspection, stating that the applicant is practicing under the:
2235          (A) invitation of the health care facility; and
2236          (B) the general supervision of a physician practicing at the facility; or
2237          (ii) two individuals licensed under this chapter, whose license is in good standing and
2238     who practice in the same clinical location, both stating that:
2239          (A) the applicant is practicing under the invitation and general supervision of the
2240     individual; and
2241          (B) the applicant will practice at the same clinical location as the individual;
2242          (c) the applicant submits a signed certification to the division that the applicant meets
2243     the requirements of Subsection (2);
2244          (d) the applicant does not engage in the practice of medicine until the division has
2245     issued a temporary license;
2246          (e) the temporary license is only issued for and may not be extended or renewed
2247     beyond the duration of one year from issuance; and
2248          (f) the temporary license expires immediately and prior to the expiration of one year
2249     from issuance, upon notification from the division that the applicant's application for licensure
2250     by endorsement is denied.
2251          (4) The division shall issue a temporary license under Subsection (3) within 15
2252     business days after the applicant satisfies the requirements of Subsection (3).
2253          (5) The division may not require the following requirements for licensure:
2254          (a) a post-residency board certification; or
2255          (b) a cognitive test when the physician reaches a specified age, unless:
2256          (i) the screening is based on evidence of cognitive changes associated with aging that
2257     are relevant to physician performance;
2258          (ii) the screening is based on principles of medical ethics;
2259          (iii) physicians are involved in the development of standards for assessing competency;

2260          (iv) guidelines, procedures, and methods of assessment, which may include cognitive
2261     screening, are relevant to physician practice and to the physician's ability to perform the tasks
2262     specifically required in the physician's practice environment;
2263          (v) the primary driver for establishing assessment results is the ethical obligation of the
2264     profession to the health of the public and patient safety;
2265          (vi) the goal of the assessment is to optimize physician competency and performance
2266     through education, remediation, and modifications to a physician's practice environment or
2267     scope;
2268          (vii) a credentialing committee determines that public health or patient safety is
2269     directly threatened, the screening permits a physician to retain the right to modify the
2270     physician's practice environment to allow the physician to continue to provide safe and
2271     effective care;
2272          (viii) guidelines, procedures, and methods of assessment are transparent to physicians
2273     and physicians' representatives, if requested by a physician or a physician's representative, and
2274     physicians are made aware of the specific methods used, performance expectations and
2275     standards against which performance will be judged, and the possible outcomes of the
2276     screening or assessment;
2277          (ix) education or remediation practices that result from screening or assessment
2278     procedures are:
2279          (A) supportive of physician wellness;
2280          (B) ongoing; and
2281          (C) proactive; and
2282          (x) procedures and screening mechanisms that are distinctly different from for cause
2283     assessments do not result in undue cost or burden to senior physicians providing patient care.
2284          Section 33. Section 58-67-304 is amended to read:
2285          58-67-304. License renewal requirements.
2286          (1) As a condition precedent for license renewal, each licensee shall, during each
2287     two-year licensure cycle or other cycle defined by division rule:
2288          (a) complete qualified continuing professional education requirements in accordance
2289     with the number of hours and standards defined by division rule made in collaboration with the
2290     board;

2291          (b) appoint a contact person for access to medical records and an alternate contact
2292     person for access to medical records in accordance with Subsection 58-67-302(1)(i);
2293          (c) if the licensee practices medicine in a location with no other persons licensed under
2294     this chapter, provide some method of notice to the licensee's patients of the identity and
2295     location of the contact person and alternate contact person for the licensee; and
2296          (d) if the licensee is an associate physician licensed under Section 58-67-302.8,
2297     successfully complete the educational methods and programs described in Subsection
2298     58-67-807(4).
2299          (2) If a renewal period is extended or shortened under Section 58-67-303, the
2300     continuing education hours required for license renewal under this section are increased or
2301     decreased proportionally.
2302          (3) An application to renew a license under this chapter shall:
2303          (a) require a physician to answer the following question: "Do you perform elective
2304     abortions in Utah in a location other than a hospital?"; and
2305          (b) immediately following the question, contain the following statement: "For purposes
2306     of the immediately preceding question, elective abortion means an abortion other than one of
2307     the following: removal of a dead fetus, removal of an ectopic pregnancy, an abortion that is
2308     necessary to avert the death of a woman, an abortion that is necessary to avert a serious risk of
2309     substantial and irreversible impairment of a major bodily function of a woman, an abortion of a
2310     fetus that has a defect that is uniformly diagnosable and uniformly lethal, or an abortion where
2311     the woman is pregnant as a result of rape or incest."
2312          (4) In order to assist the Department of [Health] Health and Human Services in
2313     fulfilling its responsibilities relating to the licensing of an abortion clinic and the enforcement
2314     of Title 76, Chapter 7, Part 3, Abortion, if a physician responds positively to the question
2315     described in Subsection (3)(a), the division shall, within 30 days after the day on which it
2316     renews the physician's license under this chapter, inform the Department of [Health] Health
2317     and Human Services in writing:
2318          (a) of the name and business address of the physician; and
2319          (b) that the physician responded positively to the question described in Subsection
2320     (3)(a).
2321          (5) The division shall accept and apply toward the hour requirement in Subsection

2322     (1)(a) any continuing education that a physician completes in accordance with Sections
2323     [26-61a-106] 26B-4-204 and [26-61a-403] 26B-4-219.
2324          Section 34. Section 58-67-502 is amended to read:
2325          58-67-502. Unprofessional conduct.
2326          (1) "Unprofessional conduct" includes, in addition to the definition in Section
2327     58-1-501:
2328          (a) using or employing the services of any individual to assist a licensee in any manner
2329     not in accordance with the generally recognized practices, standards, or ethics of the
2330     profession, state law, or division rule;
2331          (b) making a material misrepresentation regarding the qualifications for licensure under
2332     Section 58-67-302.7 or Section 58-67-302.8;
2333          (c) violating the dispensing requirements of Chapter 17b, Part 8, Dispensing Medical
2334     Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, if applicable;
2335          (d) violating the requirements of [Title 26, Chapter 61a, Utah Medical Cannabis Act]
2336     Title 26B, Chapter 4, Part 2, Cannabinoid Research and Medical Cannabis; or
2337          (e) falsely making an entry in, or altering, a medical record with the intent to conceal:
2338          (i) a wrongful or negligent act or omission of an individual licensed under this chapter
2339     or an individual under the direction or control of an individual licensed under this chapter; or
2340          (ii) conduct described in Subsections (1)(a) through (d) or Subsection 58-1-501(1).
2341          (2) "Unprofessional conduct" does not include:
2342          (a) in compliance with Section 58-85-103:
2343          (i) obtaining an investigational drug or investigational device;
2344          (ii) administering the investigational drug to an eligible patient; or
2345          (iii) treating an eligible patient with the investigational drug or investigational device;
2346     or
2347          (b) in accordance with [Title 26, Chapter 61a, Utah Medical Cannabis Act] Title 26B,
2348     Chapter 4, Part 2, Cannabidnoid Research and Medical Cannabis:
2349          (i) when registered as a qualified medical provider or acting as a limited medical
2350     provider, as those terms are defined in Section [26-61a-102] 26B-4-201, recommending the use
2351     of medical cannabis;
2352          (ii) when registered as a pharmacy medical provider, as that term is defined in Section

2353     [26-61a-102] 26B-4-201, providing pharmacy medical provider services in a medical cannabis
2354     pharmacy; or
2355          (iii) when registered as a state central patient portal medical provider, as that term is
2356     defined in Section [26-61a-102] 26B-4-201, providing state central patient portal medical
2357     provider services.
2358          (3) Notwithstanding Subsection (2)(b), the division, in consultation with the board and
2359     in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
2360     unprofessional conduct for a physician described in Subsection (2)(b).
2361          Section 35. Section 58-67-601 is amended to read:
2362          58-67-601. Mentally incompetent or incapacitated physician.
2363          (1) As used in this section:
2364          (a) "Incapacitated person" means a person who is incapacitated, as defined in Section
2365     75-1-201.
2366          (b) "Mental illness" means the same as that term is defined in Section [62A-15-602]
2367     26B-5-301.
2368          (c) "Physician" means an individual licensed under this chapter.
2369          (2) If a court of competent jurisdiction determines a physician is an incapacitated
2370     person or that the physician has a mental illness and is unable to safely engage in the practice
2371     of medicine, the director shall immediately suspend the license of the physician upon the entry
2372     of the judgment of the court, without further proceedings under Title 63G, Chapter 4,
2373     Administrative Procedures Act, regardless of whether an appeal from the court's ruling is
2374     pending. The director shall promptly notify the physician, in writing, of the suspension.
2375          (3) (a) If the division and a majority of the board find reasonable cause to believe a
2376     physician, who is not determined judicially to be an incapacitated person or to have a mental
2377     illness, is incapable of practicing medicine with reasonable skill regarding the safety of
2378     patients, because of illness, excessive use of drugs or alcohol, or as a result of any mental or
2379     physical condition, the board shall recommend that the director file a petition with the division,
2380     and cause the petition to be served upon the physician with a notice of hearing on the sole issue
2381     of the capacity of the physician to competently and safely engage in the practice of medicine.
2382          (b) The hearing shall be conducted under Section 58-1-109, and Title 63G, Chapter 4,
2383     Administrative Procedures Act, except as provided in Subsection (4).

2384          (4) (a) Every physician who accepts the privilege of being licensed under this chapter
2385     gives consent to:
2386          (i) submitting at the physician's own expense to an immediate mental or physical
2387     examination when directed in writing by the division and a majority of the board to do so; and
2388          (ii) the admissibility of the reports of the examining physician's testimony or
2389     examination, and waives all objections on the ground the reports constitute a privileged
2390     communication.
2391          (b) The examination may be ordered by the division, with the consent of a majority of
2392     the board, only upon a finding of reasonable cause to believe:
2393          (i) the physician has a mental illness, is incapacitated, or otherwise unable to practice
2394     medicine with reasonable skill and safety; and
2395          (ii) immediate action by the division and the board is necessary to prevent harm to the
2396     physician's patients or the general public.
2397          (c) (i) Failure of a physician to submit to the examination ordered under this section is
2398     a ground for the division's immediate suspension of the physician's license by written order of
2399     the director.
2400          (ii) The division may enter the order of suspension without further compliance with
2401     Title 63G, Chapter 4, Administrative Procedures Act, unless the division finds the failure to
2402     submit to the examination ordered under this section was due to circumstances beyond the
2403     control of the physician and was not related directly to the illness or incapacity of the
2404     physician.
2405          (5) (a) A physician whose license is suspended under Subsection (2) or (3) has the right
2406     to a hearing to appeal the suspension within 10 days after the license is suspended.
2407          (b) The hearing held under this subsection shall be conducted in accordance with
2408     Sections 58-1-108 and 58-1-109 for the sole purpose of determining if sufficient basis exists
2409     for the continuance of the order of suspension in order to prevent harm to the physician's
2410     patients or the general public.
2411          (6) A physician whose license is revoked, suspended, or in any way restricted under
2412     this section may request the division and the board to consider, at reasonable intervals,
2413     evidence presented by the physician, under procedures established by division rule, regarding
2414     any change in the physician's condition, to determine whether:

2415          (a) the physician is or is not able to safely and competently engage in the practice of
2416     medicine; and
2417          (b) the physician is qualified to have the physician's license to practice under this
2418     chapter restored completely or in part.
2419          Section 36. Section 58-67-702 is amended to read:
2420          58-67-702. Opiate antagonist -- Exclusion from unlawful or unprofessional
2421     conduct.
2422          (1) As used in this section:
2423          (a) "Dispense" means the same as that term is defined in Section 58-17b-102.
2424          (b) "Increased risk" means the same as that term is defined in Section [26-55-102]
2425     26B-4-501.
2426          (c) "Opiate antagonist" means the same as that term is defined in Section [26-55-102]
2427     26B-4-501.
2428          (d) "Opiate-related drug overdose event" means the same as that term is defined in
2429     Section [26-55-102] 26B-4-501.
2430          (e) "Prescribe" means the same as that term is defined in Section 58-17b-102.
2431          (2) The prescribing or dispensing of an opiate antagonist by a licensee under this
2432     chapter is not unprofessional or unlawful conduct if the licensee prescribed or dispensed the
2433     opiate antagonist:
2434          (a) in a good faith effort to assist:
2435          (i) an individual who is at increased risk of experiencing an opiate-related drug
2436     overdose event; or
2437          (ii) a family member of, friend of, or other person, including a person described in
2438     Subsections [26-55-107(1)(a)(i)(A)] 26B-4-512(1)(a)(i)(A) through (1)(a)(i)(F), that is in a
2439     position to assist an individual who is at increased risk of experiencing an opiate-related drug
2440     overdose event; or
2441          (b) to an overdose outreach provider pursuant to Subsection [26-55-104(2)(a)(iii)]
2442     26B-4-509(2)(a)(iii).
2443          (3) The provisions of this section and [Title 26, Chapter 55, Opiate Overdose Response
2444     Act] Title 26B, Chapter 4, Part 5, Treatment Access, do not establish a duty or standard of care
2445     in the prescribing, dispensing, or administration of an opiate antagonist.

2446          Section 37. Section 58-68-302 is amended to read:
2447          58-68-302. Qualifications for licensure.
2448          (1) An applicant for licensure as an osteopathic physician and surgeon, except as set
2449     forth in Subsection (2), shall:
2450          (a) submit an application in a form prescribed by the division, which may include:
2451          (i) submissions by the applicant of information maintained by practitioner data banks,
2452     as designated by division rule, with respect to the applicant;
2453          (ii) a record of professional liability claims made against the applicant and settlements
2454     paid by or on behalf of the applicant; and
2455          (iii) authorization to use a record coordination and verification service approved by the
2456     division in collaboration with the board;
2457          (b) pay a fee determined by the department under Section 63J-1-504;
2458          (c) if the applicant is applying to participate in the Interstate Medical Licensure
2459     Compact under Chapter 67b, Interstate Medical Licensure Compact, consent to a criminal
2460     background check in accordance with Section 58-68-302.1 and any requirements established by
2461     rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act;
2462          (d) provide satisfactory documentation of having successfully completed a program of
2463     professional education preparing an individual as an osteopathic physician and surgeon, as
2464     evidenced by:
2465          (i) having received an earned degree of doctor of osteopathic medicine from an AOA
2466     approved medical school or college; or
2467          (ii) submitting a current certification by the Educational Commission for Foreign
2468     Medical Graduates or any successor organization approved by the division in collaboration
2469     with the board, if the applicant is graduated from an osteopathic medical school or college
2470     located outside of the United States or its territories which at the time of the applicant's
2471     graduation, met criteria for accreditation by the AOA;
2472          (e) satisfy the division and board that the applicant:
2473          (i) has successfully completed 24 months of progressive resident training in an
2474     ACGME or AOA approved program after receiving a degree of doctor of osteopathic medicine
2475     required under Subsection (1)(d); or
2476          (ii) (A) has successfully completed 12 months of resident training in an ACGME or

2477     AOA approved program after receiving a degree of doctor of osteopathic medicine as required
2478     under Subsection (1)(d);
2479          (B) has been accepted in and is successfully participating in progressive resident
2480     training in an ACGME or AOA approved program within Utah, in the applicant's second or
2481     third year of postgraduate training; and
2482          (C) has agreed to surrender to the division the applicant's license as an osteopathic
2483     physician and surgeon without any proceedings under Title 63G, Chapter 4, Administrative
2484     Procedures Act, and has agreed the applicant's license as an osteopathic physician and surgeon
2485     will be automatically revoked by the division if the applicant fails to continue in good standing
2486     in an ACGME or AOA approved progressive resident training program within the state;
2487          (f) pass the licensing examination sequence required by division rule, as made in
2488     collaboration with the board;
2489          (g) be able to read, write, speak, understand, and be understood in the English language
2490     and demonstrate proficiency to the satisfaction of the board, if requested by the board;
2491          (h) meet with the board and representatives of the division, if requested for the purpose
2492     of evaluating the applicant's qualifications for licensure;
2493          (i) designate:
2494          (i) a contact person for access to medical records in accordance with the federal Health
2495     Insurance Portability and Accountability Act; and
2496          (ii) an alternate contact person for access to medical records, in the event the original
2497     contact person is unable or unwilling to serve as the contact person for access to medical
2498     records; and
2499          (j) establish a method for notifying patients of the identity and location of the contact
2500     person and alternate contact person, if the applicant will practice in a location with no other
2501     persons licensed under this chapter.
2502          (2) An applicant for licensure as an osteopathic physician and surgeon by endorsement
2503     who is currently licensed to practice osteopathic medicine in any state other than Utah, a
2504     district or territory of the United States, or Canada shall:
2505          (a) be currently licensed with a full unrestricted license in good standing in any state,
2506     district or territory of the United States, or Canada;
2507          (b) have been actively engaged in the legal practice of osteopathic medicine in any

2508     state, district or territory of the United States, or Canada for not less than 6,000 hours during
2509     the five years immediately preceding the day on which the applicant applied for licensure in
2510     Utah;
2511          (c) comply with the requirements for licensure under Subsections (1)(a) through (d),
2512     (1)(e)(i), and (1)(g) through (j);
2513          (d) have passed the licensing examination sequence required in Subsection (1)(f) or
2514     another medical licensing examination sequence in another state, district or territory of the
2515     United States, or Canada that the division in collaboration with the board by rulemaking
2516     determines is equivalent to its own required examination;
2517          (e) not have any investigation or action pending against any health care license of the
2518     applicant, not have a health care license that was suspended or revoked in any state, district or
2519     territory of the United States, or Canada, and not have surrendered a health care license in lieu
2520     of a disciplinary action, unless:
2521          (i) the license was subsequently reinstated as a full unrestricted license in good
2522     standing; or
2523          (ii) the division in collaboration with the board determines, after full disclosure by the
2524     applicant, that:
2525          (A) the conduct has been corrected, monitored, and resolved; or
2526          (B) a mitigating circumstance exists that prevents its resolution, and the division in
2527     collaboration with the board is satisfied that, but for the mitigating circumstance, the license
2528     would be reinstated;
2529          (f) submit to a records review, a practice review history, and physical and
2530     psychological assessments, if requested by the division in collaboration with the board; and
2531          (g) produce evidence that the applicant meets the requirements of this Subsection (2) to
2532     the satisfaction of the division in collaboration with the board.
2533          (3) An applicant for licensure by endorsement may engage in the practice of medicine
2534     under a temporary license while the applicant's application for licensure is being processed by
2535     the division, provided:
2536          (a) the applicant submits a complete application required for temporary licensure to the
2537     division;
2538          (b) the applicant submits a written document to the division from:

2539          (i) a health care facility licensed under [Title 26, Chapter 21, Health Care Facility
2540     Licensing and Inspection Act] Title 26B, Chapter 2, Part 2, Health Care Facility Licensing and
2541     Inspection, stating that the applicant is practicing under the:
2542          (A) invitation of the health care facility; and
2543          (B) the general supervision of a physician practicing at the health care facility; or
2544          (ii) two individuals licensed under this chapter, whose license is in good standing and
2545     who practice in the same clinical location, both stating that:
2546          (A) the applicant is practicing under the invitation and general supervision of the
2547     individual; and
2548          (B) the applicant will practice at the same clinical location as the individual;
2549          (c) the applicant submits a signed certification to the division that the applicant meets
2550     the requirements of Subsection (2);
2551          (d) the applicant does not engage in the practice of medicine until the division has
2552     issued a temporary license;
2553          (e) the temporary license is only issued for and may not be extended or renewed
2554     beyond the duration of one year from issuance; and
2555          (f) the temporary license expires immediately and prior to the expiration of one year
2556     from issuance, upon notification from the division that the applicant's application for licensure
2557     by endorsement is denied.
2558          (4) The division shall issue a temporary license under Subsection (3) within 15
2559     business days after the applicant satisfies the requirements of Subsection (3).
2560          (5) The division may not require a:
2561          (a) post-residency board certification; or
2562          (b) a cognitive test when the physician reaches a specified age, unless the test reflects
2563     the standards described in Subsections 58-67-302(5)(b)(i) through (x).
2564          Section 38. Section 58-68-304 is amended to read:
2565          58-68-304. License renewal requirements.
2566          (1) As a condition precedent for license renewal, each licensee shall, during each
2567     two-year licensure cycle or other cycle defined by division rule:
2568          (a) complete qualified continuing professional education requirements in accordance
2569     with the number of hours and standards defined by division rule in collaboration with the

2570     board;
2571          (b) appoint a contact person for access to medical records and an alternate contact
2572     person for access to medical records in accordance with Subsection 58-68-302(1)(i);
2573          (c) if the licensee practices osteopathic medicine in a location with no other persons
2574     licensed under this chapter, provide some method of notice to the licensee's patients of the
2575     identity and location of the contact person and alternate contact person for access to medical
2576     records for the licensee in accordance with Subsection 58-68-302(1)(j); and
2577          (d) if the licensee is an associate physician licensed under Section 58-68-302.5,
2578     successfully complete the educational methods and programs described in Subsection
2579     58-68-807(4).
2580          (2) If a renewal period is extended or shortened under Section 58-68-303, the
2581     continuing education hours required for license renewal under this section are increased or
2582     decreased proportionally.
2583          (3) An application to renew a license under this chapter shall:
2584          (a) require a physician to answer the following question: "Do you perform elective
2585     abortions in Utah in a location other than a hospital?"; and
2586          (b) immediately following the question, contain the following statement: "For purposes
2587     of the immediately preceding question, elective abortion means an abortion other than one of
2588     the following: removal of a dead fetus, removal of an ectopic pregnancy, an abortion that is
2589     necessary to avert the death of a woman, an abortion that is necessary to avert a serious risk of
2590     substantial and irreversible impairment of a major bodily function of a woman, an abortion of a
2591     fetus that has a defect that is uniformly diagnosable and uniformly lethal, or an abortion where
2592     the woman is pregnant as a result of rape or incest."
2593          (4) In order to assist the Department of [Health] Health and Human Services in
2594     fulfilling its responsibilities relating to the licensing of an abortion clinic, if a physician
2595     responds positively to the question described in Subsection (3)(a), the division shall, within 30
2596     days after the day on which it renews the physician's license under this chapter, inform the
2597     Department of [Health] Health and Human Services in writing:
2598          (a) of the name and business address of the physician; and
2599          (b) that the physician responded positively to the question described in Subsection
2600     (3)(a).

2601          (5) The division shall accept and apply toward the hour requirement in Subsection
2602     (1)(a) any continuing education that a physician completes in accordance with Sections
2603     [26-61a-106] 26B-4-204 and [26-61a-403] 26B-4-219.
2604          Section 39. Section 58-68-502 is amended to read:
2605          58-68-502. Unprofessional conduct.
2606          (1) "Unprofessional conduct" includes, in addition to the definition in Section
2607     58-1-501:
2608          (a) using or employing the services of any individual to assist a licensee in any manner
2609     not in accordance with the generally recognized practices, standards, or ethics of the
2610     profession, state law, or division rule;
2611          (b) violating the dispensing requirements of Chapter 17b, Part 8, Dispensing Medical
2612     Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, if applicable;
2613          (c) making a material misrepresentation regarding the qualifications for licensure under
2614     Section 58-68-302.5;
2615          (d) violating the requirements of [Title 26, Chapter 61a, Utah Medical Cannabis Act]
2616     Title 26B, Chapter 4, Part 2, Cannabinoid Research and Medical Cannabis; or
2617          (e) falsely making an entry in, or altering, a medical record with the intent to conceal:
2618          (i) a wrongful or negligent act or omission of an individual licensed under this chapter
2619     or an individual under the direction or control of an individual licensed under this chapter; or
2620          (ii) conduct described in Subsections (1)(a) through (d) or Subsection 58-1-501(1).
2621          (2) "Unprofessional conduct" does not include:
2622          (a) in compliance with Section 58-85-103:
2623          (i) obtaining an investigational drug or investigational device;
2624          (ii) administering the investigational drug to an eligible patient; or
2625          (iii) treating an eligible patient with the investigational drug or investigational device;
2626     or
2627          (b) in accordance with [Title 26, Chapter 61a, Utah Medical Cannabis Act] Title 26B,
2628     Chapter 4, Part 2, Cannabinoid Research and Medical Cannabis:
2629          (i) when registered as a qualified medical provider or acting as a limited medical
2630     provider, as those terms are defined in Section [26-61a-102] 26B-4-201, recommending the use
2631     of medical cannabis;

2632          (ii) when registered as a pharmacy medical provider, as that term is defined in Section
2633     [26-61a-102] 26B-4-201, providing pharmacy medical provider services in a medical cannabis
2634     pharmacy; or
2635          (iii) when registered as a state central patient portal medical provider, as that term is
2636     defined in Section [26-61a-102] 26B-4-201, providing state central patient portal medical
2637     provider services.
2638          (3) Notwithstanding Subsection (2)(b), the division, in consultation with the board and
2639     in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
2640     unprofessional conduct for a physician described in Subsection (2)(b).
2641          Section 40. Section 58-68-601 is amended to read:
2642          58-68-601. Mentally incompetent or incapacitated osteopathic physician.
2643          (1) As used in this section:
2644          (a) "Incapacitated person" means a person who is incapacitated, as defined in Section
2645     75-1-201.
2646          (b) "Licensee" means an individual licensed under this chapter.
2647          (c) "Mental illness" means the same as that term is defined in Section [62A-15-602]
2648     26B-5-301.
2649          (2) If a court of competent jurisdiction determines a licensee is an incapacitated person
2650     or that the licensee has a mental illness and is unable to safely engage in the practice of
2651     medicine, the director shall immediately suspend the license of the licensee upon the entry of
2652     the judgment of the court, without further proceedings under Title 63G, Chapter 4,
2653     Administrative Procedures Act, regardless of whether an appeal from the court's ruling is
2654     pending. The director shall promptly notify the licensee, in writing, of the suspension.
2655          (3) (a) If the division and a majority of the board find reasonable cause to believe a
2656     licensee, who is not determined judicially to be an incapacitated person or to have a mental
2657     illness, is incapable of practicing osteopathic medicine with reasonable skill regarding the
2658     safety of patients, because of illness, excessive use of drugs or alcohol, or as a result of any
2659     mental or physical condition, the board shall recommend that the director file a petition with
2660     the division, and cause the petition to be served upon the licensee with a notice of hearing on
2661     the sole issue of the capacity of the licensee to competently and safely engage in the practice of
2662     medicine.

2663          (b) The hearing shall be conducted under Section 58-1-109, and Title 63G, Chapter 4,
2664     Administrative Procedures Act, except as provided in Subsection (4).
2665          (4) (a) Every individual who accepts the privilege of being licensed under this chapter
2666     gives consent to:
2667          (i) submitting at the licensee's own expense to an immediate mental or physical
2668     examination when directed in writing by the division and a majority of the board to do so; and
2669          (ii) the admissibility of the reports of the examining physician's testimony or
2670     examination, and waives all objections on the ground the reports constitute a privileged
2671     communication.
2672          (b) The examination may be ordered by the division, with the consent of a majority of
2673     the board, only upon a finding of reasonable cause to believe:
2674          (i) the licensee has a mental illness, is incapacitated, or otherwise unable to practice
2675     medicine with reasonable skill and safety; and
2676          (ii) immediate action by the division and the board is necessary to prevent harm to the
2677     licensee's patients or the general public.
2678          (c) (i) Failure of a licensee to submit to the examination ordered under this section is a
2679     ground for the division's immediate suspension of the licensee's license by written order of the
2680     director.
2681          (ii) The division may enter the order of suspension without further compliance with
2682     Title 63G, Chapter 4, Administrative Procedures Act, unless the division finds the failure to
2683     submit to the examination ordered under this section was due to circumstances beyond the
2684     control of the licensee and was not related directly to the illness or incapacity of the licensee.
2685          (5) (a) A licensee whose license is suspended under Subsection (2) or (3) has the right
2686     to a hearing to appeal the suspension within 10 days after the license is suspended.
2687          (b) The hearing held under this subsection shall be conducted in accordance with
2688     Sections 58-1-108 and 58-1-109 for the sole purpose of determining if sufficient basis exists
2689     for the continuance of the order of suspension in order to prevent harm to the licensee's patients
2690     or the general public.
2691          (6) A licensee whose license is revoked, suspended, or in any way restricted under this
2692     section may request the division and the board to consider, at reasonable intervals, evidence
2693     presented by the licensee, under procedures established by division rule, regarding any change

2694     in the licensee's condition, to determine whether:
2695          (a) the licensee is or is not able to safely and competently engage in the practice of
2696     medicine; and
2697          (b) the licensee is qualified to have the licensee's license to practice under this chapter
2698     restored completely or in part.
2699          Section 41. Section 58-68-702 is amended to read:
2700          58-68-702. Opiate antagonist -- Exclusion from unlawful or unprofessional
2701     conduct.
2702          (1) As used in this section:
2703          (a) "Dispense" means the same as that term is defined in Section 58-17b-102.
2704          (b) "Increased risk" means the same as that term is defined in Section [26-55-102]
2705     26B-4-501.
2706          (c) "Opiate antagonist" means the same as that term is defined in Section [26-55-102]
2707     26B-4-501.
2708          (d) "Opiate-related drug overdose event" means the same as that term is defined in
2709     Section [26-55-102] 26B-4-501.
2710          (e) "Prescribe" means the same as that term is defined in Section 58-17b-102.
2711          (2) The prescribing or dispensing of an opiate antagonist by a licensee under this
2712     chapter is not unprofessional or unlawful conduct if the licensee prescribed or dispensed the
2713     opiate antagonist:
2714          (a) in a good faith effort to assist:
2715          (i) an individual who is at increased risk of experiencing an opiate-related drug
2716     overdose event; or
2717          (ii) a family member of, friend of, or other person, including a person described in
2718     Subsections [26-55-107(1)(a)(i)(A)] 26B-4-512(1)(a)(i)(A) through (1)(a)(i)(F), that is in a
2719     position to assist an individual who is at increased risk of experiencing an opiate-related drug
2720     overdose event; or
2721          (b) to an overdose outreach provider pursuant to Subsection [26-55-104(2)(a)(iii)]
2722     26B-4-504(2)(a)(iii).
2723          (3) The provisions of this section and [Title 26, Chapter 55, Opiate Overdose Response
2724     Act] Title 26B, Chapter 4, Part 5, Treatment Access, do not establish a duty or standard of care

2725     in the prescribing, dispensing, or administration of an opiate antagonist.
2726          Section 42. Section 58-69-601 is amended to read:
2727          58-69-601. Mentally incompetent or incapacitated dentist or dental hygienist.
2728          (1) As used in this section:
2729          (a) "Incapacitated person" means a person who is incapacitated, as defined in Section
2730     75-1-201.
2731          (b) "Mental illness" is as defined in Section [62A-15-602] 26B-5-301.
2732          (2) If a court of competent jurisdiction determines a dentist or dental hygienist is an
2733     incapacitated person or that the dentist or hygienist has a mental illness and is unable to safely
2734     engage in the practice of dentistry or dental hygiene, the director shall immediately suspend the
2735     license of the dentist or dental hygienist upon the entry of the judgment of the court, without
2736     further proceedings under Title 63G, Chapter 4, Administrative Procedures Act, regardless of
2737     whether an appeal from the court's ruling is pending. The director shall promptly notify the
2738     dentist or dental hygienist, in writing, of the suspension.
2739          (3) (a) If the division and a majority of the board find reasonable cause to believe a
2740     dentist or dental hygienist, who is not determined judicially to be an incapacitated person or to
2741     have a mental illness, is incapable of practicing dentistry or dental hygiene with reasonable
2742     skill regarding the safety of patients, because of illness, excessive use of drugs or alcohol, or as
2743     a result of any mental or physical condition, the board shall recommend that the director file a
2744     petition with the division, and cause the petition to be served upon the dentist or dental
2745     hygienist with a notice of hearing on the sole issue of the capacity of the dentist or dental
2746     hygienist to competently and safely engage in the practice of dentistry or dental hygiene.
2747          (b) The hearing shall be conducted under Section 58-1-109 and Title 63G, Chapter 4,
2748     Administrative Procedures Act, except as provided in Subsection (4).
2749          (4) (a) Every dentist or dental hygienist who accepts the privilege of being licensed
2750     under this chapter gives consent to:
2751          (i) submitting at the dentist or dental hygienist's own expense to an immediate mental
2752     or physical examination when directed in writing by the division and a majority of the board to
2753     do so; and
2754          (ii) the admissibility of the reports of the examining practitioner's testimony or
2755     examination, and waives all objections on the ground the reports constitute a privileged

2756     communication.
2757          (b) The examination may be ordered by the division, with the consent of a majority of
2758     the board, only upon a finding of reasonable cause to believe:
2759          (i) the dentist or dental hygienist has a mental illness, is incapacitated, or otherwise
2760     unable to practice dentistry or dental hygiene with reasonable skill and safety; and
2761          (ii) immediate action by the division and the board is necessary to prevent harm to the
2762     dentist's or dental hygienist's patients or the general public.
2763          (c) (i) Failure of a dentist or dental hygienist to submit to the examination ordered
2764     under this section is a ground for the division's immediate suspension of the dentist's or dental
2765     hygienist's license by written order of the director.
2766          (ii) The division may enter the order of suspension without further compliance with
2767     Title 63G, Chapter 4, Administrative Procedures Act, unless the division finds the failure to
2768     submit to the examination ordered under this section was due to circumstances beyond the
2769     control of the dentist or dental hygienist and was not related directly to the illness or incapacity
2770     of the dentist or dental hygienist.
2771          (5) (a) A dentist or dental hygienist whose license is suspended under Subsection (2) or
2772     (3) has the right to a hearing to appeal the suspension within 10 days after the license is
2773     suspended.
2774          (b) The hearing held under this subsection shall be conducted in accordance with
2775     Sections 58-1-108 and 58-1-109 for the sole purpose of determining if sufficient basis exists
2776     for the continuance of the order of suspension in order to prevent harm to the dentist's or dental
2777     hygienist's patients or the general public.
2778          (6) A dentist or dental hygienist whose license is revoked, suspended, or in any way
2779     restricted under this section may request the division and the board to consider, at reasonable
2780     intervals, evidence presented by the dentist or dental hygienist, under procedures established by
2781     division rule, regarding any change in the dentist's or dental hygienist's condition, to determine
2782     whether:
2783          (a) the dentist or dental hygienist is or is not able to safely and competently engage in
2784     the practice of dentistry or dental hygiene; and
2785          (b) the dentist or dental hygienist is qualified to have the dentist or dental hygienist's
2786     licensure to practice under this chapter restored completely or in part.

2787          Section 43. Section 58-69-702 is amended to read:
2788          58-69-702. Opiate antagonist -- Exclusion from unlawful or unprofessional
2789     conduct.
2790          (1) As used in this section:
2791          (a) "Dispense" means the same as that term is defined in Section 58-17b-102.
2792          (b) "Increased risk" means the same as that term is defined in Section [26-55-102]
2793     26B-4-501.
2794          (c) "Opiate antagonist" means the same as that term is defined in Section [26-55-102]
2795     26B-4-501.
2796          (d) "Opiate-related drug overdose event" means the same as that term is defined in
2797     Section [26-55-102] 26B-4-501.
2798          (e) "Prescribe" means the same as that term is defined in Section 58-17b-102.
2799          (2) The prescribing or dispensing of an opiate antagonist by an individual licensed
2800     under this chapter to engage in the practice of dentistry is not unprofessional or unlawful
2801     conduct if the licensee prescribed or dispensed the opiate antagonist:
2802          (a) in a good faith effort to assist:
2803          (i) an individual who is at increased risk of experiencing an opiate-related drug
2804     overdose event; or
2805          (ii) a family member of, friend of, or other person, including a person described in
2806     Subsections [26-55-107(1)(a)(i)(A)] 26B-55-107(1)(a)(i)(A) through (1)(a)(i)(F), that is in a
2807     position to assist an individual who is at increased risk of experiencing an opiate-related drug
2808     overdose event; or
2809          (b) to an overdose outreach provider pursuant to Subsection [26-55-104(2)(a)(iii)]
2810     26B-4-509(2)(a)(iii).
2811          (3) The provisions of this section and [Title 26, Chapter 55, Opiate Overdose Response
2812     Act] Title 26B, Chapter 4, Part 5, Treatment Access, do not establish a duty or standard of care
2813     in the prescribing, dispensing, or administration of an opiate antagonist.
2814          Section 44. Section 58-70a-102 is amended to read:
2815          58-70a-102. Definitions.
2816          In addition to the definitions in Section 58-1-102, as used in this chapter:
2817          (1) "Board" means the Physician Assistant Licensing Board created in Section

2818     58-70a-201.
2819          (2) "Competence" means possessing the requisite cognitive, non-cognitive, and
2820     communicative abilities and qualities to perform effectively within the scope of practice of the
2821     physician assistant's practice while adhering to professional and ethical standards.
2822          (3) "Health care facility" means the same as that term is defined in Section [26-21-2]
2823     26B-2-201.
2824          (4) "Mental health therapist" means the same as that term is defined in Section
2825     58-60-102.
2826          (5) "Physician" means the same as that term is defined in Section 58-67-102.
2827          (6) "Physician assistant" means an individual who is licensed to practice under this
2828     chapter.
2829          (7) "Practice as a physician assistant" means the professional activities and conduct of
2830     a physician assistant, also known as a PA, in diagnosing, treating, advising, or prescribing for
2831     any human disease, ailment, injury, infirmity, deformity, pain, or other condition under the
2832     provisions of this chapter.
2833          (8) "Practice of mental health therapy" means the same as that term is defined in
2834     Section 58-60-102.
2835          (9) "Unlawful conduct" means the same as that term is defined in Sections 58-1-501
2836     and 58-70a-502.
2837          (10) "Unprofessional conduct" means "unprofessional conduct":
2838          (a) as defined in Sections 58-1-501 and 58-70a-503; and
2839          (b) as further defined by the division by rule.
2840          Section 45. Section 58-70a-303 is amended to read:
2841          58-70a-303. Term of license -- Expiration -- Renewal.
2842          (1) (a) The division shall issue each license under this chapter in accordance with a
2843     two-year renewal cycle established by division rule.
2844          (b) The division may by rule extend or shorten a renewal period by as much as one year
2845     to stagger the renewal cycles it administers.
2846          (2) At the time of renewal, the licensee shall show compliance with continuing
2847     education renewal requirements.
2848          (3) Each license issued under this chapter expires on the expiration date shown on the

2849     license unless renewed in accordance with Section 58-1-308.
2850          (4) The division shall accept and apply toward an hour requirement that the division
2851     establishes under Subsection (2) continuing education that a physician assistant completes in
2852     accordance with Section [26-61a-106] 26B-4-204.
2853          Section 46. Section 58-70a-503 is amended to read:
2854          58-70a-503. Unprofessional conduct.
2855          (1) "Unprofessional conduct" includes:
2856          (a) violation of a patient confidence to any person who does not have a legal right and a
2857     professional need to know the information concerning the patient;
2858          (b) knowingly prescribing, selling, giving away, or directly or indirectly administering,
2859     or offering to prescribe, sell, furnish, give away, or administer any prescription drug except for
2860     a legitimate medical purpose upon a proper diagnosis indicating use of that drug in the amounts
2861     prescribed or provided;
2862          (c) prescribing prescription drugs for oneself or administering prescription drugs to
2863     oneself, except those that have been legally prescribed for the physician assistant by a licensed
2864     practitioner and that are used in accordance with the prescription order for the condition
2865     diagnosed;
2866          (d) in a practice that has physician assistant ownership interests, failure to allow a
2867     physician the independent final decision making authority on treatment decisions for the
2868     physician's patient;
2869          (e) violating the dispensing requirements of Chapter 17b, Part 8, Dispensing Medical
2870     Practitioner and Dispensing Medical Practitioner Clinic Pharmacy, if applicable;
2871          (f) falsely making an entry in, or altering, a medical record with the intent to conceal:
2872          (i) a wrongful or negligent act or omission of an individual licensed under this chapter
2873     or an individual under the direction or control of an individual licensed under this chapter; or
2874          (ii) conduct described in Subsections (1)(a) through (e) or Subsection 58-1-501(1); and
2875          (g) violating the requirements of [Title 26, Chapter 61a, Utah Medical Cannabis Act]
2876     Title 26B, Chapter 4, Part 2, Cannabinoid Research and Medical Cannabis.
2877          (2) (a) "Unprofessional conduct" does not include, in accordance with [Title 26,
2878     Chapter 61a, Utah Medical Cannabis Act] Title 26B, Chapter 4, Part 2, Cannabinoid Research
2879     and Medical Cannabis, when registered as a qualified medical provider or acting as a limited

2880     medical provider, as those terms are defined in Section [26-61a-102] 26B-4-201,
2881     recommending the use of medical cannabis.
2882          (b) Notwithstanding Subsection (2)(a), the division, in consultation with the board and
2883     in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, shall define
2884     unprofessional conduct for a physician assistant described in Subsection (2)(a).
2885          Section 47. Section 58-70a-505 is amended to read:
2886          58-70a-505. Opiate antagonist -- Exclusion from unlawful or unprofessional
2887     conduct.
2888          (1) As used in this section:
2889          (a) "Dispense" means the same as that term is defined in Section 58-17b-102.
2890          (b) "Increased risk" means the same as that term is defined in Section [26-55-102]
2891     26B-4-501.
2892          (c) "Opiate antagonist" means the same as that term is defined in Section [26-55-102]
2893     26B-4-501.
2894          (d) "Opiate-related drug overdose event" means the same as that term is defined in
2895     Section [26-55-102] 26B-4-501.
2896          (e) "Prescribe" means the same as that term is defined in Section 58-17b-102.
2897          (2) The prescribing or dispensing of an opiate antagonist by a licensee under this
2898     chapter is not unprofessional or unlawful conduct if the licensee prescribed or dispensed the
2899     opiate antagonist:
2900          (a) in a good faith effort to assist:
2901          (i) an individual who is at increased risk of experiencing an opiate-related drug
2902     overdose event; or
2903          (ii) a family member of, friend of, or other person, including a person described in
2904     Subsections [26-55-107(1)(a)(i)(A)] 26B-4-512(1)(a)(i)(A) through (1)(a)(i)(F), that is in a
2905     position to assist an individual who is at increased risk of experiencing an opiate-related drug
2906     overdose event; or
2907          (b) to an overdose outreach provider pursuant to Subsection [26-55-104(2)(a)(iii)]
2908     26B-4-509(2)(a)(iii).
2909          (3) The provisions of this section and [Title 26, Chapter 55, Opiate Overdose Response
2910     Act] Title 26B, Chapter 4, Part 5, Treatment Access, do not establish a duty or standard of care

2911     in the prescribing, dispensing, or administration of an opiate antagonist.
2912          Section 48. Section 58-71-601 is amended to read:
2913          58-71-601. Mentally incompetent or incapacitated naturopathic physician.
2914          (1) As used in this section:
2915          (a) "Incapacitated person" means a person who is incapacitated, as defined in Section
2916     75-1-201.
2917          (b) "Mental illness" is as defined in Section [62A-15-602] 26B-5-303.
2918          (2) If a court of competent jurisdiction determines a naturopathic physician is an
2919     incapacitated person or that the physician has a mental illness and is unable to safely engage in
2920     the practice of medicine, the director shall immediately suspend the license of the naturopathic
2921     physician upon the entry of the judgment of the court, without further proceedings under Title
2922     63G, Chapter 4, Administrative Procedures Act, regardless of whether an appeal from the
2923     court's ruling is pending. The director shall promptly notify the naturopathic physician, in
2924     writing, of the suspension.
2925          (3) (a) If the division and a majority of the board find reasonable cause to believe a
2926     naturopathic physician, who is not determined judicially to be an incapacitated person or to
2927     have a mental illness, is incapable of practicing medicine with reasonable skill regarding the
2928     safety of patients, because of illness, excessive use of drugs or alcohol, or as a result of any
2929     mental or physical condition, the board shall recommend that the director file a petition with
2930     the division, and cause the petition to be served upon the naturopathic physician with a notice
2931     of hearing on the sole issue of the capacity of the naturopathic physician to competently and
2932     safely engage in the practice of medicine.
2933          (b) The hearing shall be conducted under Section 58-1-109, and Title 63G, Chapter 4,
2934     Administrative Procedures Act, except as provided in Subsection (4).
2935          (4) (a) Every naturopathic physician who accepts the privilege of being licensed under
2936     this chapter gives consent to:
2937          (i) submitting at the physician's own expense to an immediate mental or physical
2938     examination when directed in writing by the division and a majority of the board to do so; and
2939          (ii) the admissibility of the reports of the examining physician's testimony or
2940     examination, and waives all objections on the ground the reports constitute a privileged
2941     communication.

2942          (b) The examination may be ordered by the division, with the consent of a majority of
2943     the board, only upon a finding of reasonable cause to believe:
2944          (i) the naturopathic physician has a mental illness, is incapacitated, or otherwise unable
2945     to practice medicine with reasonable skill and safety; and
2946          (ii) immediate action by the division and the board is necessary to prevent harm to the
2947     naturopathic physician's patients or the general public.
2948          (c) (i) Failure of a naturopathic physician to submit to the examination ordered under
2949     this section is a ground for the division's immediate suspension of the naturopathic physician's
2950     license by written order of the director.
2951          (ii) The division may enter the order of suspension without further compliance with
2952     Title 63G, Chapter 4, Administrative Procedures Act, unless the division finds the failure to
2953     submit to the examination ordered under this section was due to circumstances beyond the
2954     control of the naturopathic physician and was not related directly to the illness or incapacity of
2955     the naturopathic physician.
2956          (5) (a) A naturopathic physician whose license is suspended under Subsection (2) or
2957     (3) has the right to a hearing to appeal the suspension within 10 days after the license is
2958     suspended.
2959          (b) The hearing held under this subsection shall be conducted in accordance with
2960     Sections 58-1-108 and 58-1-109 for the sole purpose of determining if sufficient basis exists
2961     for the continuance of the order of suspension in order to prevent harm to the naturopathic
2962     physician's patients or the general public.
2963          (6) A naturopathic physician whose license is revoked, suspended, or in any way
2964     restricted under this section may request the division and the board to consider, at reasonable
2965     intervals, evidence presented by the naturopathic physician, under procedures established by
2966     division rule, regarding any change in the naturopathic physician's condition, to determine
2967     whether:
2968          (a) the physician is or is not able to safely and competently engage in the practice of
2969     medicine; and
2970          (b) the physician is qualified to have the physician's license to practice under this
2971     chapter restored completely or in part.
2972          Section 49. Section 58-80a-601 is amended to read:

2973          58-80a-601. Priority for certified medical language interpreter.
2974          The [Department of Health and the Department of Human Services] Department of
2975     Health and Human Services may give priority to contracting with companies that use certified
2976     medical language interpreters.
2977          Section 50. Section 58-85-104 is amended to read:
2978          58-85-104. Standard of care -- Medical practitioners not liable -- No private right
2979     of action.
2980          (1) It is not a breach of the applicable standard of care for a physician, other licensed
2981     health care provider, or hospital to treat an eligible patient with an investigational drug or
2982     investigational device under this chapter.
2983          (2) A physician, other licensed health care provider, or hospital that treats an eligible
2984     patient with an investigational drug or investigational device under this chapter may not, for
2985     any harm done to the eligible patient by the investigational drug or device, be subject to:
2986          (a) civil liability;
2987          (b) criminal liability; or
2988          (c) licensure sanctions under:
2989          (i) for a physician:
2990          (A) Title 58, Chapter 67, Utah Medical Practice Act; or
2991          (B) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act;
2992          (ii) for the other licensed health care provider, the act governing the other licensed
2993     health care provider's license; or
2994          (iii) for the hospital, [Title 26, Chapter 21, Health Care Facility Licensing and
2995     Inspection Act] Title 26B, Chapter 2, Part 2, Health Care Facility Licensing and Inspection.
2996          (3) This chapter does not:
2997          (a) require a manufacturer of an investigational drug or investigational device to agree
2998     to make an investigational drug or investigational device available to an eligible patient or an
2999     eligible patient's physician;
3000          (b) require a physician to agree to:
3001          (i) administer an investigational drug to an eligible patient under this chapter; or
3002          (ii) treat an eligible patient with an investigational device under this chapter; or
3003          (c) create a private right of action for an eligible patient:

3004          (i) against a physician or hospital, for the physician's or hospital's refusal to:
3005          (A) administer an investigational drug to an eligible patient under this chapter; or
3006          (B) treat an eligible patient with an investigational device under this chapter; or
3007          (ii) against a manufacturer, for the manufacturer's refusal to provide an eligible patient
3008     with an investigational drug or an investigational device under this chapter.
3009          Section 51. Section 58-88-201 is amended to read:
3010          58-88-201. Definitions.
3011          As used in this part:
3012          (1) (a) "Dispense" means the delivery by a prescriber of a prescription drug or device to
3013     a patient, including the packaging, labeling, and security necessary to prepare and safeguard the
3014     drug or device for supplying to a patient.
3015          (b) "Dispense" does not include:
3016          (i) prescribing or administering a drug or device; or
3017          (ii) delivering to a patient a sample packaged for individual use by a licensed
3018     manufacturer or re-packager of a drug or device.
3019          (2) "Dispensing practitioner" means an individual who:
3020          (a) is currently licensed as:
3021          (i) a physician and surgeon under Chapter 67, Utah Medical Practice Act;
3022          (ii) an osteopathic physician and surgeon under Chapter 68, Utah Osteopathic Medical
3023     Practice Act;
3024          (iii) an advanced practice registered nurse under Subsection 58-31b-301(2)(d); or
3025          (iv) a physician assistant under Chapter 70a, Utah Physician Assistant Act;
3026          (b) is authorized by state law to prescribe and administer drugs in the course of
3027     professional practice; and
3028          (c) practices at a licensed dispensing practice.
3029          (3) "Drug" means the same as that term is defined in Section 58-17b-102.
3030          (4) "Health care practice" means:
3031          (a) a health care facility as defined in Section [26-21-2] 26B-2-201; or
3032          (b) the offices of one or more private prescribers, whether for individual or group
3033     practice.
3034          (5) "Licensed dispensing practice" means a health care practice that is licensed as a

3035     dispensing practice under Section 58-88-202.
3036          Section 52. Section 59-1-210 is amended to read:
3037          59-1-210. General powers and duties.
3038          The powers and duties of the commission are as follows:
3039          (1) to sue and be sued in its own name;
3040          (2) to adopt rules and policies consistent with the Constitution and laws of this state to
3041     govern the commission, executive director, division directors, and commission employees in
3042     the performance of their duties;
3043          (3) to adopt rules and policies consistent with the Constitution and laws of the state, to
3044     govern county boards and officers in the performance of any duty relating to assessment,
3045     equalization, and collection of taxes;
3046          (4) to prescribe the use of forms relating to the assessment of property for state or local
3047     taxation, the equalization of those assessments, the reporting of property or income for state or
3048     local taxation purposes, or for the computation of those taxes and the reporting of any
3049     information, statistics, or data required by the commission;
3050          (5) to administer and supervise the tax laws of the state;
3051          (6) to prepare and maintain from year to year a complete record of all lands subject to
3052     taxation in this state, and all machinery used in mining and all property or surface
3053     improvements upon or appurtenant to mines or mining claims;
3054          (7) to exercise general supervision over assessors and county boards of equalization
3055     including the authority to enforce Section 59-2-303.1, and over other county officers in the
3056     performance of their duties relating to the assessment of property and collection of taxes, so
3057     that all assessments of property are just and equal, according to fair market value, and that the
3058     tax burden is distributed without favor or discrimination;
3059          (8) to reconvene any county board of equalization which, when reconvened, may only
3060     address business approved by the commission and extend the time for which any county board
3061     of equalization may sit for the equalization of assessments;
3062          (9) to confer with, advise, and direct county treasurers, assessors, and other county
3063     officers in matters relating to the assessment and equalization of property for taxation and the
3064     collection of taxes;
3065          (10) to provide for and hold annually at such time and place as may be convenient a

3066     district or state convention of county assessors, auditors, and other county officers to consider
3067     and discuss matters relative to taxation, uniformity of valuation, and changes in the law relative
3068     to taxation and methods of assessment, to which county assessors and other officers called to
3069     attend shall attend at county expense;
3070          (11) to direct proceedings, actions, and prosecutions to enforce the laws relating to the
3071     penalties, liabilities, and punishments of public officers, persons, and officers or agents of
3072     corporations for failure or neglect to comply with the statutes governing the reporting,
3073     assessment, and taxation of property;
3074          (12) to cause complaints to be made in the proper court seeking removal from office of
3075     assessors, auditors, members of county boards, and other assessing, taxing, or disbursing
3076     officers, who are guilty of official misconduct or neglect of duty;
3077          (13) to require county attorneys to immediately institute and prosecute actions and
3078     proceedings in respect to penalties, forfeitures, removals, and punishments for violations of the
3079     laws relating to the assessment and taxation of property in their respective counties;
3080          (14) to require any person to furnish any information required by the commission to
3081     ascertain the value and the relative burden borne by all kinds of property in the state, and to
3082     require from all state and local officers any information necessary for the proper discharge of
3083     the duties of the commission;
3084          (15) to examine all records relating to the valuation of property of any person;
3085          (16) to subpoena witnesses to appear and give testimony and produce records relating
3086     to any matter before the commission;
3087          (17) to cause depositions of witnesses to be taken as in civil actions at the request of
3088     the commission or any party to any matter or proceeding before the commission;
3089          (18) to authorize any member or employee of the commission to administer oaths and
3090     affirmations in any matter or proceeding relating to the exercise of the powers and duties of the
3091     commission;
3092          (19) to visit periodically each county of the state, to investigate and direct the work and
3093     methods of local assessors and other officials in the assessment, equalization, and taxation of
3094     property, and to ascertain whether the law requiring the assessment of all property not exempt
3095     from taxation, and the collection of taxes, have been properly administered and enforced;
3096          (20) to carefully examine all cases where evasion or violation of the laws for

3097     assessment and taxation of property is alleged, to ascertain whether existing laws are defective
3098     or improperly administered;
3099          (21) to furnish to the governor from time to time such assistance and information as the
3100     governor requires;
3101          (22) to transmit to the governor and to each member of the Legislature
3102     recommendations as to legislation which will correct or eliminate defects in the operation of
3103     the tax laws and will equalize the burden of taxation within the state;
3104          (23) to correct any error in any assessment made by it at any time before the tax is due
3105     and report the correction to the county auditor, who shall enter the corrected assessment upon
3106     the assessment roll;
3107          (24) to compile and publish statistics relating to taxation in the state and prepare and
3108     submit an annual budget to the governor for inclusion in the state budget to be submitted to the
3109     Legislature;
3110          (25) to perform any further duties imposed by law, and exercise all powers necessary in
3111     the performance of its duties;
3112          (26) to adopt a schedule of fees assessed for services provided by the commission,
3113     unless otherwise provided by statute. The fee shall be reasonable and fair, and shall reflect the
3114     cost of services provided. Each fee established in this manner shall be submitted to and
3115     approved by the Legislature as part of the commission's annual appropriations request. The
3116     commission may not charge or collect any fee proposed in this manner without approval by the
3117     Legislature;
3118          (27) to comply with the procedures and requirements of Title 63G, Chapter 4,
3119     Administrative Procedures Act, in its adjudicative proceedings; and
3120          (28) to distribute the money deposited into the Rural Health Care Facilities Account as
3121     required by Section [26-9-4] 26B-1-308.
3122          Section 53. Section 59-1-403 is amended to read:
3123          59-1-403. Confidentiality -- Exceptions -- Penalty -- Application to property tax.
3124          (1) As used in this section:
3125          (a) "Distributed tax, fee, or charge" means a tax, fee, or charge:
3126          (i) the commission administers under:
3127          (A) this title, other than a tax under Chapter 12, Part 2, Local Sales and Use Tax Act;

3128          (B) Title 10, Chapter 1, Part 3, Municipal Energy Sales and Use Tax Act;
3129          (C) Title 10, Chapter 1, Part 4, Municipal Telecommunications License Tax Act;
3130          (D) Section 19-6-805;
3131          (E) Section 63H-1-205; or
3132          (F) Title 69, Chapter 2, Part 4, Prepaid Wireless Telecommunications Service Charges;
3133     and
3134          (ii) with respect to which the commission distributes the revenue collected from the
3135     tax, fee, or charge to a qualifying jurisdiction.
3136          (b) "Qualifying jurisdiction" means:
3137          (i) a county, city, town, or metro township; or
3138          (ii) the military installation development authority created in Section 63H-1-201.
3139          (2) (a) Any of the following may not divulge or make known in any manner any
3140     information gained by that person from any return filed with the commission:
3141          (i) a tax commissioner;
3142          (ii) an agent, clerk, or other officer or employee of the commission; or
3143          (iii) a representative, agent, clerk, or other officer or employee of any county, city, or
3144     town.
3145          (b) An official charged with the custody of a return filed with the commission is not
3146     required to produce the return or evidence of anything contained in the return in any action or
3147     proceeding in any court, except:
3148          (i) in accordance with judicial order;
3149          (ii) on behalf of the commission in any action or proceeding under:
3150          (A) this title; or
3151          (B) other law under which persons are required to file returns with the commission;
3152          (iii) on behalf of the commission in any action or proceeding to which the commission
3153     is a party; or
3154          (iv) on behalf of any party to any action or proceeding under this title if the report or
3155     facts shown by the return are directly involved in the action or proceeding.
3156          (c) Notwithstanding Subsection (2)(b), a court may require the production of, and may
3157     admit in evidence, any portion of a return or of the facts shown by the return, as are specifically
3158     pertinent to the action or proceeding.

3159          (3) This section does not prohibit:
3160          (a) a person or that person's duly authorized representative from receiving a copy of
3161     any return or report filed in connection with that person's own tax;
3162          (b) the publication of statistics as long as the statistics are classified to prevent the
3163     identification of particular reports or returns; and
3164          (c) the inspection by the attorney general or other legal representative of the state of the
3165     report or return of any taxpayer:
3166          (i) who brings action to set aside or review a tax based on the report or return;
3167          (ii) against whom an action or proceeding is contemplated or has been instituted under
3168     this title; or
3169          (iii) against whom the state has an unsatisfied money judgment.
3170          (4) (a) Notwithstanding Subsection (2) and for purposes of administration, the
3171     commission may by rule, made in accordance with Title 63G, Chapter 3, Utah Administrative
3172     Rulemaking Act, provide for a reciprocal exchange of information with:
3173          (i) the United States Internal Revenue Service; or
3174          (ii) the revenue service of any other state.
3175          (b) Notwithstanding Subsection (2) and for all taxes except individual income tax and
3176     corporate franchise tax, the commission may by rule, made in accordance with Title 63G,
3177     Chapter 3, Utah Administrative Rulemaking Act, share information gathered from returns and
3178     other written statements with the federal government, any other state, any of the political
3179     subdivisions of another state, or any political subdivision of this state, except as limited by
3180     Sections 59-12-209 and 59-12-210, if the political subdivision, other state, or the federal
3181     government grant substantially similar privileges to this state.
3182          (c) Notwithstanding Subsection (2) and for all taxes except individual income tax and
3183     corporate franchise tax, the commission may by rule, in accordance with Title 63G, Chapter 3,
3184     Utah Administrative Rulemaking Act, provide for the issuance of information concerning the
3185     identity and other information of taxpayers who have failed to file tax returns or to pay any tax
3186     due.
3187          (d) Notwithstanding Subsection (2), the commission shall provide to the director of the
3188     Division of Environmental Response and Remediation, as defined in Section 19-6-402, as
3189     requested by the director of the Division of Environmental Response and Remediation, any

3190     records, returns, or other information filed with the commission under Chapter 13, Motor and
3191     Special Fuel Tax Act, or Section 19-6-410.5 regarding the environmental assurance program
3192     participation fee.
3193          (e) Notwithstanding Subsection (2), at the request of any person the commission shall
3194     provide that person sales and purchase volume data reported to the commission on a report,
3195     return, or other information filed with the commission under:
3196          (i) Chapter 13, Part 2, Motor Fuel; or
3197          (ii) Chapter 13, Part 4, Aviation Fuel.
3198          (f) Notwithstanding Subsection (2), upon request from a tobacco product manufacturer,
3199     as defined in Section 59-22-202, the commission shall report to the manufacturer:
3200          (i) the quantity of cigarettes, as defined in Section 59-22-202, produced by the
3201     manufacturer and reported to the commission for the previous calendar year under Section
3202     59-14-407; and
3203          (ii) the quantity of cigarettes, as defined in Section 59-22-202, produced by the
3204     manufacturer for which a tax refund was granted during the previous calendar year under
3205     Section 59-14-401 and reported to the commission under Subsection 59-14-401(1)(a)(v).
3206          (g) Notwithstanding Subsection (2), the commission shall notify manufacturers,
3207     distributors, wholesalers, and retail dealers of a tobacco product manufacturer that is prohibited
3208     from selling cigarettes to consumers within the state under Subsection 59-14-210(2).
3209          (h) Notwithstanding Subsection (2), the commission may:
3210          (i) provide to the Division of Consumer Protection within the Department of
3211     Commerce and the attorney general data:
3212          (A) reported to the commission under Section 59-14-212; or
3213          (B) related to a violation under Section 59-14-211; and
3214          (ii) upon request, provide to any person data reported to the commission under
3215     Subsections 59-14-212(1)(a) through (c) and Subsection 59-14-212(1)(g).
3216          (i) Notwithstanding Subsection (2), the commission shall, at the request of a committee
3217     of the Legislature, the Office of the Legislative Fiscal Analyst, or the Governor's Office of
3218     Planning and Budget, provide to the committee or office the total amount of revenues collected
3219     by the commission under Chapter 24, Radioactive Waste Facility Tax Act, for the time period
3220     specified by the committee or office.

3221          (j) Notwithstanding Subsection (2), the commission shall make the directory required
3222     by Section 59-14-603 available for public inspection.
3223          (k) Notwithstanding Subsection (2), the commission may share information with
3224     federal, state, or local agencies as provided in Subsection 59-14-606(3).
3225          (l) (i) Notwithstanding Subsection (2), the commission shall provide the Office of
3226     Recovery Services within the Department of [Human Services] Health and Human Services
3227     any relevant information obtained from a return filed under Chapter 10, Individual Income Tax
3228     Act, regarding a taxpayer who has become obligated to the Office of Recovery Services.
3229          (ii) The information described in Subsection (4)(l)(i) may be provided by the Office of
3230     Recovery Services to any other state's child support collection agency involved in enforcing
3231     that support obligation.
3232          (m) (i) Notwithstanding Subsection (2), upon request from the state court
3233     administrator, the commission shall provide to the state court administrator, the name, address,
3234     telephone number, county of residence, and social security number on resident returns filed
3235     under Chapter 10, Individual Income Tax Act.
3236          (ii) The state court administrator may use the information described in Subsection
3237     (4)(m)(i) only as a source list for the master jury list described in Section 78B-1-106.
3238          (n) (i) As used in this Subsection (4)(n):
3239          (A) "GO Utah office" means the Governor's Office of Economic Opportunity created in
3240     Section 63N-1a-301.
3241          (B) "Income tax information" means information gained by the commission that is
3242     required to be attached to or included in a return filed with the commission under Chapter 7,
3243     Corporate Franchise and Income Taxes, or Chapter 10, Individual Income Tax Act.
3244          (C) "Other tax information" means information gained by the commission that is
3245     required to be attached to or included in a return filed with the commission except for a return
3246     filed under Chapter 7, Corporate Franchise and Income Taxes, or Chapter 10, Individual
3247     Income Tax Act.
3248          (D) "Tax information" means income tax information or other tax information.
3249          (ii) (A) Notwithstanding Subsection (2) and except as provided in Subsection
3250     (4)(n)(ii)(B) or (C), the commission shall at the request of the GO Utah office provide to the
3251     GO Utah office all income tax information.

3252          (B) For purposes of a request for income tax information made under Subsection
3253     (4)(n)(ii)(A), the GO Utah office may not request and the commission may not provide to the
3254     GO Utah office a person's address, name, social security number, or taxpayer identification
3255     number.
3256          (C) In providing income tax information to the GO Utah office, the commission shall
3257     in all instances protect the privacy of a person as required by Subsection (4)(n)(ii)(B).
3258          (iii) (A) Notwithstanding Subsection (2) and except as provided in Subsection
3259     (4)(n)(iii)(B), the commission shall at the request of the GO Utah office provide to the GO
3260     Utah office other tax information.
3261          (B) Before providing other tax information to the GO Utah office, the commission
3262     shall redact or remove any name, address, social security number, or taxpayer identification
3263     number.
3264          (iv) The GO Utah office may provide tax information received from the commission in
3265     accordance with this Subsection (4)(n) only:
3266          (A) as a fiscal estimate, fiscal note information, or statistical information; and
3267          (B) if the tax information is classified to prevent the identification of a particular
3268     return.
3269          (v) (A) A person may not request tax information from the GO Utah office under Title
3270     63G, Chapter 2, Government Records Access and Management Act, or this section, if the GO
3271     Utah office received the tax information from the commission in accordance with this
3272     Subsection (4)(n).
3273          (B) The GO Utah office may not provide to a person that requests tax information in
3274     accordance with Subsection (4)(n)(v)(A) any tax information other than the tax information the
3275     GO Utah office provides in accordance with Subsection (4)(n)(iv).
3276          (o) Notwithstanding Subsection (2), the commission may provide to the governing
3277     board of the agreement or a taxing official of another state, the District of Columbia, the United
3278     States, or a territory of the United States:
3279          (i) the following relating to an agreement sales and use tax:
3280          (A) information contained in a return filed with the commission;
3281          (B) information contained in a report filed with the commission;
3282          (C) a schedule related to Subsection (4)(o)(i)(A) or (B); or

3283          (D) a document filed with the commission; or
3284          (ii) a report of an audit or investigation made with respect to an agreement sales and
3285     use tax.
3286          (p) Notwithstanding Subsection (2), the commission may provide information
3287     concerning a taxpayer's state income tax return or state income tax withholding information to
3288     the Driver License Division if the Driver License Division:
3289          (i) requests the information; and
3290          (ii) provides the commission with a signed release form from the taxpayer allowing the
3291     Driver License Division access to the information.
3292          (q) Notwithstanding Subsection (2), the commission shall provide to the Utah
3293     Communications Authority, or a division of the Utah Communications Authority, the
3294     information requested by the authority under Sections 63H-7a-302, 63H-7a-402, and
3295     63H-7a-502.
3296          (r) Notwithstanding Subsection (2), the commission shall provide to the Utah
3297     Educational Savings Plan information related to a resident or nonresident individual's
3298     contribution to a Utah Educational Savings Plan account as designated on the resident or
3299     nonresident's individual income tax return as provided under Section 59-10-1313.
3300          (s) Notwithstanding Subsection (2), for the purpose of verifying eligibility under
3301     Sections [26-18-2.5] 26B-3-106 and [26-40-105] 26B-3-903, the commission shall provide an
3302     eligibility worker with the Department of [Health] Health and Human Services or its designee
3303     with the adjusted gross income of an individual if:
3304          (i) an eligibility worker with the Department of [Health] Health and Human Services or
3305     its designee requests the information from the commission; and
3306          (ii) the eligibility worker has complied with the identity verification and consent
3307     provisions of Sections [26-18-2.5] 26B-3-106 and [26-40-105] 26B-3-903.
3308          (t) Notwithstanding Subsection (2), the commission may provide to a county, as
3309     determined by the commission, information declared on an individual income tax return in
3310     accordance with Section 59-10-103.1 that relates to eligibility to claim a residential exemption
3311     authorized under Section 59-2-103.
3312          (u) Notwithstanding Subsection (2), the commission shall provide a report regarding
3313     any access line provider that is over 90 days delinquent in payment to the commission of

3314     amounts the access line provider owes under Title 69, Chapter 2, Part 4, Prepaid Wireless
3315     Telecommunications Service Charges, to the board of the Utah Communications Authority
3316     created in Section 63H-7a-201.
3317          (v) Notwithstanding Subsection (2), the commission shall provide the Department of
3318     Environmental Quality a report on the amount of tax paid by a radioactive waste facility for the
3319     previous calendar year under Section 59-24-103.5.
3320          (w) Notwithstanding Subsection (2), the commission may, upon request, provide to the
3321     Department of Workforce Services any information received under Chapter 10, Part 4,
3322     Withholding of Tax, that is relevant to the duties of the Department of Workforce Services.
3323          (x) Notwithstanding Subsection (2), the commission may provide the Public Service
3324     Commission or the Division of Public Utilities information related to a seller that collects and
3325     remits to the commission a charge described in Subsection 69-2-405(2), including the seller's
3326     identity and the number of charges described in Subsection 69-2-405(2) that the seller collects.
3327          (y) (i) Notwithstanding Subsection (2), the commission shall provide to each qualifying
3328     jurisdiction the collection data necessary to verify the revenue collected by the commission for
3329     a distributed tax, fee, or charge collected within the qualifying jurisdiction.
3330          (ii) In addition to the information provided under Subsection (4)(y)(i), the commission
3331     shall provide a qualifying jurisdiction with copies of returns and other information relating to a
3332     distributed tax, fee, or charge collected within the qualifying jurisdiction.
3333          (iii) (A) To obtain the information described in Subsection (4)(y)(ii), the chief
3334     executive officer or the chief executive officer's designee of the qualifying jurisdiction shall
3335     submit a written request to the commission that states the specific information sought and how
3336     the qualifying jurisdiction intends to use the information.
3337          (B) The information described in Subsection (4)(y)(ii) is available only in official
3338     matters of the qualifying jurisdiction.
3339          (iv) Information that a qualifying jurisdiction receives in response to a request under
3340     this subsection is:
3341          (A) classified as a private record under Title 63G, Chapter 2, Government Records
3342     Access and Management Act; and
3343          (B) subject to the confidentiality requirements of this section.
3344          (z) Notwithstanding Subsection (2), the commission shall provide the Alcoholic

3345     Beverage Services Commission, upon request, with taxpayer status information related to state
3346     tax obligations necessary to comply with the requirements described in Section 32B-1-203.
3347          (5) (a) Each report and return shall be preserved for at least three years.
3348          (b) After the three-year period provided in Subsection (5)(a) the commission may
3349     destroy a report or return.
3350          (6) (a) Any individual who violates this section is guilty of a class A misdemeanor.
3351          (b) If the individual described in Subsection (6)(a) is an officer or employee of the
3352     state, the individual shall be dismissed from office and be disqualified from holding public
3353     office in this state for a period of five years thereafter.
3354          (c) Notwithstanding Subsection (6)(a) or (b), the GO Utah office, when requesting
3355     information in accordance with Subsection (4)(n)(iii), or an individual who requests
3356     information in accordance with Subsection (4)(n)(v):
3357          (i) is not guilty of a class A misdemeanor; and
3358          (ii) is not subject to:
3359          (A) dismissal from office in accordance with Subsection (6)(b); or
3360          (B) disqualification from holding public office in accordance with Subsection (6)(b).
3361          (7) Except as provided in Section 59-1-404, this part does not apply to the property tax.
3362          Section 54. Section 59-2-1901 is amended to read:
3363          59-2-1901. Definitions.
3364          As used in this section:
3365          (1) "Active component of the United States Armed Forces" means the same as that
3366     term is defined in Section 59-10-1027.
3367          (2) "Active duty claimant" means a member of an active component of the United
3368     States Armed Forces or a reserve component of the United States Armed Forces who:
3369          (a) performed qualifying active duty military service; and
3370          (b) applies for an exemption described in Section 59-2-1902.
3371          (3) "Adjusted taxable value limit" means:
3372          (a) for the calendar year that begins on January 1, 2015, $252,126; or
3373          (b) for each calendar year after the calendar year that begins on January 1, 2015, the
3374     amount of the adjusted taxable value limit for the previous year plus an amount calculated by
3375     multiplying the amount of the adjusted taxable value limit for the previous year by the actual

3376     percent change in the consumer price index during the previous calendar year.
3377          (4) "Consumer price index" means the same as that term is described in Section 1(f)(4),
3378     Internal Revenue Code, and defined in Section 1(f)(5), Internal Revenue Code.
3379          (5) "Deceased veteran with a disability" means a deceased individual who was a
3380     veteran with a disability at the time the individual died.
3381          (6) "Military entity" means:
3382          (a) the United States Department of Veterans Affairs;
3383          (b) an active component of the United States Armed Forces; or
3384          (c) a reserve component of the United States Armed Forces.
3385          (7) "Primary residence" includes the residence of a individual who does not reside in
3386     the residence if the individual:
3387          (a) does not reside in the residence because the individual is admitted as an inpatient at
3388     a health care facility as defined in Section [26-55-102] 26B-4-501; and
3389          (b) otherwise meets the requirements of this part.
3390          (8) "Qualifying active duty military service" means at least 200 days, regardless of
3391     whether consecutive, in any continuous 365-day period of active duty military service outside
3392     the state in an active component of the United States Armed Forces or a reserve component of
3393     the United States Armed Forces, if the days of active duty military service:
3394          (a) were completed in the year before an individual applies for an exemption described
3395     in Section 59-2-1902; and
3396          (b) have not previously been counted as qualifying active duty military service for
3397     purposes of qualifying for an exemption described in Section 59-2-1902 or applying for the
3398     exemption described in Section 59-2-1902.
3399          (9) "Statement of disability" means the statement of disability described in Section
3400     59-2-1904.
3401          (10) "Reserve component of the United States Armed Forces" means the same as that
3402     term is defined in Section 59-10-1027.
3403          (11) "Residence" means real property where an individual resides, including:
3404          (a) a mobile home, as defined in Section 41-1a-102; or
3405          (b) a manufactured home, as defined in Section 41-1a-102.
3406          (12) "Veteran claimant" means one of the following individuals who applies for an

3407     exemption described in Section 59-2-1903:
3408          (a) a veteran with a disability;
3409          (b) the unmarried surviving spouse:
3410          (i) of a deceased veteran with a disability; or
3411          (ii) a veteran who was killed in action or died in the line of duty; or
3412          (c) a minor orphan:
3413          (i) of a deceased veteran with a disability; or
3414          (ii) a veteran who was killed in action or died in the line of duty.
3415          (13) "Veteran who was killed in action or died in the line of duty" means an individual
3416     who was killed in action or died in the line of duty in an active component of the United States
3417     Armed Forces or a reserve component of the United States Armed Forces, regardless of
3418     whether that individual had a disability at the time that individual was killed in action or died
3419     in the line of duty.
3420          (14) "Veteran with a disability" means an individual with a disability who, during
3421     military training or a military conflict, acquired a disability in the line of duty in an active
3422     component of the United States Armed Forces or a reserve component of the United States
3423     Armed Forces, as determined by a military entity.
3424          Section 55. Section 59-10-529 is amended to read:
3425          59-10-529. Overpayment of tax -- Credits -- Refunds.
3426          (1) If there has been an overpayment of any tax imposed by this chapter, the amount of
3427     overpayment is credited as follows:
3428          (a) against an income tax due from a taxpayer;
3429          (b) against:
3430          (i) the amount of a judgment against a taxpayer, including a final judgment or order
3431     requiring payment of a fine or of restitution to a victim under Title 77, Chapter 38b, Crime
3432     Victims Restitution Act, obtained through due process of law by an entity of state or local
3433     government; or
3434          (ii) subject to Subsection (4)(a)(i), a child support obligation that is due or past due, as
3435     determined by the Office of Recovery Services in the Department of [Human Services] Health
3436     and Human Services and after notice and an opportunity for an adjudicative proceeding, as
3437     provided in Subsection (4)(a)(iii); or

3438          (c) subject to Subsections (3), (5), (6), and (7), as bail to ensure the appearance of a
3439     taxpayer before the appropriate authority to resolve an outstanding warrant against the taxpayer
3440     for which bail is due, if a court of competent jurisdiction has not approved an alternative form
3441     of payment.
3442          (2) If a balance remains after an overpayment is credited in accordance with Subsection
3443     (1), the balance shall be refunded to the taxpayer.
3444          (3) Bail described in Subsection (1)(c) may be applied to any fine or forfeiture:
3445          (a) that is due and related to a warrant that is outstanding on or after February 16, 1984;
3446     and
3447          (b) in accordance with Subsections (5) and (6).
3448          (4) (a) The amount of an overpayment may be credited against an obligation described
3449     in Subsection (1)(b)(ii) if the Office of Recovery Services has sent written notice to the
3450     taxpayer's last-known address or the address on file under Section [62A-11-304.4] 26B-9-207,
3451     stating:
3452          (i) the amount of child support that is due or past due as of the date of the notice or
3453     other specified date;
3454          (ii) that any overpayment shall be applied to reduce the amount of due or past-due child
3455     support specified in the notice; and
3456          (iii) that the taxpayer may contest the amount of past-due child support specified in the
3457     notice by filing a written request for an adjudicative proceeding with the office within 15 days
3458     of the notice being sent.
3459          (b) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
3460     Office of Recovery Services shall establish rules to implement this Subsection (4), including
3461     procedures, in accordance with the other provisions of this section, to ensure:
3462          (i) prompt reimbursement to a taxpayer of any amount of an overpayment that was
3463     credited against a child support obligation in error; and
3464          (ii) prompt distribution of properly credited funds to the obligee parent.
3465          (5) The amount of an overpayment may be credited against bail described in
3466     Subsection (1)(c) if:
3467          (a) a court has issued a warrant for the arrest of the taxpayer for failure to post bail,
3468     appear, or otherwise satisfy the terms of a citation, summons, or court order; and

3469          (b) a notice of intent to apply the overpayment as bail on the issued warrant has been
3470     sent to the taxpayer's current address on file with the commission.
3471          (6) (a) (i) The commission shall deliver an overpayment applied as bail to the court that
3472     issued the warrant of arrest.
3473          (ii) The clerk of the court is authorized to endorse the check or commission warrant of
3474     payment on behalf of the payees and deposit the money in the court treasury.
3475          (b) (i) The court receiving an overpayment applied as bail shall order withdrawal of the
3476     warrant for arrest of the taxpayer if:
3477          (A) the case is a case for which a personal appearance of the taxpayer is not required;
3478     and
3479          (B) the dollar amount of the overpayment represents the full dollar amount of bail.
3480          (ii) In a case except for a case described in Subsection (6)(b)(i):
3481          (A) the court receiving the overpayment applied as bail is not required to order the
3482     withdrawal of the warrant of arrest of the taxpayer during the 40-day period; and
3483          (B) the taxpayer may be arrested on the warrant.
3484          (c) (i) If a taxpayer fails to respond to the notice required by Subsection (5)(b), or to
3485     resolve the warrant within 40 days after the notice is sent under Subsection (5)(b), the
3486     overpayment applied as bail is forfeited.
3487          (ii) A court may issue another warrant or allow the original warrant to remain in force
3488     if:
3489          (A) the taxpayer has not complied with an order of the court;
3490          (B) the taxpayer has failed to appear and respond to a criminal charge for which a
3491     personal appearance is required; or
3492          (C) the taxpayer has paid partial but not full bail in a case for which a personal
3493     appearance is not required.
3494          (d) If the alleged violations named in a warrant are later resolved in favor of the
3495     taxpayer, the bail amount shall be remitted to the taxpayer.
3496          (7) The fine and bail forfeiture provisions of this section apply to all warrants, fines,
3497     fees, and surcharges issued in cases charging a taxpayer with a felony, a misdemeanor, or an
3498     infraction described in this section, which are outstanding on or after February 16, 1984.
3499          (8) If the amount allowed as a credit for tax withheld from a taxpayer exceeds the tax

3500     to which the credit relates, the excess is considered an overpayment.
3501          (9) (a) Subject to Subsection (9)(b), a taxpayer shall claim a credit or refund of an
3502     overpayment that is attributable to a net operating loss carry back or carry forward within three
3503     years after the day on which the return for the taxable year of the net operating loss is due.
3504          (b) The three-year period described in Subsection (9)(a) shall be extended by any
3505     extension of time provided in statute for filing the return described in Subsection (9)(a).
3506          (10) If there is no tax liability for a period in which an amount is paid under this
3507     chapter, the amount is an overpayment.
3508          (11) If a tax under this chapter is assessed or collected after the expiration of the
3509     applicable period of limitation, that amount is an overpayment.
3510          (12) (a) A taxpayer may file a claim for a credit or refund of an overpayment within
3511     two years after the day on which a notice of change, notice of correction, or amended return is
3512     required to be filed with the commission if the taxpayer is required to:
3513          (i) report a change or correction in income reported on the taxpayer's federal income
3514     tax return;
3515          (ii) report a change or correction that is treated in the same manner as if the change or
3516     correction were an overpayment for federal income tax purposes; or
3517          (iii) file an amended return with the commission.
3518          (b) If a report or amended return is not filed within 90 days after the day on which the
3519     report or amended return is due, interest on any resulting refund or credit ceases to accrue after
3520     the 90-day period.
3521          (c) The amount of the credit or refund may not exceed the amount of the reduction in
3522     tax attributable to the federal change, correction, or items amended on the taxpayer's amended
3523     federal income tax return.
3524          (d) Except as provided in Subsection (12)(a), this Subsection (12) does not affect the
3525     amount or the time within which a claim for credit or refund may be filed.
3526          (13) A credit or refund may not be allowed or made if an overpayment is less than $1.
3527          (14) In the case of an overpayment of tax by an employer under Part 4, Withholding of
3528     Tax, an employer shall receive a refund or credit only to the extent that the amount of the
3529     overpayment is not deducted and withheld from wages under this chapter.
3530          (15) (a) If a taxpayer that is allowed a refund under this chapter dies, the commission

3531     may make payment to the personal representative of the taxpayer's estate.
3532          (b) If there is no personal representative of the taxpayer's estate, the commission may
3533     make payment to those persons that establish entitlement to inherit the property of the decedent
3534     in the proportions established in Title 75, Utah Uniform Probate Code.
3535          (16) If an overpayment relates to a change in net income described in Subsection
3536     59-10-536(2)(a), a credit may be allowed or a refund paid any time before the expiration of the
3537     period within which a deficiency may be assessed.
3538          (17) An overpayment of a tax imposed by this chapter shall accrue interest at the rate
3539     and in the manner prescribed in Section 59-1-402.
3540          (18) A pass-through entity may claim a refund of qualifying excess withholding in
3541     accordance with Section 59-10-1403.3 in lieu of a pass-though entity taxpayer claiming a tax
3542     credit under Section 59-7-614.4 or Section 59-10-1103.
3543          Section 56. Section 59-10-1004 is amended to read:
3544          59-10-1004. Tax credit for cash contributions to sheltered workshops.
3545          (1) For tax years beginning January 1, 1983, and thereafter, in computing the tax due
3546     the state under Section 59-10-104 there shall be a nonrefundable tax credit allowed for cash
3547     contributions made by a claimant, estate, or trust within the taxable year to nonprofit
3548     rehabilitation sheltered workshop facilities for persons with a disability operating in Utah that
3549     are certified by the Department of [Human Services] Health and Human Services as a
3550     qualifying facility.
3551          (2) The allowable tax credit is an amount equal to 50% of the aggregate amount of the
3552     cash contributions to the qualifying rehabilitation facilities, but the allowed tax credit may not
3553     exceed $200.
3554          (3) The amount of contribution claimed as a tax credit under this section may not also
3555     be claimed as a charitable deduction in determining net taxable income.
3556          Section 57. Section 59-10-1308 is amended to read:
3557          59-10-1308. Children's organ transplants contribution -- Credit to Kurt Oscarson
3558     Children's Organ Transplant Account.
3559          (1) Except as provided in Section 59-10-1304, a resident or nonresident individual that
3560     files an individual income tax return under this chapter may designate on the resident or
3561     nonresident individual's individual income tax return a contribution to the Kurt Oscarson

3562     Children's Organ Transplant Account created by Section [26-18a-4] 26B-1-311.
3563          (2) The commission shall:
3564          (a) determine annually the total amount of contributions designated in accordance with
3565     this section; and
3566          (b) credit the amount described in Subsection (2)(a) to the Kurt Oscarson Children's
3567     Organ Transplant Account created by Section [26-18a-4] 26B-1-311.
3568          Section 58. Section 59-10-1320 is amended to read:
3569          59-10-1320. Contribution to the Governor's Suicide Prevention Fund.
3570          (1) Except as provided in Section 59-10-1304, a resident or nonresident individual that
3571     files an individual income tax return under this chapter may designate on the resident or
3572     nonresident individual's individual income tax return a contribution to the Governor's Suicide
3573     Prevention Fund as provided in this part.
3574          (2) The commission shall:
3575          (a) determine annually the total amount of contributions designated in accordance with
3576     this section; and
3577          (b) credit the amount described in Subsection (2)(a) to the Governor's Suicide
3578     Prevention Fund created by Section [62A-15-1103] 26B-1-325.
3579          Section 59. Section 59-12-102 is amended to read:
3580          59-12-102. Definitions.
3581          As used in this chapter:
3582          (1) "800 service" means a telecommunications service that:
3583          (a) allows a caller to dial a toll-free number without incurring a charge for the call; and
3584          (b) is typically marketed:
3585          (i) under the name 800 toll-free calling;
3586          (ii) under the name 855 toll-free calling;
3587          (iii) under the name 866 toll-free calling;
3588          (iv) under the name 877 toll-free calling;
3589          (v) under the name 888 toll-free calling; or
3590          (vi) under a name similar to Subsections (1)(b)(i) through (v) as designated by the
3591     Federal Communications Commission.
3592          (2) (a) "900 service" means an inbound toll telecommunications service that:

3593          (i) a subscriber purchases;
3594          (ii) allows a customer of the subscriber described in Subsection (2)(a)(i) to call in to
3595     the subscriber's:
3596          (A) prerecorded announcement; or
3597          (B) live service; and
3598          (iii) is typically marketed:
3599          (A) under the name 900 service; or
3600          (B) under a name similar to Subsection (2)(a)(iii)(A) as designated by the Federal
3601     Communications Commission.
3602          (b) "900 service" does not include a charge for:
3603          (i) a collection service a seller of a telecommunications service provides to a
3604     subscriber; or
3605          (ii) the following a subscriber sells to the subscriber's customer:
3606          (A) a product; or
3607          (B) a service.
3608          (3) (a) "Admission or user fees" includes season passes.
3609          (b) "Admission or user fees" does not include:
3610          (i) annual membership dues to private organizations; or
3611          (ii) a lesson, including a lesson that involves as part of the lesson equipment or a
3612     facility listed in Subsection 59-12-103(1)(f).
3613          (4) "Affiliate" or "affiliated person" means a person that, with respect to another
3614     person:
3615          (a) has an ownership interest of more than 5%, whether direct or indirect, in that other
3616     person; or
3617          (b) is related to the other person because a third person, or a group of third persons who
3618     are affiliated persons with respect to each other, holds an ownership interest of more than 5%,
3619     whether direct or indirect, in the related persons.
3620          (5) "Agreement" means the Streamlined Sales and Use Tax Agreement adopted on
3621     November 12, 2002, including amendments made to the Streamlined Sales and Use Tax
3622     Agreement after November 12, 2002.
3623          (6) "Agreement combined tax rate" means the sum of the tax rates:

3624          (a) listed under Subsection (7); and
3625          (b) that are imposed within a local taxing jurisdiction.
3626          (7) "Agreement sales and use tax" means a tax imposed under:
3627          (a) Subsection 59-12-103(2)(a)(i)(A);
3628          (b) Subsection 59-12-103(2)(b)(i);
3629          (c) Subsection 59-12-103(2)(c)(i);
3630          (d) Subsection 59-12-103(2)(d);
3631          (e) Subsection 59-12-103(2)(e)(i)(A)(I);
3632          (f) Section 59-12-204;
3633          (g) Section 59-12-401;
3634          (h) Section 59-12-402;
3635          (i) Section 59-12-402.1;
3636          (j) Section 59-12-703;
3637          (k) Section 59-12-802;
3638          (l) Section 59-12-804;
3639          (m) Section 59-12-1102;
3640          (n) Section 59-12-1302;
3641          (o) Section 59-12-1402;
3642          (p) Section 59-12-1802;
3643          (q) Section 59-12-2003;
3644          (r) Section 59-12-2103;
3645          (s) Section 59-12-2213;
3646          (t) Section 59-12-2214;
3647          (u) Section 59-12-2215;
3648          (v) Section 59-12-2216;
3649          (w) Section 59-12-2217;
3650          (x) Section 59-12-2218;
3651          (y) Section 59-12-2219; or
3652          (z) Section 59-12-2220.
3653          (8) "Aircraft" means the same as that term is defined in Section 72-10-102.
3654          (9) "Aircraft maintenance, repair, and overhaul provider" means a business entity:

3655          (a) except for:
3656          (i) an airline as defined in Section 59-2-102; or
3657          (ii) an affiliated group, as defined in Section 59-7-101, except that "affiliated group"
3658     includes a corporation that is qualified to do business but is not otherwise doing business in the
3659     state, of an airline; and
3660          (b) that has the workers, expertise, and facilities to perform the following, regardless of
3661     whether the business entity performs the following in this state:
3662          (i) check, diagnose, overhaul, and repair:
3663          (A) an onboard system of a fixed wing turbine powered aircraft; and
3664          (B) the parts that comprise an onboard system of a fixed wing turbine powered aircraft;
3665          (ii) assemble, change, dismantle, inspect, and test a fixed wing turbine powered aircraft
3666     engine;
3667          (iii) perform at least the following maintenance on a fixed wing turbine powered
3668     aircraft:
3669          (A) an inspection;
3670          (B) a repair, including a structural repair or modification;
3671          (C) changing landing gear; and
3672          (D) addressing issues related to an aging fixed wing turbine powered aircraft;
3673          (iv) completely remove the existing paint of a fixed wing turbine powered aircraft and
3674     completely apply new paint to the fixed wing turbine powered aircraft; and
3675          (v) refurbish the interior of a fixed wing turbine powered aircraft in a manner that
3676     results in a change in the fixed wing turbine powered aircraft's certification requirements by the
3677     authority that certifies the fixed wing turbine powered aircraft.
3678          (10) "Alcoholic beverage" means a beverage that:
3679          (a) is suitable for human consumption; and
3680          (b) contains .5% or more alcohol by volume.
3681          (11) "Alternative energy" means:
3682          (a) biomass energy;
3683          (b) geothermal energy;
3684          (c) hydroelectric energy;
3685          (d) solar energy;

3686          (e) wind energy; or
3687          (f) energy that is derived from:
3688          (i) coal-to-liquids;
3689          (ii) nuclear fuel;
3690          (iii) oil-impregnated diatomaceous earth;
3691          (iv) oil sands;
3692          (v) oil shale;
3693          (vi) petroleum coke; or
3694          (vii) waste heat from:
3695          (A) an industrial facility; or
3696          (B) a power station in which an electric generator is driven through a process in which
3697     water is heated, turns into steam, and spins a steam turbine.
3698          (12) (a) Subject to Subsection (12)(b), "alternative energy electricity production
3699     facility" means a facility that:
3700          (i) uses alternative energy to produce electricity; and
3701          (ii) has a production capacity of two megawatts or greater.
3702          (b) A facility is an alternative energy electricity production facility regardless of
3703     whether the facility is:
3704          (i) connected to an electric grid; or
3705          (ii) located on the premises of an electricity consumer.
3706          (13) (a) "Ancillary service" means a service associated with, or incidental to, the
3707     provision of telecommunications service.
3708          (b) "Ancillary service" includes:
3709          (i) a conference bridging service;
3710          (ii) a detailed communications billing service;
3711          (iii) directory assistance;
3712          (iv) a vertical service; or
3713          (v) a voice mail service.
3714          (14) "Area agency on aging" means the same as that term is defined in Section
3715     [62A-3-101] 26B-6-101.
3716          (15) "Assisted amusement device" means an amusement device, skill device, or ride

3717     device that is started and stopped by an individual:
3718          (a) who is not the purchaser or renter of the right to use or operate the amusement
3719     device, skill device, or ride device; and
3720          (b) at the direction of the seller of the right to use the amusement device, skill device,
3721     or ride device.
3722          (16) "Assisted cleaning or washing of tangible personal property" means cleaning or
3723     washing of tangible personal property if the cleaning or washing labor is primarily performed
3724     by an individual:
3725          (a) who is not the purchaser of the cleaning or washing of the tangible personal
3726     property; and
3727          (b) at the direction of the seller of the cleaning or washing of the tangible personal
3728     property.
3729          (17) "Authorized carrier" means:
3730          (a) in the case of vehicles operated over public highways, the holder of credentials
3731     indicating that the vehicle is or will be operated pursuant to both the International Registration
3732     Plan and the International Fuel Tax Agreement;
3733          (b) in the case of aircraft, the holder of a Federal Aviation Administration operating
3734     certificate or air carrier's operating certificate; or
3735          (c) in the case of locomotives, freight cars, railroad work equipment, or other rolling
3736     stock, a person who uses locomotives, freight cars, railroad work equipment, or other rolling
3737     stock in more than one state.
3738          (18) (a) Except as provided in Subsection (18)(b), "biomass energy" means any of the
3739     following that is used as the primary source of energy to produce fuel or electricity:
3740          (i) material from a plant or tree; or
3741          (ii) other organic matter that is available on a renewable basis, including:
3742          (A) slash and brush from forests and woodlands;
3743          (B) animal waste;
3744          (C) waste vegetable oil;
3745          (D) methane or synthetic gas produced at a landfill, as a byproduct of the treatment of
3746     wastewater residuals, or through the conversion of a waste material through a nonincineration,
3747     thermal conversion process;

3748          (E) aquatic plants; and
3749          (F) agricultural products.
3750          (b) "Biomass energy" does not include:
3751          (i) black liquor; or
3752          (ii) treated woods.
3753          (19) (a) "Bundled transaction" means the sale of two or more items of tangible personal
3754     property, products, or services if the tangible personal property, products, or services are:
3755          (i) distinct and identifiable; and
3756          (ii) sold for one nonitemized price.
3757          (b) "Bundled transaction" does not include:
3758          (i) the sale of tangible personal property if the sales price varies, or is negotiable, on
3759     the basis of the selection by the purchaser of the items of tangible personal property included in
3760     the transaction;
3761          (ii) the sale of real property;
3762          (iii) the sale of services to real property;
3763          (iv) the retail sale of tangible personal property and a service if:
3764          (A) the tangible personal property:
3765          (I) is essential to the use of the service; and
3766          (II) is provided exclusively in connection with the service; and
3767          (B) the service is the true object of the transaction;
3768          (v) the retail sale of two services if:
3769          (A) one service is provided that is essential to the use or receipt of a second service;
3770          (B) the first service is provided exclusively in connection with the second service; and
3771          (C) the second service is the true object of the transaction;
3772          (vi) a transaction that includes tangible personal property or a product subject to
3773     taxation under this chapter and tangible personal property or a product that is not subject to
3774     taxation under this chapter if the:
3775          (A) seller's purchase price of the tangible personal property or product subject to
3776     taxation under this chapter is de minimis; or
3777          (B) seller's sales price of the tangible personal property or product subject to taxation
3778     under this chapter is de minimis; and

3779          (vii) the retail sale of tangible personal property that is not subject to taxation under
3780     this chapter and tangible personal property that is subject to taxation under this chapter if:
3781          (A) that retail sale includes:
3782          (I) food and food ingredients;
3783          (II) a drug;
3784          (III) durable medical equipment;
3785          (IV) mobility enhancing equipment;
3786          (V) an over-the-counter drug;
3787          (VI) a prosthetic device; or
3788          (VII) a medical supply; and
3789          (B) subject to Subsection (19)(f):
3790          (I) the seller's purchase price of the tangible personal property subject to taxation under
3791     this chapter is 50% or less of the seller's total purchase price of that retail sale; or
3792          (II) the seller's sales price of the tangible personal property subject to taxation under
3793     this chapter is 50% or less of the seller's total sales price of that retail sale.
3794          (c) (i) For purposes of Subsection (19)(a)(i), tangible personal property, a product, or a
3795     service that is distinct and identifiable does not include:
3796          (A) packaging that:
3797          (I) accompanies the sale of the tangible personal property, product, or service; and
3798          (II) is incidental or immaterial to the sale of the tangible personal property, product, or
3799     service;
3800          (B) tangible personal property, a product, or a service provided free of charge with the
3801     purchase of another item of tangible personal property, a product, or a service; or
3802          (C) an item of tangible personal property, a product, or a service included in the
3803     definition of "purchase price."
3804          (ii) For purposes of Subsection (19)(c)(i)(B), an item of tangible personal property, a
3805     product, or a service is provided free of charge with the purchase of another item of tangible
3806     personal property, a product, or a service if the sales price of the purchased item of tangible
3807     personal property, product, or service does not vary depending on the inclusion of the tangible
3808     personal property, product, or service provided free of charge.
3809          (d) (i) For purposes of Subsection (19)(a)(ii), property sold for one nonitemized price

3810     does not include a price that is separately identified by tangible personal property, product, or
3811     service on the following, regardless of whether the following is in paper format or electronic
3812     format:
3813          (A) a binding sales document; or
3814          (B) another supporting sales-related document that is available to a purchaser.
3815          (ii) For purposes of Subsection (19)(d)(i), a binding sales document or another
3816     supporting sales-related document that is available to a purchaser includes:
3817          (A) a bill of sale;
3818          (B) a contract;
3819          (C) an invoice;
3820          (D) a lease agreement;
3821          (E) a periodic notice of rates and services;
3822          (F) a price list;
3823          (G) a rate card;
3824          (H) a receipt; or
3825          (I) a service agreement.
3826          (e) (i) For purposes of Subsection (19)(b)(vi), the sales price of tangible personal
3827     property or a product subject to taxation under this chapter is de minimis if:
3828          (A) the seller's purchase price of the tangible personal property or product is 10% or
3829     less of the seller's total purchase price of the bundled transaction; or
3830          (B) the seller's sales price of the tangible personal property or product is 10% or less of
3831     the seller's total sales price of the bundled transaction.
3832          (ii) For purposes of Subsection (19)(b)(vi), a seller:
3833          (A) shall use the seller's purchase price or the seller's sales price to determine if the
3834     purchase price or sales price of the tangible personal property or product subject to taxation
3835     under this chapter is de minimis; and
3836          (B) may not use a combination of the seller's purchase price and the seller's sales price
3837     to determine if the purchase price or sales price of the tangible personal property or product
3838     subject to taxation under this chapter is de minimis.
3839          (iii) For purposes of Subsection (19)(b)(vi), a seller shall use the full term of a service
3840     contract to determine if the sales price of tangible personal property or a product is de minimis.

3841          (f) For purposes of Subsection (19)(b)(vii)(B), a seller may not use a combination of
3842     the seller's purchase price and the seller's sales price to determine if tangible personal property
3843     subject to taxation under this chapter is 50% or less of the seller's total purchase price or sales
3844     price of that retail sale.
3845          (20) "Certified automated system" means software certified by the governing board of
3846     the agreement that:
3847          (a) calculates the agreement sales and use tax imposed within a local taxing
3848     jurisdiction:
3849          (i) on a transaction; and
3850          (ii) in the states that are members of the agreement;
3851          (b) determines the amount of agreement sales and use tax to remit to a state that is a
3852     member of the agreement; and
3853          (c) maintains a record of the transaction described in Subsection (20)(a)(i).
3854          (21) "Certified service provider" means an agent certified:
3855          (a) by the governing board of the agreement; and
3856          (b) to perform a seller's sales and use tax functions for an agreement sales and use tax,
3857     as outlined in the contract between the governing board of the agreement and the certified
3858     service provider, other than the seller's obligation under Section 59-12-124 to remit a tax on the
3859     seller's own purchases.
3860          (22) (a) Subject to Subsection (22)(b), "clothing" means all human wearing apparel
3861     suitable for general use.
3862          (b) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
3863     commission shall make rules:
3864          (i) listing the items that constitute "clothing"; and
3865          (ii) that are consistent with the list of items that constitute "clothing" under the
3866     agreement.
3867          (23) "Coal-to-liquid" means the process of converting coal into a liquid synthetic fuel.
3868          (24) "Commercial use" means the use of gas, electricity, heat, coal, fuel oil, or other
3869     fuels that does not constitute industrial use under Subsection (57) or residential use under
3870     Subsection (112).
3871          (25) (a) "Common carrier" means a person engaged in or transacting the business of

3872     transporting passengers, freight, merchandise, or other property for hire within this state.
3873          (b) (i) "Common carrier" does not include a person that, at the time the person is
3874     traveling to or from that person's place of employment, transports a passenger to or from the
3875     passenger's place of employment.
3876          (ii) For purposes of Subsection (25)(b)(i), in accordance with Title 63G, Chapter 3,
3877     Utah Administrative Rulemaking Act, the commission may make rules defining what
3878     constitutes a person's place of employment.
3879          (c) "Common carrier" does not include a person that provides transportation network
3880     services, as defined in Section 13-51-102.
3881          (26) "Component part" includes:
3882          (a) poultry, dairy, and other livestock feed, and their components;
3883          (b) baling ties and twine used in the baling of hay and straw;
3884          (c) fuel used for providing temperature control of orchards and commercial
3885     greenhouses doing a majority of their business in wholesale sales, and for providing power for
3886     off-highway type farm machinery; and
3887          (d) feed, seeds, and seedlings.
3888          (27) "Computer" means an electronic device that accepts information:
3889          (a) (i) in digital form; or
3890          (ii) in a form similar to digital form; and
3891          (b) manipulates that information for a result based on a sequence of instructions.
3892          (28) "Computer software" means a set of coded instructions designed to cause:
3893          (a) a computer to perform a task; or
3894          (b) automatic data processing equipment to perform a task.
3895          (29) "Computer software maintenance contract" means a contract that obligates a seller
3896     of computer software to provide a customer with:
3897          (a) future updates or upgrades to computer software;
3898          (b) support services with respect to computer software; or
3899          (c) a combination of Subsections (29)(a) and (b).
3900          (30) (a) "Conference bridging service" means an ancillary service that links two or
3901     more participants of an audio conference call or video conference call.
3902          (b) "Conference bridging service" may include providing a telephone number as part of

3903     the ancillary service described in Subsection (30)(a).
3904          (c) "Conference bridging service" does not include a telecommunications service used
3905     to reach the ancillary service described in Subsection (30)(a).
3906          (31) "Construction materials" means any tangible personal property that will be
3907     converted into real property.
3908          (32) "Delivered electronically" means delivered to a purchaser by means other than
3909     tangible storage media.
3910          (33) (a) "Delivery charge" means a charge:
3911          (i) by a seller of:
3912          (A) tangible personal property;
3913          (B) a product transferred electronically; or
3914          (C) a service; and
3915          (ii) for preparation and delivery of the tangible personal property, product transferred
3916     electronically, or services described in Subsection (33)(a)(i) to a location designated by the
3917     purchaser.
3918          (b) "Delivery charge" includes a charge for the following:
3919          (i) transportation;
3920          (ii) shipping;
3921          (iii) postage;
3922          (iv) handling;
3923          (v) crating; or
3924          (vi) packing.
3925          (34) "Detailed telecommunications billing service" means an ancillary service of
3926     separately stating information pertaining to individual calls on a customer's billing statement.
3927          (35) "Dietary supplement" means a product, other than tobacco, that:
3928          (a) is intended to supplement the diet;
3929          (b) contains one or more of the following dietary ingredients:
3930          (i) a vitamin;
3931          (ii) a mineral;
3932          (iii) an herb or other botanical;
3933          (iv) an amino acid;

3934          (v) a dietary substance for use by humans to supplement the diet by increasing the total
3935     dietary intake; or
3936          (vi) a concentrate, metabolite, constituent, extract, or combination of any ingredient
3937     described in Subsections (35)(b)(i) through (v);
3938          (c) (i) except as provided in Subsection (35)(c)(ii), is intended for ingestion in:
3939          (A) tablet form;
3940          (B) capsule form;
3941          (C) powder form;
3942          (D) softgel form;
3943          (E) gelcap form; or
3944          (F) liquid form; or
3945          (ii) if the product is not intended for ingestion in a form described in Subsections
3946     (35)(c)(i)(A) through (F), is not represented:
3947          (A) as conventional food; and
3948          (B) for use as a sole item of:
3949          (I) a meal; or
3950          (II) the diet; and
3951          (d) is required to be labeled as a dietary supplement:
3952          (i) identifiable by the "Supplemental Facts" box found on the label; and
3953          (ii) as required by 21 C.F.R. Sec. 101.36.
3954          (36) (a) "Digital audio work" means a work that results from the fixation of a series of
3955     musical, spoken, or other sounds.
3956          (b) "Digital audio work" includes a ringtone.
3957          (37) "Digital audio-visual work" means a series of related images which, when shown
3958     in succession, imparts an impression of motion, together with accompanying sounds, if any.
3959          (38) "Digital book" means a work that is generally recognized in the ordinary and usual
3960     sense as a book.
3961          (39) (a) "Direct mail" means printed material delivered or distributed by United States
3962     mail or other delivery service:
3963          (i) to:
3964          (A) a mass audience; or

3965          (B) addressees on a mailing list provided:
3966          (I) by a purchaser of the mailing list; or
3967          (II) at the discretion of the purchaser of the mailing list; and
3968          (ii) if the cost of the printed material is not billed directly to the recipients.
3969          (b) "Direct mail" includes tangible personal property supplied directly or indirectly by a
3970     purchaser to a seller of direct mail for inclusion in a package containing the printed material.
3971          (c) "Direct mail" does not include multiple items of printed material delivered to a
3972     single address.
3973          (40) "Directory assistance" means an ancillary service of providing:
3974          (a) address information; or
3975          (b) telephone number information.
3976          (41) (a) "Disposable home medical equipment or supplies" means medical equipment
3977     or supplies that:
3978          (i) cannot withstand repeated use; and
3979          (ii) are purchased by, for, or on behalf of a person other than:
3980          (A) a health care facility as defined in Section [26-21-2] 26B-2-201;
3981          (B) a health care provider as defined in Section 78B-3-403;
3982          (C) an office of a health care provider described in Subsection (41)(a)(ii)(B); or
3983          (D) a person similar to a person described in Subsections (41)(a)(ii)(A) through (C).
3984          (b) "Disposable home medical equipment or supplies" does not include:
3985          (i) a drug;
3986          (ii) durable medical equipment;
3987          (iii) a hearing aid;
3988          (iv) a hearing aid accessory;
3989          (v) mobility enhancing equipment; or
3990          (vi) tangible personal property used to correct impaired vision, including:
3991          (A) eyeglasses; or
3992          (B) contact lenses.
3993          (c) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
3994     commission may by rule define what constitutes medical equipment or supplies.
3995          (42) "Drilling equipment manufacturer" means a facility:

3996          (a) located in the state;
3997          (b) with respect to which 51% or more of the manufacturing activities of the facility
3998     consist of manufacturing component parts of drilling equipment;
3999          (c) that uses pressure of 800,000 or more pounds per square inch as part of the
4000     manufacturing process; and
4001          (d) that uses a temperature of 2,000 or more degrees Fahrenheit as part of the
4002     manufacturing process.
4003          (43) (a) "Drug" means a compound, substance, or preparation, or a component of a
4004     compound, substance, or preparation that is:
4005          (i) recognized in:
4006          (A) the official United States Pharmacopoeia;
4007          (B) the official Homeopathic Pharmacopoeia of the United States;
4008          (C) the official National Formulary; or
4009          (D) a supplement to a publication listed in Subsections (43)(a)(i)(A) through (C);
4010          (ii) intended for use in the:
4011          (A) diagnosis of disease;
4012          (B) cure of disease;
4013          (C) mitigation of disease;
4014          (D) treatment of disease; or
4015          (E) prevention of disease; or
4016          (iii) intended to affect:
4017          (A) the structure of the body; or
4018          (B) any function of the body.
4019          (b) "Drug" does not include:
4020          (i) food and food ingredients;
4021          (ii) a dietary supplement;
4022          (iii) an alcoholic beverage; or
4023          (iv) a prosthetic device.
4024          (44) (a) Except as provided in Subsection (44)(c), "durable medical equipment" means
4025     equipment that:
4026          (i) can withstand repeated use;

4027          (ii) is primarily and customarily used to serve a medical purpose;
4028          (iii) generally is not useful to a person in the absence of illness or injury; and
4029          (iv) is not worn in or on the body.
4030          (b) "Durable medical equipment" includes parts used in the repair or replacement of the
4031     equipment described in Subsection (44)(a).
4032          (c) "Durable medical equipment" does not include mobility enhancing equipment.
4033          (45) "Electronic" means:
4034          (a) relating to technology; and
4035          (b) having:
4036          (i) electrical capabilities;
4037          (ii) digital capabilities;
4038          (iii) magnetic capabilities;
4039          (iv) wireless capabilities;
4040          (v) optical capabilities;
4041          (vi) electromagnetic capabilities; or
4042          (vii) capabilities similar to Subsections (45)(b)(i) through (vi).
4043          (46) "Electronic financial payment service" means an establishment:
4044          (a) within NAICS Code 522320, Financial Transactions Processing, Reserve, and
4045     Clearinghouse Activities, of the 2012 North American Industry Classification System of the
4046     federal Executive Office of the President, Office of Management and Budget; and
4047          (b) that performs electronic financial payment services.
4048          (47) "Employee" means the same as that term is defined in Section 59-10-401.
4049          (48) "Fixed guideway" means a public transit facility that uses and occupies:
4050          (a) rail for the use of public transit; or
4051          (b) a separate right-of-way for the use of public transit.
4052          (49) "Fixed wing turbine powered aircraft" means an aircraft that:
4053          (a) is powered by turbine engines;
4054          (b) operates on jet fuel; and
4055          (c) has wings that are permanently attached to the fuselage of the aircraft.
4056          (50) "Fixed wireless service" means a telecommunications service that provides radio
4057     communication between fixed points.

4058          (51) (a) "Food and food ingredients" means substances:
4059          (i) regardless of whether the substances are in:
4060          (A) liquid form;
4061          (B) concentrated form;
4062          (C) solid form;
4063          (D) frozen form;
4064          (E) dried form; or
4065          (F) dehydrated form; and
4066          (ii) that are:
4067          (A) sold for:
4068          (I) ingestion by humans; or
4069          (II) chewing by humans; and
4070          (B) consumed for the substance's:
4071          (I) taste; or
4072          (II) nutritional value.
4073          (b) "Food and food ingredients" includes an item described in Subsection (96)(b)(iii).
4074          (c) "Food and food ingredients" does not include:
4075          (i) an alcoholic beverage;
4076          (ii) tobacco; or
4077          (iii) prepared food.
4078          (52) (a) "Fundraising sales" means sales:
4079          (i) (A) made by a school; or
4080          (B) made by a school student;
4081          (ii) that are for the purpose of raising funds for the school to purchase equipment,
4082     materials, or provide transportation; and
4083          (iii) that are part of an officially sanctioned school activity.
4084          (b) For purposes of Subsection (52)(a)(iii), "officially sanctioned school activity"
4085     means a school activity:
4086          (i) that is conducted in accordance with a formal policy adopted by the school or school
4087     district governing the authorization and supervision of fundraising activities;
4088          (ii) that does not directly or indirectly compensate an individual teacher or other

4089     educational personnel by direct payment, commissions, or payment in kind; and
4090          (iii) the net or gross revenues from which are deposited in a dedicated account
4091     controlled by the school or school district.
4092          (53) "Geothermal energy" means energy contained in heat that continuously flows
4093     outward from the earth that is used as the sole source of energy to produce electricity.
4094          (54) "Governing board of the agreement" means the governing board of the agreement
4095     that is:
4096          (a) authorized to administer the agreement; and
4097          (b) established in accordance with the agreement.
4098          (55) (a) For purposes of Subsection 59-12-104(41), "governmental entity" means:
4099          (i) the executive branch of the state, including all departments, institutions, boards,
4100     divisions, bureaus, offices, commissions, and committees;
4101          (ii) the judicial branch of the state, including the courts, the Judicial Council, the
4102     Administrative Office of the Courts, and similar administrative units in the judicial branch;
4103          (iii) the legislative branch of the state, including the House of Representatives, the
4104     Senate, the Legislative Printing Office, the Office of Legislative Research and General
4105     Counsel, the Office of the Legislative Auditor General, and the Office of the Legislative Fiscal
4106     Analyst;
4107          (iv) the National Guard;
4108          (v) an independent entity as defined in Section 63E-1-102; or
4109          (vi) a political subdivision as defined in Section 17B-1-102.
4110          (b) "Governmental entity" does not include the state systems of public and higher
4111     education, including:
4112          (i) a school;
4113          (ii) the State Board of Education;
4114          (iii) the Utah Board of Higher Education; or
4115          (iv) an institution of higher education described in Section 53B-1-102.
4116          (56) "Hydroelectric energy" means water used as the sole source of energy to produce
4117     electricity.
4118          (57) "Industrial use" means the use of natural gas, electricity, heat, coal, fuel oil, or
4119     other fuels:

4120          (a) in mining or extraction of minerals;
4121          (b) in agricultural operations to produce an agricultural product up to the time of
4122     harvest or placing the agricultural product into a storage facility, including:
4123          (i) commercial greenhouses;
4124          (ii) irrigation pumps;
4125          (iii) farm machinery;
4126          (iv) implements of husbandry as defined in Section 41-1a-102 that are not registered
4127     under Title 41, Chapter 1a, Part 2, Registration; and
4128          (v) other farming activities;
4129          (c) in manufacturing tangible personal property at an establishment described in:
4130          (i) SIC Codes 2000 to 3999 of the 1987 Standard Industrial Classification Manual of
4131     the federal Executive Office of the President, Office of Management and Budget; or
4132          (ii) a NAICS code within NAICS Sector 31-33, Manufacturing, of the 2017 North
4133     American Industry Classification System of the federal Executive Office of the President,
4134     Office of Management and Budget;
4135          (d) by a scrap recycler if:
4136          (i) from a fixed location, the scrap recycler utilizes machinery or equipment to process
4137     one or more of the following items into prepared grades of processed materials for use in new
4138     products:
4139          (A) iron;
4140          (B) steel;
4141          (C) nonferrous metal;
4142          (D) paper;
4143          (E) glass;
4144          (F) plastic;
4145          (G) textile; or
4146          (H) rubber; and
4147          (ii) the new products under Subsection (57)(d)(i) would otherwise be made with
4148     nonrecycled materials; or
4149          (e) in producing a form of energy or steam described in Subsection 54-2-1(3)(a) by a
4150     cogeneration facility as defined in Section 54-2-1.

4151          (58) (a) Except as provided in Subsection (58)(b), "installation charge" means a charge
4152     for installing:
4153          (i) tangible personal property; or
4154          (ii) a product transferred electronically.
4155          (b) "Installation charge" does not include a charge for:
4156          (i) repairs or renovations of:
4157          (A) tangible personal property; or
4158          (B) a product transferred electronically; or
4159          (ii) attaching tangible personal property or a product transferred electronically:
4160          (A) to other tangible personal property; and
4161          (B) as part of a manufacturing or fabrication process.
4162          (59) "Institution of higher education" means an institution of higher education listed in
4163     Section 53B-2-101.
4164          (60) (a) "Lease" or "rental" means a transfer of possession or control of tangible
4165     personal property or a product transferred electronically for:
4166          (i) (A) a fixed term; or
4167          (B) an indeterminate term; and
4168          (ii) consideration.
4169          (b) "Lease" or "rental" includes an agreement covering a motor vehicle and trailer if the
4170     amount of consideration may be increased or decreased by reference to the amount realized
4171     upon sale or disposition of the property as defined in Section 7701(h)(1), Internal Revenue
4172     Code.
4173          (c) "Lease" or "rental" does not include:
4174          (i) a transfer of possession or control of property under a security agreement or
4175     deferred payment plan that requires the transfer of title upon completion of the required
4176     payments;
4177          (ii) a transfer of possession or control of property under an agreement that requires the
4178     transfer of title:
4179          (A) upon completion of required payments; and
4180          (B) if the payment of an option price does not exceed the greater of:
4181          (I) $100; or

4182          (II) 1% of the total required payments; or
4183          (iii) providing tangible personal property along with an operator for a fixed period of
4184     time or an indeterminate period of time if the operator is necessary for equipment to perform as
4185     designed.
4186          (d) For purposes of Subsection (60)(c)(iii), an operator is necessary for equipment to
4187     perform as designed if the operator's duties exceed the:
4188          (i) set-up of tangible personal property;
4189          (ii) maintenance of tangible personal property; or
4190          (iii) inspection of tangible personal property.
4191          (61) "Lesson" means a fixed period of time for the duration of which a trained
4192     instructor:
4193          (a) is present with a student in person or by video; and
4194          (b) actively instructs the student, including by providing observation or feedback.
4195          (62) "Life science establishment" means an establishment in this state that is classified
4196     under the following NAICS codes of the 2007 North American Industry Classification System
4197     of the federal Executive Office of the President, Office of Management and Budget:
4198          (a) NAICS Code 33911, Medical Equipment and Supplies Manufacturing;
4199          (b) NAICS Code 334510, Electromedical and Electrotherapeutic Apparatus
4200     Manufacturing; or
4201          (c) NAICS Code 334517, Irradiation Apparatus Manufacturing.
4202          (63) "Life science research and development facility" means a facility owned, leased,
4203     or rented by a life science establishment if research and development is performed in 51% or
4204     more of the total area of the facility.
4205          (64) "Load and leave" means delivery to a purchaser by use of a tangible storage media
4206     if the tangible storage media is not physically transferred to the purchaser.
4207          (65) "Local taxing jurisdiction" means a:
4208          (a) county that is authorized to impose an agreement sales and use tax;
4209          (b) city that is authorized to impose an agreement sales and use tax; or
4210          (c) town that is authorized to impose an agreement sales and use tax.
4211          (66) "Manufactured home" means the same as that term is defined in Section
4212     15A-1-302.

4213          (67) "Manufacturing facility" means:
4214          (a) an establishment described in:
4215          (i) SIC Codes 2000 to 3999 of the 1987 Standard Industrial Classification Manual of
4216     the federal Executive Office of the President, Office of Management and Budget; or
4217          (ii) a NAICS code within NAICS Sector 31-33, Manufacturing, of the 2017 North
4218     American Industry Classification System of the federal Executive Office of the President,
4219     Office of Management and Budget;
4220          (b) a scrap recycler if:
4221          (i) from a fixed location, the scrap recycler utilizes machinery or equipment to process
4222     one or more of the following items into prepared grades of processed materials for use in new
4223     products:
4224          (A) iron;
4225          (B) steel;
4226          (C) nonferrous metal;
4227          (D) paper;
4228          (E) glass;
4229          (F) plastic;
4230          (G) textile; or
4231          (H) rubber; and
4232          (ii) the new products under Subsection (67)(b)(i) would otherwise be made with
4233     nonrecycled materials; or
4234          (c) a cogeneration facility as defined in Section 54-2-1 if the cogeneration facility is
4235     placed in service on or after May 1, 2006.
4236          (68) (a) "Marketplace" means a physical or electronic place, platform, or forum where
4237     tangible personal property, a product transferred electronically, or a service is offered for sale.
4238          (b) "Marketplace" includes a store, a booth, an Internet website, a catalog, or a
4239     dedicated sales software application.
4240          (69) (a) "Marketplace facilitator" means a person, including an affiliate of the person,
4241     that enters into a contract, an agreement, or otherwise with sellers, for consideration, to
4242     facilitate the sale of a seller's product through a marketplace that the person owns, operates, or
4243     controls and that directly or indirectly:

4244          (i) does any of the following:
4245          (A) lists, makes available, or advertises tangible personal property, a product
4246     transferred electronically, or a service for sale by a marketplace seller on a marketplace that the
4247     person owns, operates, or controls;
4248          (B) facilitates the sale of a marketplace seller's tangible personal property, product
4249     transferred electronically, or service by transmitting or otherwise communicating an offer or
4250     acceptance of a retail sale between the marketplace seller and a purchaser using the
4251     marketplace;
4252          (C) owns, rents, licenses, makes available, or operates any electronic or physical
4253     infrastructure or any property, process, method, copyright, trademark, or patent that connects a
4254     marketplace seller to a purchaser for the purpose of making a retail sale of tangible personal
4255     property, a product transferred electronically, or a service;
4256          (D) provides a marketplace for making, or otherwise facilitates, a retail sale of tangible
4257     personal property, a product transferred electronically, or a service, regardless of ownership or
4258     control of the tangible personal property, the product transferred electronically, or the service
4259     that is the subject of the retail sale;
4260          (E) provides software development or research and development activities related to
4261     any activity described in this Subsection (69)(a)(i), if the software development or research and
4262     development activity is directly related to the person's marketplace;
4263          (F) provides or offers fulfillment or storage services for a marketplace seller;
4264          (G) sets prices for the sale of tangible personal property, a product transferred
4265     electronically, or a service by a marketplace seller;
4266          (H) provides or offers customer service to a marketplace seller or a marketplace seller's
4267     purchaser or accepts or assists with taking orders, returns, or exchanges of tangible personal
4268     property, a product transferred electronically, or a service sold by a marketplace seller on the
4269     person's marketplace; or
4270          (I) brands or otherwise identifies sales as those of the person; and
4271          (ii) does any of the following:
4272          (A) collects the sales price or purchase price of a retail sale of tangible personal
4273     property, a product transferred electronically, or a service;
4274          (B) provides payment processing services for a retail sale of tangible personal property,

4275     a product transferred electronically, or a service;
4276          (C) charges, collects, or otherwise receives a selling fee, listing fee, referral fee, closing
4277     fee, a fee for inserting or making available tangible personal property, a product transferred
4278     electronically, or a service on the person's marketplace, or other consideration for the
4279     facilitation of a retail sale of tangible personal property, a product transferred electronically, or
4280     a service, regardless of ownership or control of the tangible personal property, the product
4281     transferred electronically, or the service that is the subject of the retail sale;
4282          (D) through terms and conditions, an agreement, or another arrangement with a third
4283     person, collects payment from a purchase for a retail sale of tangible personal property, a
4284     product transferred electronically, or a service and transmits that payment to the marketplace
4285     seller, regardless of whether the third person receives compensation or other consideration in
4286     exchange for the service; or
4287          (E) provides a virtual currency for a purchaser to use to purchase tangible personal
4288     property, a product transferred electronically, or service offered for sale.
4289          (b) "Marketplace facilitator" does not include:
4290          (i) a person that only provides payment processing services; or
4291          (ii) a person described in Subsection (69)(a) to the extent the person is facilitating a
4292     sale for a seller that is a restaurant as defined in Section 59-12-602.
4293          (70) "Marketplace seller" means a seller that makes one or more retail sales through a
4294     marketplace that a marketplace facilitator owns, operates, or controls, regardless of whether the
4295     seller is required to be registered to collect and remit the tax under this part.
4296          (71) "Member of the immediate family of the producer" means a person who is related
4297     to a producer described in Subsection 59-12-104(20)(a) as a:
4298          (a) child or stepchild, regardless of whether the child or stepchild is:
4299          (i) an adopted child or adopted stepchild; or
4300          (ii) a foster child or foster stepchild;
4301          (b) grandchild or stepgrandchild;
4302          (c) grandparent or stepgrandparent;
4303          (d) nephew or stepnephew;
4304          (e) niece or stepniece;
4305          (f) parent or stepparent;

4306          (g) sibling or stepsibling;
4307          (h) spouse;
4308          (i) person who is the spouse of a person described in Subsections (71)(a) through (g);
4309     or
4310          (j) person similar to a person described in Subsections (71)(a) through (i) as
4311     determined by the commission by rule made in accordance with Title 63G, Chapter 3, Utah
4312     Administrative Rulemaking Act.
4313          (72) "Mobile home" means the same as that term is defined in Section 15A-1-302.
4314          (73) "Mobile telecommunications service" means the same as that term is defined in
4315     the Mobile Telecommunications Sourcing Act, 4 U.S.C. Sec. 124.
4316          (74) (a) "Mobile wireless service" means a telecommunications service, regardless of
4317     the technology used, if:
4318          (i) the origination point of the conveyance, routing, or transmission is not fixed;
4319          (ii) the termination point of the conveyance, routing, or transmission is not fixed; or
4320          (iii) the origination point described in Subsection (74)(a)(i) and the termination point
4321     described in Subsection (74)(a)(ii) are not fixed.
4322          (b) "Mobile wireless service" includes a telecommunications service that is provided
4323     by a commercial mobile radio service provider.
4324          (c) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
4325     commission may by rule define "commercial mobile radio service provider."
4326          (75) (a) Except as provided in Subsection (75)(c), "mobility enhancing equipment"
4327     means equipment that is:
4328          (i) primarily and customarily used to provide or increase the ability to move from one
4329     place to another;
4330          (ii) appropriate for use in a:
4331          (A) home; or
4332          (B) motor vehicle; and
4333          (iii) not generally used by persons with normal mobility.
4334          (b) "Mobility enhancing equipment" includes parts used in the repair or replacement of
4335     the equipment described in Subsection (75)(a).
4336          (c) "Mobility enhancing equipment" does not include:

4337          (i) a motor vehicle;
4338          (ii) equipment on a motor vehicle if that equipment is normally provided by the motor
4339     vehicle manufacturer;
4340          (iii) durable medical equipment; or
4341          (iv) a prosthetic device.
4342          (76) "Model 1 seller" means a seller registered under the agreement that has selected a
4343     certified service provider as the seller's agent to perform the seller's sales and use tax functions
4344     for agreement sales and use taxes, as outlined in the contract between the governing board of
4345     the agreement and the certified service provider, other than the seller's obligation under Section
4346     59-12-124 to remit a tax on the seller's own purchases.
4347          (77) "Model 2 seller" means a seller registered under the agreement that:
4348          (a) except as provided in Subsection (77)(b), has selected a certified automated system
4349     to perform the seller's sales tax functions for agreement sales and use taxes; and
4350          (b) retains responsibility for remitting all of the sales tax:
4351          (i) collected by the seller; and
4352          (ii) to the appropriate local taxing jurisdiction.
4353          (78) (a) Subject to Subsection (78)(b), "model 3 seller" means a seller registered under
4354     the agreement that has:
4355          (i) sales in at least five states that are members of the agreement;
4356          (ii) total annual sales revenues of at least $500,000,000;
4357          (iii) a proprietary system that calculates the amount of tax:
4358          (A) for an agreement sales and use tax; and
4359          (B) due to each local taxing jurisdiction; and
4360          (iv) entered into a performance agreement with the governing board of the agreement.
4361          (b) For purposes of Subsection (78)(a), "model 3 seller" includes an affiliated group of
4362     sellers using the same proprietary system.
4363          (79) "Model 4 seller" means a seller that is registered under the agreement and is not a
4364     model 1 seller, model 2 seller, or model 3 seller.
4365          (80) "Modular home" means a modular unit as defined in Section 15A-1-302.
4366          (81) "Motor vehicle" means the same as that term is defined in Section 41-1a-102.
4367          (82) "Oil sands" means impregnated bituminous sands that:

4368          (a) contain a heavy, thick form of petroleum that is released when heated, mixed with
4369     other hydrocarbons, or otherwise treated;
4370          (b) yield mixtures of liquid hydrocarbon; and
4371          (c) require further processing other than mechanical blending before becoming finished
4372     petroleum products.
4373          (83) "Oil shale" means a group of fine black to dark brown shales containing kerogen
4374     material that yields petroleum upon heating and distillation.
4375          (84) "Optional computer software maintenance contract" means a computer software
4376     maintenance contract that a customer is not obligated to purchase as a condition to the retail
4377     sale of computer software.
4378          (85) (a) "Other fuels" means products that burn independently to produce heat or
4379     energy.
4380          (b) "Other fuels" includes oxygen when it is used in the manufacturing of tangible
4381     personal property.
4382          (86) (a) "Paging service" means a telecommunications service that provides
4383     transmission of a coded radio signal for the purpose of activating a specific pager.
4384          (b) For purposes of Subsection (86)(a), the transmission of a coded radio signal
4385     includes a transmission by message or sound.
4386          (87) "Pawn transaction" means the same as that term is defined in Section 13-32a-102.
4387          (88) "Pawnbroker" means the same as that term is defined in Section 13-32a-102.
4388          (89) (a) "Permanently attached to real property" means that for tangible personal
4389     property attached to real property:
4390          (i) the attachment of the tangible personal property to the real property:
4391          (A) is essential to the use of the tangible personal property; and
4392          (B) suggests that the tangible personal property will remain attached to the real
4393     property in the same place over the useful life of the tangible personal property; or
4394          (ii) if the tangible personal property is detached from the real property, the detachment
4395     would:
4396          (A) cause substantial damage to the tangible personal property; or
4397          (B) require substantial alteration or repair of the real property to which the tangible
4398     personal property is attached.

4399          (b) "Permanently attached to real property" includes:
4400          (i) the attachment of an accessory to the tangible personal property if the accessory is:
4401          (A) essential to the operation of the tangible personal property; and
4402          (B) attached only to facilitate the operation of the tangible personal property;
4403          (ii) a temporary detachment of tangible personal property from real property for a
4404     repair or renovation if the repair or renovation is performed where the tangible personal
4405     property and real property are located; or
4406          (iii) property attached to oil, gas, or water pipelines, except for the property listed in
4407     Subsection (89)(c)(iii) or (iv).
4408          (c) "Permanently attached to real property" does not include:
4409          (i) the attachment of portable or movable tangible personal property to real property if
4410     that portable or movable tangible personal property is attached to real property only for:
4411          (A) convenience;
4412          (B) stability; or
4413          (C) for an obvious temporary purpose;
4414          (ii) the detachment of tangible personal property from real property except for the
4415     detachment described in Subsection (89)(b)(ii);
4416          (iii) an attachment of the following tangible personal property to real property if the
4417     attachment to real property is only through a line that supplies water, electricity, gas,
4418     telecommunications, cable, or supplies a similar item as determined by the commission by rule
4419     made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act:
4420          (A) a computer;
4421          (B) a telephone;
4422          (C) a television; or
4423          (D) tangible personal property similar to Subsections (89)(c)(iii)(A) through (C) as
4424     determined by the commission by rule made in accordance with Title 63G, Chapter 3, Utah
4425     Administrative Rulemaking Act; or
4426          (iv) an item listed in Subsection (130)(c).
4427          (90) "Person" includes any individual, firm, partnership, joint venture, association,
4428     corporation, estate, trust, business trust, receiver, syndicate, this state, any county, city,
4429     municipality, district, or other local governmental entity of the state, or any group or

4430     combination acting as a unit.
4431          (91) "Place of primary use":
4432          (a) for telecommunications service other than mobile telecommunications service,
4433     means the street address representative of where the customer's use of the telecommunications
4434     service primarily occurs, which shall be:
4435          (i) the residential street address of the customer; or
4436          (ii) the primary business street address of the customer; or
4437          (b) for mobile telecommunications service, means the same as that term is defined in
4438     the Mobile Telecommunications Sourcing Act, 4 U.S.C. Sec. 124.
4439          (92) (a) "Postpaid calling service" means a telecommunications service a person
4440     obtains by making a payment on a call-by-call basis:
4441          (i) through the use of a:
4442          (A) bank card;
4443          (B) credit card;
4444          (C) debit card; or
4445          (D) travel card; or
4446          (ii) by a charge made to a telephone number that is not associated with the origination
4447     or termination of the telecommunications service.
4448          (b) "Postpaid calling service" includes a service, except for a prepaid wireless calling
4449     service, that would be a prepaid wireless calling service if the service were exclusively a
4450     telecommunications service.
4451          (93) "Postproduction" means an activity related to the finishing or duplication of a
4452     medium described in Subsection 59-12-104(54)(a).
4453          (94) "Prepaid calling service" means a telecommunications service:
4454          (a) that allows a purchaser access to telecommunications service that is exclusively
4455     telecommunications service;
4456          (b) that:
4457          (i) is paid for in advance; and
4458          (ii) enables the origination of a call using an:
4459          (A) access number; or
4460          (B) authorization code;

4461          (c) that is dialed:
4462          (i) manually; or
4463          (ii) electronically; and
4464          (d) sold in predetermined units or dollars that decline:
4465          (i) by a known amount; and
4466          (ii) with use.
4467          (95) "Prepaid wireless calling service" means a telecommunications service:
4468          (a) that provides the right to utilize:
4469          (i) mobile wireless service; and
4470          (ii) other service that is not a telecommunications service, including:
4471          (A) the download of a product transferred electronically;
4472          (B) a content service; or
4473          (C) an ancillary service;
4474          (b) that:
4475          (i) is paid for in advance; and
4476          (ii) enables the origination of a call using an:
4477          (A) access number; or
4478          (B) authorization code;
4479          (c) that is dialed:
4480          (i) manually; or
4481          (ii) electronically; and
4482          (d) sold in predetermined units or dollars that decline:
4483          (i) by a known amount; and
4484          (ii) with use.
4485          (96) (a) "Prepared food" means:
4486          (i) food:
4487          (A) sold in a heated state; or
4488          (B) heated by a seller;
4489          (ii) two or more food ingredients mixed or combined by the seller for sale as a single
4490     item; or
4491          (iii) except as provided in Subsection (96)(c), food sold with an eating utensil provided

4492     by the seller, including a:
4493          (A) plate;
4494          (B) knife;
4495          (C) fork;
4496          (D) spoon;
4497          (E) glass;
4498          (F) cup;
4499          (G) napkin; or
4500          (H) straw.
4501          (b) "Prepared food" does not include:
4502          (i) food that a seller only:
4503          (A) cuts;
4504          (B) repackages; or
4505          (C) pasteurizes; or
4506          (ii) (A) the following:
4507          (I) raw egg;
4508          (II) raw fish;
4509          (III) raw meat;
4510          (IV) raw poultry; or
4511          (V) a food containing an item described in Subsections (96)(b)(ii)(A)(I) through (IV);
4512     and
4513          (B) if the Food and Drug Administration recommends in Chapter 3, Part 401.11 of the
4514     Food and Drug Administration's Food Code that a consumer cook the items described in
4515     Subsection (96)(b)(ii)(A) to prevent food borne illness; or
4516          (iii) the following if sold without eating utensils provided by the seller:
4517          (A) food and food ingredients sold by a seller if the seller's proper primary
4518     classification under the 2002 North American Industry Classification System of the federal
4519     Executive Office of the President, Office of Management and Budget, is manufacturing in
4520     Sector 311, Food Manufacturing, except for Subsector 3118, Bakeries and Tortilla
4521     Manufacturing;
4522          (B) food and food ingredients sold in an unheated state:

4523          (I) by weight or volume; and
4524          (II) as a single item; or
4525          (C) a bakery item, including:
4526          (I) a bagel;
4527          (II) a bar;
4528          (III) a biscuit;
4529          (IV) bread;
4530          (V) a bun;
4531          (VI) a cake;
4532          (VII) a cookie;
4533          (VIII) a croissant;
4534          (IX) a danish;
4535          (X) a donut;
4536          (XI) a muffin;
4537          (XII) a pastry;
4538          (XIII) a pie;
4539          (XIV) a roll;
4540          (XV) a tart;
4541          (XVI) a torte; or
4542          (XVII) a tortilla.
4543          (c) An eating utensil provided by the seller does not include the following used to
4544     transport the food:
4545          (i) a container; or
4546          (ii) packaging.
4547          (97) "Prescription" means an order, formula, or recipe that is issued:
4548          (a) (i) orally;
4549          (ii) in writing;
4550          (iii) electronically; or
4551          (iv) by any other manner of transmission; and
4552          (b) by a licensed practitioner authorized by the laws of a state.
4553          (98) (a) Except as provided in Subsection (98)(b)(ii) or (iii), "prewritten computer

4554     software" means computer software that is not designed and developed:
4555          (i) by the author or other creator of the computer software; and
4556          (ii) to the specifications of a specific purchaser.
4557          (b) "Prewritten computer software" includes:
4558          (i) a prewritten upgrade to computer software if the prewritten upgrade to the computer
4559     software is not designed and developed:
4560          (A) by the author or other creator of the computer software; and
4561          (B) to the specifications of a specific purchaser;
4562          (ii) computer software designed and developed by the author or other creator of the
4563     computer software to the specifications of a specific purchaser if the computer software is sold
4564     to a person other than the purchaser; or
4565          (iii) except as provided in Subsection (98)(c), prewritten computer software or a
4566     prewritten portion of prewritten computer software:
4567          (A) that is modified or enhanced to any degree; and
4568          (B) if the modification or enhancement described in Subsection (98)(b)(iii)(A) is
4569     designed and developed to the specifications of a specific purchaser.
4570          (c) "Prewritten computer software" does not include a modification or enhancement
4571     described in Subsection (98)(b)(iii) if the charges for the modification or enhancement are:
4572          (i) reasonable; and
4573          (ii) subject to Subsections 59-12-103(2)(f)(ii) and (2)(g)(i), separately stated on the
4574     invoice or other statement of price provided to the purchaser at the time of sale or later, as
4575     demonstrated by:
4576          (A) the books and records the seller keeps at the time of the transaction in the regular
4577     course of business, including books and records the seller keeps at the time of the transaction in
4578     the regular course of business for nontax purposes;
4579          (B) a preponderance of the facts and circumstances at the time of the transaction; and
4580          (C) the understanding of all of the parties to the transaction.
4581          (99) (a) "Private communications service" means a telecommunications service:
4582          (i) that entitles a customer to exclusive or priority use of one or more communications
4583     channels between or among termination points; and
4584          (ii) regardless of the manner in which the one or more communications channels are

4585     connected.
4586          (b) "Private communications service" includes the following provided in connection
4587     with the use of one or more communications channels:
4588          (i) an extension line;
4589          (ii) a station;
4590          (iii) switching capacity; or
4591          (iv) another associated service that is provided in connection with the use of one or
4592     more communications channels as defined in Section 59-12-215.
4593          (100) (a) Except as provided in Subsection (100)(b), "product transferred
4594     electronically" means a product transferred electronically that would be subject to a tax under
4595     this chapter if that product was transferred in a manner other than electronically.
4596          (b) "Product transferred electronically" does not include:
4597          (i) an ancillary service;
4598          (ii) computer software; or
4599          (iii) a telecommunications service.
4600          (101) (a) "Prosthetic device" means a device that is worn on or in the body to:
4601          (i) artificially replace a missing portion of the body;
4602          (ii) prevent or correct a physical deformity or physical malfunction; or
4603          (iii) support a weak or deformed portion of the body.
4604          (b) "Prosthetic device" includes:
4605          (i) parts used in the repairs or renovation of a prosthetic device;
4606          (ii) replacement parts for a prosthetic device;
4607          (iii) a dental prosthesis; or
4608          (iv) a hearing aid.
4609          (c) "Prosthetic device" does not include:
4610          (i) corrective eyeglasses; or
4611          (ii) contact lenses.
4612          (102) (a) "Protective equipment" means an item:
4613          (i) for human wear; and
4614          (ii) that is:
4615          (A) designed as protection:

4616          (I) to the wearer against injury or disease; or
4617          (II) against damage or injury of other persons or property; and
4618          (B) not suitable for general use.
4619          (b) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
4620     commission shall make rules:
4621          (i) listing the items that constitute "protective equipment"; and
4622          (ii) that are consistent with the list of items that constitute "protective equipment"
4623     under the agreement.
4624          (103) (a) For purposes of Subsection 59-12-104(41), "publication" means any written
4625     or printed matter, other than a photocopy:
4626          (i) regardless of:
4627          (A) characteristics;
4628          (B) copyright;
4629          (C) form;
4630          (D) format;
4631          (E) method of reproduction; or
4632          (F) source; and
4633          (ii) made available in printed or electronic format.
4634          (b) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
4635     commission may by rule define the term "photocopy."
4636          (104) (a) "Purchase price" and "sales price" mean the total amount of consideration:
4637          (i) valued in money; and
4638          (ii) for which tangible personal property, a product transferred electronically, or
4639     services are:
4640          (A) sold;
4641          (B) leased; or
4642          (C) rented.
4643          (b) "Purchase price" and "sales price" include:
4644          (i) the seller's cost of the tangible personal property, a product transferred
4645     electronically, or services sold;
4646          (ii) expenses of the seller, including:

4647          (A) the cost of materials used;
4648          (B) a labor cost;
4649          (C) a service cost;
4650          (D) interest;
4651          (E) a loss;
4652          (F) the cost of transportation to the seller; or
4653          (G) a tax imposed on the seller;
4654          (iii) a charge by the seller for any service necessary to complete the sale; or
4655          (iv) consideration a seller receives from a person other than the purchaser if:
4656          (A) (I) the seller actually receives consideration from a person other than the purchaser;
4657     and
4658          (II) the consideration described in Subsection (104)(b)(iv)(A)(I) is directly related to a
4659     price reduction or discount on the sale;
4660          (B) the seller has an obligation to pass the price reduction or discount through to the
4661     purchaser;
4662          (C) the amount of the consideration attributable to the sale is fixed and determinable by
4663     the seller at the time of the sale to the purchaser; and
4664          (D) (I) (Aa) the purchaser presents a certificate, coupon, or other documentation to the
4665     seller to claim a price reduction or discount; and
4666          (Bb) a person other than the seller authorizes, distributes, or grants the certificate,
4667     coupon, or other documentation with the understanding that the person other than the seller
4668     will reimburse any seller to whom the certificate, coupon, or other documentation is presented;
4669          (II) the purchaser identifies that purchaser to the seller as a member of a group or
4670     organization allowed a price reduction or discount, except that a preferred customer card that is
4671     available to any patron of a seller does not constitute membership in a group or organization
4672     allowed a price reduction or discount; or
4673          (III) the price reduction or discount is identified as a third party price reduction or
4674     discount on the:
4675          (Aa) invoice the purchaser receives; or
4676          (Bb) certificate, coupon, or other documentation the purchaser presents.
4677          (c) "Purchase price" and "sales price" do not include:

4678          (i) a discount:
4679          (A) in a form including:
4680          (I) cash;
4681          (II) term; or
4682          (III) coupon;
4683          (B) that is allowed by a seller;
4684          (C) taken by a purchaser on a sale; and
4685          (D) that is not reimbursed by a third party; or
4686          (ii) subject to Subsections 59-12-103(2)(f)(ii) and (2)(g)(i), the following if separately
4687     stated on an invoice, bill of sale, or similar document provided to the purchaser at the time of
4688     sale or later, as demonstrated by the books and records the seller keeps at the time of the
4689     transaction in the regular course of business, including books and records the seller keeps at the
4690     time of the transaction in the regular course of business for nontax purposes, by a
4691     preponderance of the facts and circumstances at the time of the transaction, and by the
4692     understanding of all of the parties to the transaction:
4693          (A) the following from credit extended on the sale of tangible personal property or
4694     services:
4695          (I) a carrying charge;
4696          (II) a financing charge; or
4697          (III) an interest charge;
4698          (B) a delivery charge;
4699          (C) an installation charge;
4700          (D) a manufacturer rebate on a motor vehicle; or
4701          (E) a tax or fee legally imposed directly on the consumer.
4702          (105) "Purchaser" means a person to whom:
4703          (a) a sale of tangible personal property is made;
4704          (b) a product is transferred electronically; or
4705          (c) a service is furnished.
4706          (106) "Qualifying data center" means a data center facility that:
4707          (a) houses a group of networked server computers in one physical location in order to
4708     disseminate, manage, and store data and information;

4709          (b) is located in the state;
4710          (c) is a new operation constructed on or after July 1, 2016;
4711          (d) consists of one or more buildings that total 150,000 or more square feet;
4712          (e) is owned or leased by:
4713          (i) the operator of the data center facility; or
4714          (ii) a person under common ownership, as defined in Section 59-7-101, of the operator
4715     of the data center facility; and
4716          (f) is located on one or more parcels of land that are owned or leased by:
4717          (i) the operator of the data center facility; or
4718          (ii) a person under common ownership, as defined in Section 59-7-101, of the operator
4719     of the data center facility.
4720          (107) "Regularly rented" means:
4721          (a) rented to a guest for value three or more times during a calendar year; or
4722          (b) advertised or held out to the public as a place that is regularly rented to guests for
4723     value.
4724          (108) "Rental" means the same as that term is defined in Subsection (60).
4725          (109) (a) Except as provided in Subsection (109)(b), "repairs or renovations of tangible
4726     personal property" means:
4727          (i) a repair or renovation of tangible personal property that is not permanently attached
4728     to real property; or
4729          (ii) attaching tangible personal property or a product transferred electronically to other
4730     tangible personal property or detaching tangible personal property or a product transferred
4731     electronically from other tangible personal property if:
4732          (A) the other tangible personal property to which the tangible personal property or
4733     product transferred electronically is attached or from which the tangible personal property or
4734     product transferred electronically is detached is not permanently attached to real property; and
4735          (B) the attachment of tangible personal property or a product transferred electronically
4736     to other tangible personal property or detachment of tangible personal property or a product
4737     transferred electronically from other tangible personal property is made in conjunction with a
4738     repair or replacement of tangible personal property or a product transferred electronically.
4739          (b) "Repairs or renovations of tangible personal property" does not include:

4740          (i) attaching prewritten computer software to other tangible personal property if the
4741     other tangible personal property to which the prewritten computer software is attached is not
4742     permanently attached to real property; or
4743          (ii) detaching prewritten computer software from other tangible personal property if the
4744     other tangible personal property from which the prewritten computer software is detached is
4745     not permanently attached to real property.
4746          (110) "Research and development" means the process of inquiry or experimentation
4747     aimed at the discovery of facts, devices, technologies, or applications and the process of
4748     preparing those devices, technologies, or applications for marketing.
4749          (111) (a) "Residential telecommunications services" means a telecommunications
4750     service or an ancillary service that is provided to an individual for personal use:
4751          (i) at a residential address; or
4752          (ii) at an institution, including a nursing home or a school, if the telecommunications
4753     service or ancillary service is provided to and paid for by the individual residing at the
4754     institution rather than the institution.
4755          (b) For purposes of Subsection (111)(a)(i), a residential address includes an:
4756          (i) apartment; or
4757          (ii) other individual dwelling unit.
4758          (112) "Residential use" means the use in or around a home, apartment building,
4759     sleeping quarters, and similar facilities or accommodations.
4760          (113) "Retail sale" or "sale at retail" means a sale, lease, or rental for a purpose other
4761     than:
4762          (a) resale;
4763          (b) sublease; or
4764          (c) subrent.
4765          (114) (a) "Retailer" means any person, unless prohibited by the Constitution of the
4766     United States or federal law, that is engaged in a regularly organized business in tangible
4767     personal property or any other taxable transaction under Subsection 59-12-103(1), and who is
4768     selling to the user or consumer and not for resale.
4769          (b) "Retailer" includes commission merchants, auctioneers, and any person regularly
4770     engaged in the business of selling to users or consumers within the state.

4771          (115) (a) "Sale" means any transfer of title, exchange, or barter, conditional or
4772     otherwise, in any manner, of tangible personal property or any other taxable transaction under
4773     Subsection 59-12-103(1), for consideration.
4774          (b) "Sale" includes:
4775          (i) installment and credit sales;
4776          (ii) any closed transaction constituting a sale;
4777          (iii) any sale of electrical energy, gas, services, or entertainment taxable under this
4778     chapter;
4779          (iv) any transaction if the possession of property is transferred but the seller retains the
4780     title as security for the payment of the price; and
4781          (v) any transaction under which right to possession, operation, or use of any article of
4782     tangible personal property is granted under a lease or contract and the transfer of possession
4783     would be taxable if an outright sale were made.
4784          (116) "Sale at retail" means the same as that term is defined in Subsection (113).
4785          (117) "Sale-leaseback transaction" means a transaction by which title to tangible
4786     personal property or a product transferred electronically that is subject to a tax under this
4787     chapter is transferred:
4788          (a) by a purchaser-lessee;
4789          (b) to a lessor;
4790          (c) for consideration; and
4791          (d) if:
4792          (i) the purchaser-lessee paid sales and use tax on the purchaser-lessee's initial purchase
4793     of the tangible personal property or product transferred electronically;
4794          (ii) the sale of the tangible personal property or product transferred electronically to the
4795     lessor is intended as a form of financing:
4796          (A) for the tangible personal property or product transferred electronically; and
4797          (B) to the purchaser-lessee; and
4798          (iii) in accordance with generally accepted accounting principles, the purchaser-lessee
4799     is required to:
4800          (A) capitalize the tangible personal property or product transferred electronically for
4801     financial reporting purposes; and

4802          (B) account for the lease payments as payments made under a financing arrangement.
4803          (118) "Sales price" means the same as that term is defined in Subsection (104).
4804          (119) (a) "Sales relating to schools" means the following sales by, amounts paid to, or
4805     amounts charged by a school:
4806          (i) sales that are directly related to the school's educational functions or activities
4807     including:
4808          (A) the sale of:
4809          (I) textbooks;
4810          (II) textbook fees;
4811          (III) laboratory fees;
4812          (IV) laboratory supplies; or
4813          (V) safety equipment;
4814          (B) the sale of a uniform, protective equipment, or sports or recreational equipment
4815     that:
4816          (I) a student is specifically required to wear as a condition of participation in a
4817     school-related event or school-related activity; and
4818          (II) is not readily adaptable to general or continued usage to the extent that it takes the
4819     place of ordinary clothing;
4820          (C) sales of the following if the net or gross revenues generated by the sales are
4821     deposited into a school district fund or school fund dedicated to school meals:
4822          (I) food and food ingredients; or
4823          (II) prepared food; or
4824          (D) transportation charges for official school activities; or
4825          (ii) amounts paid to or amounts charged by a school for admission to a school-related
4826     event or school-related activity.
4827          (b) "Sales relating to schools" does not include:
4828          (i) bookstore sales of items that are not educational materials or supplies;
4829          (ii) except as provided in Subsection (119)(a)(i)(B):
4830          (A) clothing;
4831          (B) clothing accessories or equipment;
4832          (C) protective equipment; or

4833          (D) sports or recreational equipment; or
4834          (iii) amounts paid to or amounts charged by a school for admission to a school-related
4835     event or school-related activity if the amounts paid or charged are passed through to a person:
4836          (A) other than a:
4837          (I) school;
4838          (II) nonprofit organization authorized by a school board or a governing body of a
4839     private school to organize and direct a competitive secondary school activity; or
4840          (III) nonprofit association authorized by a school board or a governing body of a
4841     private school to organize and direct a competitive secondary school activity; and
4842          (B) that is required to collect sales and use taxes under this chapter.
4843          (c) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
4844     commission may make rules defining the term "passed through."
4845          (120) For purposes of this section and Section 59-12-104, "school" means:
4846          (a) an elementary school or a secondary school that:
4847          (i) is a:
4848          (A) public school; or
4849          (B) private school; and
4850          (ii) provides instruction for one or more grades kindergarten through 12; or
4851          (b) a public school district.
4852          (121) (a) "Seller" means a person that makes a sale, lease, or rental of:
4853          (i) tangible personal property;
4854          (ii) a product transferred electronically; or
4855          (iii) a service.
4856          (b) "Seller" includes a marketplace facilitator.
4857          (122) (a) "Semiconductor fabricating, processing, research, or development materials"
4858     means tangible personal property or a product transferred electronically if the tangible personal
4859     property or product transferred electronically is:
4860          (i) used primarily in the process of:
4861          (A) (I) manufacturing a semiconductor;
4862          (II) fabricating a semiconductor; or
4863          (III) research or development of a:

4864          (Aa) semiconductor; or
4865          (Bb) semiconductor manufacturing process; or
4866          (B) maintaining an environment suitable for a semiconductor; or
4867          (ii) consumed primarily in the process of:
4868          (A) (I) manufacturing a semiconductor;
4869          (II) fabricating a semiconductor; or
4870          (III) research or development of a:
4871          (Aa) semiconductor; or
4872          (Bb) semiconductor manufacturing process; or
4873          (B) maintaining an environment suitable for a semiconductor.
4874          (b) "Semiconductor fabricating, processing, research, or development materials"
4875     includes:
4876          (i) parts used in the repairs or renovations of tangible personal property or a product
4877     transferred electronically described in Subsection (122)(a); or
4878          (ii) a chemical, catalyst, or other material used to:
4879          (A) produce or induce in a semiconductor a:
4880          (I) chemical change; or
4881          (II) physical change;
4882          (B) remove impurities from a semiconductor; or
4883          (C) improve the marketable condition of a semiconductor.
4884          (123) "Senior citizen center" means a facility having the primary purpose of providing
4885     services to the aged as defined in Section [62A-3-101] 26B-6-101.
4886          (124) (a) Subject to Subsections (124)(b) and (c), "short-term lodging consumable"
4887     means tangible personal property that:
4888          (i) a business that provides accommodations and services described in Subsection
4889     59-12-103(1)(i) purchases as part of a transaction to provide the accommodations and services
4890     to a purchaser;
4891          (ii) is intended to be consumed by the purchaser; and
4892          (iii) is:
4893          (A) included in the purchase price of the accommodations and services; and
4894          (B) not separately stated on an invoice, bill of sale, or other similar document provided

4895     to the purchaser.
4896          (b) "Short-term lodging consumable" includes:
4897          (i) a beverage;
4898          (ii) a brush or comb;
4899          (iii) a cosmetic;
4900          (iv) a hair care product;
4901          (v) lotion;
4902          (vi) a magazine;
4903          (vii) makeup;
4904          (viii) a meal;
4905          (ix) mouthwash;
4906          (x) nail polish remover;
4907          (xi) a newspaper;
4908          (xii) a notepad;
4909          (xiii) a pen;
4910          (xiv) a pencil;
4911          (xv) a razor;
4912          (xvi) saline solution;
4913          (xvii) a sewing kit;
4914          (xviii) shaving cream;
4915          (xix) a shoe shine kit;
4916          (xx) a shower cap;
4917          (xxi) a snack item;
4918          (xxii) soap;
4919          (xxiii) toilet paper;
4920          (xxiv) a toothbrush;
4921          (xxv) toothpaste; or
4922          (xxvi) an item similar to Subsections (124)(b)(i) through (xxv) as the commission may
4923     provide by rule made in accordance with Title 63G, Chapter 3, Utah Administrative
4924     Rulemaking Act.
4925          (c) "Short-term lodging consumable" does not include:

4926          (i) tangible personal property that is cleaned or washed to allow the tangible personal
4927     property to be reused; or
4928          (ii) a product transferred electronically.
4929          (125) "Simplified electronic return" means the electronic return:
4930          (a) described in Section 318(C) of the agreement; and
4931          (b) approved by the governing board of the agreement.
4932          (126) "Solar energy" means the sun used as the sole source of energy for producing
4933     electricity.
4934          (127) (a) "Sports or recreational equipment" means an item:
4935          (i) designed for human use; and
4936          (ii) that is:
4937          (A) worn in conjunction with:
4938          (I) an athletic activity; or
4939          (II) a recreational activity; and
4940          (B) not suitable for general use.
4941          (b) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
4942     commission shall make rules:
4943          (i) listing the items that constitute "sports or recreational equipment"; and
4944          (ii) that are consistent with the list of items that constitute "sports or recreational
4945     equipment" under the agreement.
4946          (128) "State" means the state of Utah, its departments, and agencies.
4947          (129) "Storage" means any keeping or retention of tangible personal property or any
4948     other taxable transaction under Subsection 59-12-103(1), in this state for any purpose except
4949     sale in the regular course of business.
4950          (130) (a) Except as provided in Subsection (130)(d) or (e), "tangible personal property"
4951     means personal property that:
4952          (i) may be:
4953          (A) seen;
4954          (B) weighed;
4955          (C) measured;
4956          (D) felt; or

4957          (E) touched; or
4958          (ii) is in any manner perceptible to the senses.
4959          (b) "Tangible personal property" includes:
4960          (i) electricity;
4961          (ii) water;
4962          (iii) gas;
4963          (iv) steam; or
4964          (v) prewritten computer software, regardless of the manner in which the prewritten
4965     computer software is transferred.
4966          (c) "Tangible personal property" includes the following regardless of whether the item
4967     is attached to real property:
4968          (i) a dishwasher;
4969          (ii) a dryer;
4970          (iii) a freezer;
4971          (iv) a microwave;
4972          (v) a refrigerator;
4973          (vi) a stove;
4974          (vii) a washer; or
4975          (viii) an item similar to Subsections (130)(c)(i) through (vii) as determined by the
4976     commission by rule made in accordance with Title 63G, Chapter 3, Utah Administrative
4977     Rulemaking Act.
4978          (d) "Tangible personal property" does not include a product that is transferred
4979     electronically.
4980          (e) "Tangible personal property" does not include the following if attached to real
4981     property, regardless of whether the attachment to real property is only through a line that
4982     supplies water, electricity, gas, telephone, cable, or supplies a similar item as determined by the
4983     commission by rule made in accordance with Title 63G, Chapter 3, Utah Administrative
4984     Rulemaking Act:
4985          (i) a hot water heater;
4986          (ii) a water filtration system; or
4987          (iii) a water softener system.

4988          (131) (a) "Telecommunications enabling or facilitating equipment, machinery, or
4989     software" means an item listed in Subsection (131)(b) if that item is purchased or leased
4990     primarily to enable or facilitate one or more of the following to function:
4991          (i) telecommunications switching or routing equipment, machinery, or software; or
4992          (ii) telecommunications transmission equipment, machinery, or software.
4993          (b) The following apply to Subsection (131)(a):
4994          (i) a pole;
4995          (ii) software;
4996          (iii) a supplementary power supply;
4997          (iv) temperature or environmental equipment or machinery;
4998          (v) test equipment;
4999          (vi) a tower; or
5000          (vii) equipment, machinery, or software that functions similarly to an item listed in
5001     Subsections (131)(b)(i) through (vi) as determined by the commission by rule made in
5002     accordance with Subsection (131)(c).
5003          (c) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
5004     commission may by rule define what constitutes equipment, machinery, or software that
5005     functions similarly to an item listed in Subsections (131)(b)(i) through (vi).
5006          (132) "Telecommunications equipment, machinery, or software required for 911
5007     service" means equipment, machinery, or software that is required to comply with 47 C.F.R.
5008     Sec. 20.18.
5009          (133) "Telecommunications maintenance or repair equipment, machinery, or software"
5010     means equipment, machinery, or software purchased or leased primarily to maintain or repair
5011     one or more of the following, regardless of whether the equipment, machinery, or software is
5012     purchased or leased as a spare part or as an upgrade or modification to one or more of the
5013     following:
5014          (a) telecommunications enabling or facilitating equipment, machinery, or software;
5015          (b) telecommunications switching or routing equipment, machinery, or software; or
5016          (c) telecommunications transmission equipment, machinery, or software.
5017          (134) (a) "Telecommunications service" means the electronic conveyance, routing, or
5018     transmission of audio, data, video, voice, or any other information or signal to a point, or

5019     among or between points.
5020          (b) "Telecommunications service" includes:
5021          (i) an electronic conveyance, routing, or transmission with respect to which a computer
5022     processing application is used to act:
5023          (A) on the code, form, or protocol of the content;
5024          (B) for the purpose of electronic conveyance, routing, or transmission; and
5025          (C) regardless of whether the service:
5026          (I) is referred to as voice over Internet protocol service; or
5027          (II) is classified by the Federal Communications Commission as enhanced or value
5028     added;
5029          (ii) an 800 service;
5030          (iii) a 900 service;
5031          (iv) a fixed wireless service;
5032          (v) a mobile wireless service;
5033          (vi) a postpaid calling service;
5034          (vii) a prepaid calling service;
5035          (viii) a prepaid wireless calling service; or
5036          (ix) a private communications service.
5037          (c) "Telecommunications service" does not include:
5038          (i) advertising, including directory advertising;
5039          (ii) an ancillary service;
5040          (iii) a billing and collection service provided to a third party;
5041          (iv) a data processing and information service if:
5042          (A) the data processing and information service allows data to be:
5043          (I) (Aa) acquired;
5044          (Bb) generated;
5045          (Cc) processed;
5046          (Dd) retrieved; or
5047          (Ee) stored; and
5048          (II) delivered by an electronic transmission to a purchaser; and
5049          (B) the purchaser's primary purpose for the underlying transaction is the processed data

5050     or information;
5051          (v) installation or maintenance of the following on a customer's premises:
5052          (A) equipment; or
5053          (B) wiring;
5054          (vi) Internet access service;
5055          (vii) a paging service;
5056          (viii) a product transferred electronically, including:
5057          (A) music;
5058          (B) reading material;
5059          (C) a ring tone;
5060          (D) software; or
5061          (E) video;
5062          (ix) a radio and television audio and video programming service:
5063          (A) regardless of the medium; and
5064          (B) including:
5065          (I) furnishing conveyance, routing, or transmission of a television audio and video
5066     programming service by a programming service provider;
5067          (II) cable service as defined in 47 U.S.C. Sec. 522(6); or
5068          (III) audio and video programming services delivered by a commercial mobile radio
5069     service provider as defined in 47 C.F.R. Sec. 20.3;
5070          (x) a value-added nonvoice data service; or
5071          (xi) tangible personal property.
5072          (135) (a) "Telecommunications service provider" means a person that:
5073          (i) owns, controls, operates, or manages a telecommunications service; and
5074          (ii) engages in an activity described in Subsection (135)(a)(i) for the shared use with or
5075     resale to any person of the telecommunications service.
5076          (b) A person described in Subsection (135)(a) is a telecommunications service provider
5077     whether or not the Public Service Commission of Utah regulates:
5078          (i) that person; or
5079          (ii) the telecommunications service that the person owns, controls, operates, or
5080     manages.

5081          (136) (a) "Telecommunications switching or routing equipment, machinery, or
5082     software" means an item listed in Subsection (136)(b) if that item is purchased or leased
5083     primarily for switching or routing:
5084          (i) an ancillary service;
5085          (ii) data communications;
5086          (iii) voice communications; or
5087          (iv) telecommunications service.
5088          (b) The following apply to Subsection (136)(a):
5089          (i) a bridge;
5090          (ii) a computer;
5091          (iii) a cross connect;
5092          (iv) a modem;
5093          (v) a multiplexer;
5094          (vi) plug in circuitry;
5095          (vii) a router;
5096          (viii) software;
5097          (ix) a switch; or
5098          (x) equipment, machinery, or software that functions similarly to an item listed in
5099     Subsections (136)(b)(i) through (ix) as determined by the commission by rule made in
5100     accordance with Subsection (136)(c).
5101          (c) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
5102     commission may by rule define what constitutes equipment, machinery, or software that
5103     functions similarly to an item listed in Subsections (136)(b)(i) through (ix).
5104          (137) (a) "Telecommunications transmission equipment, machinery, or software"
5105     means an item listed in Subsection (137)(b) if that item is purchased or leased primarily for
5106     sending, receiving, or transporting:
5107          (i) an ancillary service;
5108          (ii) data communications;
5109          (iii) voice communications; or
5110          (iv) telecommunications service.
5111          (b) The following apply to Subsection (137)(a):

5112          (i) an amplifier;
5113          (ii) a cable;
5114          (iii) a closure;
5115          (iv) a conduit;
5116          (v) a controller;
5117          (vi) a duplexer;
5118          (vii) a filter;
5119          (viii) an input device;
5120          (ix) an input/output device;
5121          (x) an insulator;
5122          (xi) microwave machinery or equipment;
5123          (xii) an oscillator;
5124          (xiii) an output device;
5125          (xiv) a pedestal;
5126          (xv) a power converter;
5127          (xvi) a power supply;
5128          (xvii) a radio channel;
5129          (xviii) a radio receiver;
5130          (xix) a radio transmitter;
5131          (xx) a repeater;
5132          (xxi) software;
5133          (xxii) a terminal;
5134          (xxiii) a timing unit;
5135          (xxiv) a transformer;
5136          (xxv) a wire; or
5137          (xxvi) equipment, machinery, or software that functions similarly to an item listed in
5138     Subsections (137)(b)(i) through (xxv) as determined by the commission by rule made in
5139     accordance with Subsection (137)(c).
5140          (c) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
5141     commission may by rule define what constitutes equipment, machinery, or software that
5142     functions similarly to an item listed in Subsections (137)(b)(i) through (xxv).

5143          (138) (a) "Textbook for a higher education course" means a textbook or other printed
5144     material that is required for a course:
5145          (i) offered by an institution of higher education; and
5146          (ii) that the purchaser of the textbook or other printed material attends or will attend.
5147          (b) "Textbook for a higher education course" includes a textbook in electronic format.
5148          (139) "Tobacco" means:
5149          (a) a cigarette;
5150          (b) a cigar;
5151          (c) chewing tobacco;
5152          (d) pipe tobacco; or
5153          (e) any other item that contains tobacco.
5154          (140) "Unassisted amusement device" means an amusement device, skill device, or
5155     ride device that is started and stopped by the purchaser or renter of the right to use or operate
5156     the amusement device, skill device, or ride device.
5157          (141) (a) "Use" means the exercise of any right or power over tangible personal
5158     property, a product transferred electronically, or a service under Subsection 59-12-103(1),
5159     incident to the ownership or the leasing of that tangible personal property, product transferred
5160     electronically, or service.
5161          (b) "Use" does not include the sale, display, demonstration, or trial of tangible personal
5162     property, a product transferred electronically, or a service in the regular course of business and
5163     held for resale.
5164          (142) "Value-added nonvoice data service" means a service:
5165          (a) that otherwise meets the definition of a telecommunications service except that a
5166     computer processing application is used to act primarily for a purpose other than conveyance,
5167     routing, or transmission; and
5168          (b) with respect to which a computer processing application is used to act on data or
5169     information:
5170          (i) code;
5171          (ii) content;
5172          (iii) form; or
5173          (iv) protocol.

5174          (143) (a) Subject to Subsection (143)(b), "vehicle" means the following that are
5175     required to be titled, registered, or titled and registered:
5176          (i) an aircraft as defined in Section 72-10-102;
5177          (ii) a vehicle as defined in Section 41-1a-102;
5178          (iii) an off-highway vehicle as defined in Section 41-22-2; or
5179          (iv) a vessel as defined in Section 41-1a-102.
5180          (b) For purposes of Subsection 59-12-104(33) only, "vehicle" includes:
5181          (i) a vehicle described in Subsection (143)(a); or
5182          (ii) (A) a locomotive;
5183          (B) a freight car;
5184          (C) railroad work equipment; or
5185          (D) other railroad rolling stock.
5186          (144) "Vehicle dealer" means a person engaged in the business of buying, selling, or
5187     exchanging a vehicle as defined in Subsection (143).
5188          (145) (a) "Vertical service" means an ancillary service that:
5189          (i) is offered in connection with one or more telecommunications services; and
5190          (ii) offers an advanced calling feature that allows a customer to:
5191          (A) identify a caller; and
5192          (B) manage multiple calls and call connections.
5193          (b) "Vertical service" includes an ancillary service that allows a customer to manage a
5194     conference bridging service.
5195          (146) (a) "Voice mail service" means an ancillary service that enables a customer to
5196     receive, send, or store a recorded message.
5197          (b) "Voice mail service" does not include a vertical service that a customer is required
5198     to have in order to utilize a voice mail service.
5199          (147) (a) Except as provided in Subsection (147)(b), "waste energy facility" means a
5200     facility that generates electricity:
5201          (i) using as the primary source of energy waste materials that would be placed in a
5202     landfill or refuse pit if it were not used to generate electricity, including:
5203          (A) tires;
5204          (B) waste coal;

5205          (C) oil shale; or
5206          (D) municipal solid waste; and
5207          (ii) in amounts greater than actually required for the operation of the facility.
5208          (b) "Waste energy facility" does not include a facility that incinerates:
5209          (i) hospital waste as defined in 40 C.F.R. 60.51c; or
5210          (ii) medical/infectious waste as defined in 40 C.F.R. 60.51c.
5211          (148) "Watercraft" means a vessel as defined in Section 73-18-2.
5212          (149) "Wind energy" means wind used as the sole source of energy to produce
5213     electricity.
5214          (150) "ZIP Code" means a Zoning Improvement Plan Code assigned to a geographic
5215     location by the United States Postal Service.
5216          Section 60. Section 59-12-103 is amended to read:
5217          59-12-103. Sales and use tax base -- Rates -- Effective dates -- Use of sales and use
5218     tax revenues.
5219          (1) A tax is imposed on the purchaser as provided in this part on the purchase price or
5220     sales price for amounts paid or charged for the following transactions:
5221          (a) retail sales of tangible personal property made within the state;
5222          (b) amounts paid for:
5223          (i) telecommunications service, other than mobile telecommunications service, that
5224     originates and terminates within the boundaries of this state;
5225          (ii) mobile telecommunications service that originates and terminates within the
5226     boundaries of one state only to the extent permitted by the Mobile Telecommunications
5227     Sourcing Act, 4 U.S.C. Sec. 116 et seq.; or
5228          (iii) an ancillary service associated with a:
5229          (A) telecommunications service described in Subsection (1)(b)(i); or
5230          (B) mobile telecommunications service described in Subsection (1)(b)(ii);
5231          (c) sales of the following for commercial use:
5232          (i) gas;
5233          (ii) electricity;
5234          (iii) heat;
5235          (iv) coal;

5236          (v) fuel oil; or
5237          (vi) other fuels;
5238          (d) sales of the following for residential use:
5239          (i) gas;
5240          (ii) electricity;
5241          (iii) heat;
5242          (iv) coal;
5243          (v) fuel oil; or
5244          (vi) other fuels;
5245          (e) sales of prepared food;
5246          (f) except as provided in Section 59-12-104, amounts paid or charged as admission or
5247     user fees for theaters, movies, operas, museums, planetariums, shows of any type or nature,
5248     exhibitions, concerts, carnivals, amusement parks, amusement rides, circuses, menageries,
5249     fairs, races, contests, sporting events, dances, boxing matches, wrestling matches, closed circuit
5250     television broadcasts, billiard parlors, pool parlors, bowling lanes, golf, miniature golf, golf
5251     driving ranges, batting cages, skating rinks, ski lifts, ski runs, ski trails, snowmobile trails,
5252     tennis courts, swimming pools, water slides, river runs, jeep tours, boat tours, scenic cruises,
5253     horseback rides, sports activities, or any other amusement, entertainment, recreation,
5254     exhibition, cultural, or athletic activity;
5255          (g) amounts paid or charged for services for repairs or renovations of tangible personal
5256     property, unless Section 59-12-104 provides for an exemption from sales and use tax for:
5257          (i) the tangible personal property; and
5258          (ii) parts used in the repairs or renovations of the tangible personal property described
5259     in Subsection (1)(g)(i), regardless of whether:
5260          (A) any parts are actually used in the repairs or renovations of that tangible personal
5261     property; or
5262          (B) the particular parts used in the repairs or renovations of that tangible personal
5263     property are exempt from a tax under this chapter;
5264          (h) except as provided in Subsection 59-12-104(7), amounts paid or charged for
5265     assisted cleaning or washing of tangible personal property;
5266          (i) amounts paid or charged for tourist home, hotel, motel, or trailer court

5267     accommodations and services that are regularly rented for less than 30 consecutive days;
5268          (j) amounts paid or charged for laundry or dry cleaning services;
5269          (k) amounts paid or charged for leases or rentals of tangible personal property if within
5270     this state the tangible personal property is:
5271          (i) stored;
5272          (ii) used; or
5273          (iii) otherwise consumed;
5274          (l) amounts paid or charged for tangible personal property if within this state the
5275     tangible personal property is:
5276          (i) stored;
5277          (ii) used; or
5278          (iii) consumed; and
5279          (m) amounts paid or charged for a sale:
5280          (i) (A) of a product transferred electronically; or
5281          (B) of a repair or renovation of a product transferred electronically; and
5282          (ii) regardless of whether the sale provides:
5283          (A) a right of permanent use of the product; or
5284          (B) a right to use the product that is less than a permanent use, including a right:
5285          (I) for a definite or specified length of time; and
5286          (II) that terminates upon the occurrence of a condition.
5287          (2) (a) Except as provided in Subsections (2)(b) through (f), a state tax and a local tax
5288     are imposed on a transaction described in Subsection (1) equal to the sum of:
5289          (i) a state tax imposed on the transaction at a tax rate equal to the sum of:
5290          (A) 4.70% plus the rate specified in Subsection (12)(a); and
5291          (B) (I) the tax rate the state imposes in accordance with Part 18, Additional State Sales
5292     and Use Tax Act, if the location of the transaction as determined under Sections 59-12-211
5293     through 59-12-215 is in a county in which the state imposes the tax under Part 18, Additional
5294     State Sales and Use Tax Act; and
5295          (II) the tax rate the state imposes in accordance with Part 20, Supplemental State Sales
5296     and Use Tax Act, if the location of the transaction as determined under Sections 59-12-211
5297     through 59-12-215 is in a city, town, or the unincorporated area of a county in which the state

5298     imposes the tax under Part 20, Supplemental State Sales and Use Tax Act; and
5299          (ii) a local tax equal to the sum of the tax rates a county, city, or town imposes on the
5300     transaction under this chapter other than this part.
5301          (b) Except as provided in Subsection (2)(e) or (f) and subject to Subsection (2)(k), a
5302     state tax and a local tax are imposed on a transaction described in Subsection (1)(d) equal to
5303     the sum of:
5304          (i) a state tax imposed on the transaction at a tax rate of 2%; and
5305          (ii) a local tax equal to the sum of the tax rates a county, city, or town imposes on the
5306     transaction under this chapter other than this part.
5307          (c) Except as provided in Subsection (2)(e) or (f), a state tax and a local tax are
5308     imposed on amounts paid or charged for food and food ingredients equal to the sum of:
5309          (i) a state tax imposed on the amounts paid or charged for food and food ingredients at
5310     a tax rate of 1.75%; and
5311          (ii) a local tax equal to the sum of the tax rates a county, city, or town imposes on the
5312     amounts paid or charged for food and food ingredients under this chapter other than this part.
5313          (d) Except as provided in Subsection (2)(e) or (f), a state tax is imposed on amounts
5314     paid or charged for fuel to a common carrier that is a railroad for use in a locomotive engine at
5315     a rate of 4.85%.
5316          (e) (i) For a bundled transaction that is attributable to food and food ingredients and
5317     tangible personal property other than food and food ingredients, a state tax and a local tax is
5318     imposed on the entire bundled transaction equal to the sum of:
5319          (A) a state tax imposed on the entire bundled transaction equal to the sum of:
5320          (I) the tax rate described in Subsection (2)(a)(i)(A); and
5321          (II) (Aa) the tax rate the state imposes in accordance with Part 18, Additional State
5322     Sales and Use Tax Act, if the location of the transaction as determined under Sections
5323     59-12-211 through 59-12-215 is in a county in which the state imposes the tax under Part 18,
5324     Additional State Sales and Use Tax Act; and
5325          (Bb) the tax rate the state imposes in accordance with Part 20, Supplemental State
5326     Sales and Use Tax Act, if the location of the transaction as determined under Sections
5327     59-12-211 through 59-12-215 is in a city, town, or the unincorporated area of a county in which
5328     the state imposes the tax under Part 20, Supplemental State Sales and Use Tax Act; and

5329          (B) a local tax imposed on the entire bundled transaction at the sum of the tax rates
5330     described in Subsection (2)(a)(ii).
5331          (ii) If an optional computer software maintenance contract is a bundled transaction that
5332     consists of taxable and nontaxable products that are not separately itemized on an invoice or
5333     similar billing document, the purchase of the optional computer software maintenance contract
5334     is 40% taxable under this chapter and 60% nontaxable under this chapter.
5335          (iii) Subject to Subsection (2)(e)(iv), for a bundled transaction other than a bundled
5336     transaction described in Subsection (2)(e)(i) or (ii):
5337          (A) if the sales price of the bundled transaction is attributable to tangible personal
5338     property, a product, or a service that is subject to taxation under this chapter and tangible
5339     personal property, a product, or service that is not subject to taxation under this chapter, the
5340     entire bundled transaction is subject to taxation under this chapter unless:
5341          (I) the seller is able to identify by reasonable and verifiable standards the tangible
5342     personal property, product, or service that is not subject to taxation under this chapter from the
5343     books and records the seller keeps in the seller's regular course of business; or
5344          (II) state or federal law provides otherwise; or
5345          (B) if the sales price of a bundled transaction is attributable to two or more items of
5346     tangible personal property, products, or services that are subject to taxation under this chapter
5347     at different rates, the entire bundled transaction is subject to taxation under this chapter at the
5348     higher tax rate unless:
5349          (I) the seller is able to identify by reasonable and verifiable standards the tangible
5350     personal property, product, or service that is subject to taxation under this chapter at the lower
5351     tax rate from the books and records the seller keeps in the seller's regular course of business; or
5352          (II) state or federal law provides otherwise.
5353          (iv) For purposes of Subsection (2)(e)(iii), books and records that a seller keeps in the
5354     seller's regular course of business includes books and records the seller keeps in the regular
5355     course of business for nontax purposes.
5356          (f) (i) Except as otherwise provided in this chapter and subject to Subsections (2)(f)(ii)
5357     and (iii), if a transaction consists of the sale, lease, or rental of tangible personal property, a
5358     product, or a service that is subject to taxation under this chapter, and the sale, lease, or rental
5359     of tangible personal property, other property, a product, or a service that is not subject to

5360     taxation under this chapter, the entire transaction is subject to taxation under this chapter unless
5361     the seller, at the time of the transaction:
5362          (A) separately states the portion of the transaction that is not subject to taxation under
5363     this chapter on an invoice, bill of sale, or similar document provided to the purchaser; or
5364          (B) is able to identify by reasonable and verifiable standards, from the books and
5365     records the seller keeps in the seller's regular course of business, the portion of the transaction
5366     that is not subject to taxation under this chapter.
5367          (ii) A purchaser and a seller may correct the taxability of a transaction if:
5368          (A) after the transaction occurs, the purchaser and the seller discover that the portion of
5369     the transaction that is not subject to taxation under this chapter was not separately stated on an
5370     invoice, bill of sale, or similar document provided to the purchaser because of an error or
5371     ignorance of the law; and
5372          (B) the seller is able to identify by reasonable and verifiable standards, from the books
5373     and records the seller keeps in the seller's regular course of business, the portion of the
5374     transaction that is not subject to taxation under this chapter.
5375          (iii) For purposes of Subsections (2)(f)(i) and (ii), books and records that a seller keeps
5376     in the seller's regular course of business includes books and records the seller keeps in the
5377     regular course of business for nontax purposes.
5378          (g) (i) If the sales price of a transaction is attributable to two or more items of tangible
5379     personal property, products, or services that are subject to taxation under this chapter at
5380     different rates, the entire purchase is subject to taxation under this chapter at the higher tax rate
5381     unless the seller, at the time of the transaction:
5382          (A) separately states the items subject to taxation under this chapter at each of the
5383     different rates on an invoice, bill of sale, or similar document provided to the purchaser; or
5384          (B) is able to identify by reasonable and verifiable standards the tangible personal
5385     property, product, or service that is subject to taxation under this chapter at the lower tax rate
5386     from the books and records the seller keeps in the seller's regular course of business.
5387          (ii) For purposes of Subsection (2)(g)(i), books and records that a seller keeps in the
5388     seller's regular course of business includes books and records the seller keeps in the regular
5389     course of business for nontax purposes.
5390          (h) Subject to Subsections (2)(i) and (j), a tax rate repeal or tax rate change for a tax

5391     rate imposed under the following shall take effect on the first day of a calendar quarter:
5392          (i) Subsection (2)(a)(i)(A);
5393          (ii) Subsection (2)(b)(i);
5394          (iii) Subsection (2)(c)(i); or
5395          (iv) Subsection (2)(e)(i)(A)(I).
5396          (i) (i) A tax rate increase takes effect on the first day of the first billing period that
5397     begins on or after the effective date of the tax rate increase if the billing period for the
5398     transaction begins before the effective date of a tax rate increase imposed under:
5399          (A) Subsection (2)(a)(i)(A);
5400          (B) Subsection (2)(b)(i);
5401          (C) Subsection (2)(c)(i); or
5402          (D) Subsection (2)(e)(i)(A)(I).
5403          (ii) The repeal of a tax or a tax rate decrease applies to a billing period if the billing
5404     statement for the billing period is rendered on or after the effective date of the repeal of the tax
5405     or the tax rate decrease imposed under:
5406          (A) Subsection (2)(a)(i)(A);
5407          (B) Subsection (2)(b)(i);
5408          (C) Subsection (2)(c)(i); or
5409          (D) Subsection (2)(e)(i)(A)(I).
5410          (j) (i) For a tax rate described in Subsection (2)(j)(ii), if a tax due on a catalogue sale is
5411     computed on the basis of sales and use tax rates published in the catalogue, a tax rate repeal or
5412     change in a tax rate takes effect:
5413          (A) on the first day of a calendar quarter; and
5414          (B) beginning 60 days after the effective date of the tax rate repeal or tax rate change.
5415          (ii) Subsection (2)(j)(i) applies to the tax rates described in the following:
5416          (A) Subsection (2)(a)(i)(A);
5417          (B) Subsection (2)(b)(i);
5418          (C) Subsection (2)(c)(i); or
5419          (D) Subsection (2)(e)(i)(A)(I).
5420          (iii) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
5421     the commission may by rule define the term "catalogue sale."

5422          (k) (i) For a location described in Subsection (2)(k)(ii), the commission shall determine
5423     the taxable status of a sale of gas, electricity, heat, coal, fuel oil, or other fuel based on the
5424     predominant use of the gas, electricity, heat, coal, fuel oil, or other fuel at the location.
5425          (ii) Subsection (2)(k)(i) applies to a location where gas, electricity, heat, coal, fuel oil,
5426     or other fuel is furnished through a single meter for two or more of the following uses:
5427          (A) a commercial use;
5428          (B) an industrial use; or
5429          (C) a residential use.
5430          (3) (a) The following state taxes shall be deposited into the General Fund:
5431          (i) the tax imposed by Subsection (2)(a)(i)(A);
5432          (ii) the tax imposed by Subsection (2)(b)(i);
5433          (iii) the tax imposed by Subsection (2)(c)(i); and
5434          (iv) the tax imposed by Subsection (2)(e)(i)(A)(I).
5435          (b) The following local taxes shall be distributed to a county, city, or town as provided
5436     in this chapter:
5437          (i) the tax imposed by Subsection (2)(a)(ii);
5438          (ii) the tax imposed by Subsection (2)(b)(ii);
5439          (iii) the tax imposed by Subsection (2)(c)(ii); and
5440          (iv) the tax imposed by Subsection (2)(e)(i)(B).
5441          (c) The state tax imposed by Subsection (2)(d) shall be deposited into the General
5442     Fund.
5443          (4) (a) Notwithstanding Subsection (3)(a), for a fiscal year beginning on or after July 1,
5444     2003, the lesser of the following amounts shall be expended as provided in Subsections (4)(b)
5445     through (g):
5446          (i) for taxes listed under Subsection (3)(a), the amount of tax revenue generated:
5447          (A) by a 1/16% tax rate on the transactions described in Subsection (1); and
5448          (B) for the fiscal year; or
5449          (ii) $17,500,000.
5450          (b) (i) For a fiscal year beginning on or after July 1, 2003, 14% of the amount
5451     described in Subsection (4)(a) shall be transferred each year as designated sales and use tax
5452     revenue to the Department of Natural Resources to:

5453          (A) implement the measures described in Subsections 79-2-303(3)(a) through (d) to
5454     protect sensitive plant and animal species; or
5455          (B) award grants, up to the amount authorized by the Legislature in an appropriations
5456     act, to political subdivisions of the state to implement the measures described in Subsections
5457     79-2-303(3)(a) through (d) to protect sensitive plant and animal species.
5458          (ii) Money transferred to the Department of Natural Resources under Subsection
5459     (4)(b)(i) may not be used to assist the United States Fish and Wildlife Service or any other
5460     person to list or attempt to have listed a species as threatened or endangered under the
5461     Endangered Species Act of 1973, 16 U.S.C. Sec. 1531 et seq.
5462          (iii) At the end of each fiscal year:
5463          (A) 50% of any unexpended designated sales and use tax revenue shall lapse to the
5464     Water Resources Conservation and Development Fund created in Section 73-10-24;
5465          (B) 25% of any unexpended designated sales and use tax revenue shall lapse to the
5466     Utah Wastewater Loan Program Subaccount created in Section 73-10c-5; and
5467          (C) 25% of any unexpended designated sales and use tax revenue shall lapse to the
5468     Drinking Water Loan Program Subaccount created in Section 73-10c-5.
5469          (c) For a fiscal year beginning on or after July 1, 2003, 3% of the amount described in
5470     Subsection (4)(a) shall be deposited each year in the Agriculture Resource Development Fund
5471     created in Section 4-18-106.
5472          (d) (i) For a fiscal year beginning on or after July 1, 2003, 1% of the amount described
5473     in Subsection (4)(a) shall be transferred each year as designated sales and use tax revenue to
5474     the Division of Water Rights to cover the costs incurred in hiring legal and technical staff for
5475     the adjudication of water rights.
5476          (ii) At the end of each fiscal year:
5477          (A) 50% of any unexpended designated sales and use tax revenue shall lapse to the
5478     Water Resources Conservation and Development Fund created in Section 73-10-24;
5479          (B) 25% of any unexpended designated sales and use tax revenue shall lapse to the
5480     Utah Wastewater Loan Program Subaccount created in Section 73-10c-5; and
5481          (C) 25% of any unexpended designated sales and use tax revenue shall lapse to the
5482     Drinking Water Loan Program Subaccount created in Section 73-10c-5.
5483          (e) (i) For a fiscal year beginning on or after July 1, 2003, 41% of the amount described

5484     in Subsection (4)(a) shall be deposited into the Water Resources Conservation and
5485     Development Fund created in Section 73-10-24 for use by the Division of Water Resources.
5486          (ii) In addition to the uses allowed of the Water Resources Conservation and
5487     Development Fund under Section 73-10-24, the Water Resources Conservation and
5488     Development Fund may also be used to:
5489          (A) conduct hydrologic and geotechnical investigations by the Division of Water
5490     Resources in a cooperative effort with other state, federal, or local entities, for the purpose of
5491     quantifying surface and ground water resources and describing the hydrologic systems of an
5492     area in sufficient detail so as to enable local and state resource managers to plan for and
5493     accommodate growth in water use without jeopardizing the resource;
5494          (B) fund state required dam safety improvements; and
5495          (C) protect the state's interest in interstate water compact allocations, including the
5496     hiring of technical and legal staff.
5497          (f) For a fiscal year beginning on or after July 1, 2003, 20.5% of the amount described
5498     in Subsection (4)(a) shall be deposited into the Utah Wastewater Loan Program Subaccount
5499     created in Section 73-10c-5 for use by the Water Quality Board to fund wastewater projects.
5500          (g) For a fiscal year beginning on or after July 1, 2003, 20.5% of the amount described
5501     in Subsection (4)(a) shall be deposited into the Drinking Water Loan Program Subaccount
5502     created in Section 73-10c-5 for use by the Division of Drinking Water to:
5503          (i) provide for the installation and repair of collection, treatment, storage, and
5504     distribution facilities for any public water system, as defined in Section 19-4-102;
5505          (ii) develop underground sources of water, including springs and wells; and
5506          (iii) develop surface water sources.
5507          (5) (a) Notwithstanding Subsection (3)(a), for a fiscal year beginning on or after July 1,
5508     2006, the difference between the following amounts shall be expended as provided in this
5509     Subsection (5), if that difference is greater than $1:
5510          (i) for taxes listed under Subsection (3)(a), the amount of tax revenue generated for the
5511     fiscal year by a 1/16% tax rate on the transactions described in Subsection (1); and
5512          (ii) $17,500,000.
5513          (b) (i) The first $500,000 of the difference described in Subsection (5)(a) shall be:
5514          (A) transferred each fiscal year to the Department of Natural Resources as designated

5515     sales and use tax revenue; and
5516          (B) expended by the Department of Natural Resources for watershed rehabilitation or
5517     restoration.
5518          (ii) At the end of each fiscal year, 100% of any unexpended designated sales and use
5519     tax revenue described in Subsection (5)(b)(i) shall lapse to the Water Resources Conservation
5520     and Development Fund created in Section 73-10-24.
5521          (c) (i) After making the transfer required by Subsection (5)(b)(i), $150,000 of the
5522     remaining difference described in Subsection (5)(a) shall be:
5523          (A) transferred each fiscal year to the Division of Water Resources as designated sales
5524     and use tax revenue; and
5525          (B) expended by the Division of Water Resources for cloud-seeding projects
5526     authorized by Title 73, Chapter 15, Modification of Weather.
5527          (ii) At the end of each fiscal year, 100% of any unexpended designated sales and use
5528     tax revenue described in Subsection (5)(c)(i) shall lapse to the Water Resources Conservation
5529     and Development Fund created in Section 73-10-24.
5530          (d) After making the transfers required by Subsections (5)(b) and (c), 85% of the
5531     remaining difference described in Subsection (5)(a) shall be deposited into the Water
5532     Resources Conservation and Development Fund created in Section 73-10-24 for use by the
5533     Division of Water Resources for:
5534          (i) preconstruction costs:
5535          (A) as defined in Subsection 73-26-103(6) for projects authorized by Title 73, Chapter
5536     26, Bear River Development Act; and
5537          (B) as defined in Subsection 73-28-103(8) for the Lake Powell Pipeline project
5538     authorized by Title 73, Chapter 28, Lake Powell Pipeline Development Act;
5539          (ii) the cost of employing a civil engineer to oversee any project authorized by Title 73,
5540     Chapter 26, Bear River Development Act;
5541          (iii) the cost of employing a civil engineer to oversee the Lake Powell Pipeline project
5542     authorized by Title 73, Chapter 28, Lake Powell Pipeline Development Act; and
5543          (iv) other uses authorized under Sections 73-10-24, 73-10-25.1, and 73-10-30, and
5544     Subsection (4)(e)(ii) after funding the uses specified in Subsections (5)(d)(i) through (iii).
5545          (e) After making the transfers required by Subsections (5)(b) and (c), 15% of the

5546     remaining difference described in Subsection (5)(a) shall be deposited each year into the Water
5547     Rights Restricted Account created by Section 73-2-1.6.
5548          (6) Notwithstanding Subsection (3)(a) and for taxes listed under Subsection (3)(a), the
5549     amount of revenue generated by a 1/16% tax rate on the transactions described in Subsection
5550     (1) for the fiscal year shall be deposited as follows:
5551          (a) for fiscal year 2020-21 only:
5552          (i) 20% of the revenue described in this Subsection (6) shall be deposited into the
5553     Transportation Investment Fund of 2005 created by Section 72-2-124; and
5554          (ii) 80% of the revenue described in this Subsection (6) shall be deposited into the
5555     Water Infrastructure Restricted Account created by Section 73-10g-103; and
5556          (b) for a fiscal year beginning on or after July 1, 2021, 100% of the revenue described
5557     in this Subsection (6) shall be deposited into the Water Infrastructure Restricted Account
5558     created by Section 73-10g-103.
5559          (7) (a) Notwithstanding Subsection (3)(a), in addition to the amounts deposited in
5560     Subsection (6), and subject to Subsection (7)(b), for a fiscal year beginning on or after July 1,
5561     2012, the Division of Finance shall deposit into the Transportation Investment Fund of 2005
5562     created by Section 72-2-124:
5563          (i) a portion of the taxes listed under Subsection (3)(a) in an amount equal to 8.3% of
5564     the revenues collected from the following taxes, which represents a portion of the
5565     approximately 17% of sales and use tax revenues generated annually by the sales and use tax
5566     on vehicles and vehicle-related products:
5567          (A) the tax imposed by Subsection (2)(a)(i)(A) at a 4.7% rate;
5568          (B) the tax imposed by Subsection (2)(b)(i);
5569          (C) the tax imposed by Subsection (2)(c)(i); and
5570          (D) the tax imposed by Subsection (2)(e)(i)(A)(I); plus
5571          (ii) an amount equal to 30% of the growth in the amount of revenues collected in the
5572     current fiscal year from the sales and use taxes described in Subsections (7)(a)(i)(A) through
5573     (D) that exceeds the amount collected from the sales and use taxes described in Subsections
5574     (7)(a)(i)(A) through (D) in the 2010-11 fiscal year.
5575          (b) (i) Subject to Subsections (7)(b)(ii) and (iii), in any fiscal year that the portion of
5576     the sales and use taxes deposited under Subsection (7)(a) represents an amount that is a total

5577     lower percentage of the sales and use taxes described in Subsections (7)(a)(i)(A) through (D)
5578     generated in the current fiscal year than the total percentage of sales and use taxes deposited in
5579     the previous fiscal year, the Division of Finance shall deposit an amount under Subsection
5580     (7)(a) equal to the product of:
5581          (A) the total percentage of sales and use taxes deposited under Subsection (7)(a) in the
5582     previous fiscal year; and
5583          (B) the total sales and use tax revenue generated by the taxes described in Subsections
5584     (7)(a)(i)(A) through (D) in the current fiscal year.
5585          (ii) In any fiscal year in which the portion of the sales and use taxes deposited under
5586     Subsection (7)(a) would exceed 17% of the revenues collected from the sales and use taxes
5587     described in Subsections (7)(a)(i)(A) through (D) in the current fiscal year, the Division of
5588     Finance shall deposit 17% of the revenues collected from the sales and use taxes described in
5589     Subsections (7)(a)(i)(A) through (D) for the current fiscal year under Subsection (7)(a).
5590          (iii) Subject to Subsection (7)(b)(iv)(E), in all subsequent fiscal years after a year in
5591     which 17% of the revenues collected from the sales and use taxes described in Subsections
5592     (7)(a)(i)(A) through (D) was deposited under Subsection (7)(a), the Division of Finance shall
5593     annually deposit 17% of the revenues collected from the sales and use taxes described in
5594     Subsections (7)(a)(i)(A) through (D) in the current fiscal year under Subsection (7)(a).
5595          (iv) (A) As used in this Subsection (7)(b)(iv), "additional growth revenue" means the
5596     amount of relevant revenue collected in the current fiscal year that exceeds by more than 3%
5597     the relevant revenue collected in the previous fiscal year.
5598          (B) As used in this Subsection (7)(b)(iv), "combined amount" means the combined
5599     total amount of money deposited into the Cottonwood Canyons fund under Subsections
5600     (7)(b)(iv)(F) and (8)(d)(vi) in any single fiscal year.
5601          (C) As used in this Subsection (7)(b)(iv), "Cottonwood Canyons fund" means the
5602     Cottonwood Canyons Transportation Investment Fund created in Subsection 72-2-124(10).
5603          (D) As used in this Subsection (7)(b)(iv), "relevant revenue" means the portion of taxes
5604     listed under Subsection (3)(a) that equals 17% of the revenue collected from taxes described in
5605     Subsections (7)(a)(i)(A) through (D).
5606          (E) For a fiscal year beginning on or after July 1, 2020, the commission shall annually
5607     reduce the deposit under Subsection (7)(b)(iii) into the Transportation Investment Fund of 2005

5608     by an amount equal to the amount of the deposit under this Subsection (7)(b)(iv) to the
5609     Cottonwood Canyons fund in the previous fiscal year plus 25% of additional growth revenue,
5610     subject to the limit in Subsection (7)(b)(iv)(F).
5611          (F) The commission shall annually deposit the amount described in Subsection
5612     (7)(b)(iv)(E) into the Cottonwood Canyons fund, subject to an annual maximum combined
5613     amount for any single fiscal year of $20,000,000.
5614          (G) If the amount of relevant revenue declines in a fiscal year compared to the previous
5615     fiscal year, the commission shall decrease the amount of the contribution to the Cottonwood
5616     Canyons fund under this Subsection (7)(b)(iv) in the same proportion as the decline in relevant
5617     revenue.
5618          (8) (a) Notwithstanding Subsection (3)(a), in addition to the amounts deposited under
5619     Subsections (6) and (7), and subject to Subsections (8)(b) and (d)(v), for a fiscal year beginning
5620     on or after July 1, 2018, the commission shall annually deposit into the Transportation
5621     Investment Fund of 2005 created by Section 72-2-124 a portion of the taxes listed under
5622     Subsection (3)(a) in an amount equal to 3.68% of the revenues collected from the following
5623     taxes:
5624          (i) the tax imposed by Subsection (2)(a)(i)(A) at a 4.7% rate;
5625          (ii) the tax imposed by Subsection (2)(b)(i);
5626          (iii) the tax imposed by Subsection (2)(c)(i); and
5627          (iv) the tax imposed by Subsection (2)(e)(i)(A)(I).
5628          (b) For a fiscal year beginning on or after July 1, 2019, the commission shall annually
5629     reduce the deposit into the Transportation Investment Fund of 2005 under Subsection (8)(a) by
5630     an amount that is equal to 35% of the amount of revenue generated in the current fiscal year by
5631     the portion of the tax imposed on motor and special fuel that is sold, used, or received for sale
5632     or use in this state that exceeds 29.4 cents per gallon.
5633          (c) The commission shall annually deposit the amount described in Subsection (8)(b)
5634     into the Transit Transportation Investment Fund created in Section 72-2-124.
5635          (d) (i) As used in this Subsection (8)(d), "additional growth revenue" means the
5636     amount of relevant revenue collected in the current fiscal year that exceeds by more than 3%
5637     the relevant revenue collected in the previous fiscal year.
5638          (ii) As used in this Subsection (8)(d), "combined amount" means the combined total

5639     amount of money deposited into the Cottonwood Canyons fund under Subsections (7)(b)(iv)(F)
5640     and (8)(d)(vi) in any single fiscal year.
5641          (iii) As used in this Subsection (8)(d), "Cottonwood Canyons fund" means the
5642     Cottonwood Canyons Transportation Investment Fund created in Subsection 72-2-124(10).
5643          (iv) As used in this Subsection (8)(d), "relevant revenue" means the portion of taxes
5644     listed under Subsection (3)(a) that equals 3.68% of the revenue collected from taxes described
5645     in Subsections (8)(a)(i) through (iv).
5646          (v) For a fiscal year beginning on or after July 1, 2020, the commission shall annually
5647     reduce the deposit under Subsection (8)(a) into the Transportation Investment Fund of 2005 by
5648     an amount equal to the amount of the deposit under this Subsection (8)(d) to the Cottonwood
5649     Canyons fund in the previous fiscal year plus 25% of additional growth revenue, subject to the
5650     limit in Subsection (8)(d)(vi).
5651          (vi) The commission shall annually deposit the amount described in Subsection
5652     (8)(d)(v) into the Cottonwood Canyons fund, subject to an annual maximum combined amount
5653     for any single fiscal year of $20,000,000.
5654          (vii) If the amount of relevant revenue declines in a fiscal year compared to the
5655     previous fiscal year, the commission shall decrease the amount of the contribution to the
5656     Cottonwood Canyons fund under this Subsection (8)(d) in the same proportion as the decline in
5657     relevant revenue.
5658          (9) Notwithstanding Subsection (3)(a), for each fiscal year beginning with fiscal year
5659     2009-10, $533,750 shall be deposited into the Qualified Emergency Food Agencies Fund
5660     created by Section 35A-8-1009 and expended as provided in Section 35A-8-1009.
5661          (10) (a) Notwithstanding Subsection (3)(a), except as provided in Subsection (10)(b),
5662     and in addition to any amounts deposited under Subsections (6), (7), and (8), the Division of
5663     Finance shall deposit into the Transportation Investment Fund of 2005 created by Section
5664     72-2-124 the amount of revenue described as follows:
5665          (i) for fiscal year 2020-21 only, 33.33% of the amount of revenue generated by a .05%
5666     tax rate on the transactions described in Subsection (1); and
5667          (ii) for fiscal year 2021-22 only, 16.67% of the amount of revenue generated by a .05%
5668     tax rate on the transactions described in Subsection (1).
5669          (b) For purposes of Subsection (10)(a), the Division of Finance may not deposit into

5670     the Transportation Investment Fund of 2005 any tax revenue generated by amounts paid or
5671     charged for food and food ingredients, except for tax revenue generated by a bundled
5672     transaction attributable to food and food ingredients and tangible personal property other than
5673     food and food ingredients described in Subsection (2)(e).
5674          (11) Notwithstanding Subsection (3)(a), beginning the second fiscal year after the
5675     fiscal year during which the Division of Finance receives notice under Section 63N-2-510 that
5676     construction on a qualified hotel, as defined in Section 63N-2-502, has begun, the Division of
5677     Finance shall, for two consecutive fiscal years, annually deposit $1,900,000 of the revenue
5678     generated by the taxes listed under Subsection (3)(a) into the Hotel Impact Mitigation Fund,
5679     created in Section 63N-2-512.
5680          (12) (a) The rate specified in this subsection is 0.15%.
5681          (b) Notwithstanding Subsection (3)(a), the Division of Finance shall, for a fiscal year
5682     beginning on or after July 1, 2019, annually transfer the amount of revenue collected from the
5683     rate described in Subsection (12)(a) on the transactions that are subject to the sales and use tax
5684     under Subsection (2)(a)(i)(A) into the Medicaid Expansion Fund created in Section
5685     [26-36b-208] 26B-1-315.
5686          (13) Notwithstanding Subsection (3)(a), for each fiscal year beginning with fiscal year
5687     2020-21, the Division of Finance shall deposit $200,000 into the General Fund as a dedicated
5688     credit solely for use of the Search and Rescue Financial Assistance Program created in, and
5689     expended in accordance with, Title 53, Chapter 2a, Part 11, Search and Rescue Act.
5690          (14) (a) For each fiscal year beginning with fiscal year 2020-21, the Division of
5691     Finance shall annually transfer $1,813,400 of the revenue deposited into the Transportation
5692     Investment Fund of 2005 under Subsections (6) through (8) to the General Fund.
5693          (b) If the total revenue deposited into the Transportation Investment Fund of 2005
5694     under Subsections (6) through (8) is less than $1,813,400 for a fiscal year, the Division of
5695     Finance shall transfer the total revenue deposited into the Transportation Investment Fund of
5696     2005 under Subsections (6) through (8) during the fiscal year to the General Fund.
5697          (15) Notwithstanding Subsection (3)(a), and as described in Section 63N-3-610,
5698     beginning the first day of the calendar quarter one year after the sales and use tax boundary for
5699     a housing and transit reinvestment zone is established, the commission, at least annually, shall
5700     transfer an amount equal to 15% of the sales and use tax increment within an established sales

5701     and use tax boundary, as defined in Section 63N-3-602, into the Transit Transportation
5702     Investment Fund created in Section 72-2-124.
5703          (16) Notwithstanding Subsection (3)(a), the Division of Finance shall, for a fiscal year
5704     beginning on or after July 1, 2022, transfer into the Outdoor Adventure Infrastructure
5705     Restricted Account, created in Section 51-9-902, a portion of the taxes listed under Subsection
5706     (3)(a) equal to 1% of the revenues collected from the following sales and use taxes:
5707          (a) the tax imposed by Subsection (2)(a)(i)(A) at a 4.7% rate;
5708          (b) the tax imposed by Subsection (2)(b)(i);
5709          (c) the tax imposed by Subsection (2)(c)(i); and
5710          (d) the tax imposed by Subsection (2)(e)(i)(A)(I).
5711          Section 61. Section 59-12-104.10 is amended to read:
5712          59-12-104.10. Exemption from sales tax for cannabis.
5713          (1) As used in this section:
5714          (a) "Cannabis" means the same as that term is defined in Section [26-61a-102]
5715     26B-4-201.
5716          (b) "Cannabis product" means the same as that term is defined in Section [26-61a-102]
5717     26B-4-201.
5718          (c) "Medical cannabis device" means the same as that term is defined in Section
5719     [26-61a-102] 26B-4-201.
5720          (d) "Medical cannabis pharmacy" means the same as that term is defined in Section
5721     [26-61a-102] 26B-4-201.
5722          (e) "Medicinal dosage form" means the same as that term is defined in Section
5723     [26-61a-102] 26B-4-201.
5724          (2) In addition to the exemptions described in Section 59-12-104, the sale by a licensed
5725     medical cannabis pharmacy of the following is not subject to the taxes this chapter imposes:
5726          (a) cannabis in a medicinal dosage form; or
5727          (b) a cannabis product in a medicinal dosage form.
5728          (3) The sale of a medical cannabis device by a medical cannabis pharmacy is subject to
5729     the taxes this chapter imposes.
5730          Section 62. Section 59-12-801 is amended to read:
5731          59-12-801. Definitions.

5732          As used in this part:
5733          (1) "Emergency medical services" is as defined in Section [26-8a-102] 26B-4-101.
5734          (2) "Federally qualified health center" is as defined in 42 U.S.C. Sec. 1395x.
5735          (3) "Freestanding urgent care center" means a facility that provides outpatient health
5736     care service:
5737          (a) on an as-needed basis, without an appointment;
5738          (b) to the public;
5739          (c) for the diagnosis and treatment of a medical condition if that medical condition
5740     does not require hospitalization or emergency intervention for a life threatening or potentially
5741     permanently disabling condition; and
5742          (d) including one or more of the following services:
5743          (i) a medical history physical examination;
5744          (ii) an assessment of health status; or
5745          (iii) treatment:
5746          (A) for a variety of medical conditions; and
5747          (B) that is commonly offered in a physician's office.
5748          (4) "Nursing care facility" is as defined in Section [26-21-2] 26B-2-201.
5749          (5) "Rural city hospital" means a hospital owned by a city that is located within a third,
5750     fourth, fifth, or sixth class county.
5751          (6) "Rural county health care facility" means a:
5752          (a) rural county hospital; or
5753          (b) rural county nursing care facility.
5754          (7) "Rural county hospital" means a hospital owned by a county that is:
5755          (a) a third, fourth, fifth, or sixth class county, as defined in Section 17-50-501; and
5756          (b) located outside of a standard metropolitan statistical area, as designated by the
5757     United States Bureau of the Census.
5758          (8) "Rural county nursing care facility" means a nursing care facility owned by:
5759          (a) a county that is:
5760          (i) a third, fourth, fifth, or sixth class county, as defined in Section 17-50-501; and
5761          (ii) located outside of a standard metropolitan statistical area, as designated by the
5762     United States Census Bureau; or

5763          (b) a special service district if the special service district is:
5764          (i) created for the purpose of operating the nursing care facility; and
5765          (ii) within a county that is:
5766          (A) a third, fourth, fifth, or sixth class county, as defined in Section 17-50-501; and
5767          (B) located outside of a standard metropolitan statistical area, as designated by the
5768     United States Census Bureau.
5769          (9) "Rural emergency medical services" means emergency medical services that are
5770     provided by a county that is:
5771          (a) a fifth or sixth class county, as defined in Section 17-50-501; and
5772          (b) located outside of a standard metropolitan statistical area, as designated by the
5773     United States Census Bureau.
5774          (10) "Rural health clinic" is as defined in 42 U.S.C. Sec. 1395x.
5775          Section 63. Section 59-14-807 is amended to read:
5776          59-14-807. Electronic Cigarette Substance and Nicotine Product Tax Restricted
5777     Account.
5778          (1) There is created within the General Fund a restricted account known as the
5779     "Electronic Cigarette Substance and Nicotine Product Tax Restricted Account."
5780          (2) The Electronic Cigarette Substance and Nicotine Product Tax Restricted Account
5781     consists of:
5782          (a) revenues collected from the tax imposed by Section 59-14-804; and
5783          (b) amounts appropriated by the Legislature.
5784          (3) For each fiscal year, beginning with fiscal year 2021, and subject to appropriation
5785     by the Legislature, the Division of Finance shall distribute from the Electronic Cigarette
5786     Substance and Nicotine Product Tax Restricted Account:
5787          (a) $2,000,000 which shall be allocated to the local health departments by the
5788     Department of [Health] Health and Human Services using the formula created in accordance
5789     with Section 26A-1-116;
5790          (b) $2,000,000 to the Department of [Health] Health and Human Services for statewide
5791     cessation programs and prevention education;
5792          (c) $1,180,000 to the Department of Public Safety for law enforcement officers aimed
5793     at disrupting organizations and networks that provide tobacco products, electronic cigarette

5794     products, nicotine products, and other illegal controlled substances to minors;
5795          (d) $3,000,000 which shall be allocated to the local health departments by the
5796     Department of [Health] Health and Human Services using the formula created in accordance
5797     with Section 26A-1-116;
5798          (e) $5,084,200 to the State Board of Education for school-based prevention programs;
5799     and
5800          (f) $2,000,000 to the Department of Health for alcohol, tobacco, and other drug
5801     prevention, reduction, cessation, and control programs that promote unified messages and
5802     make use of media outlets, including radio, newspaper, billboards, and television.
5803          (4) (a) The local health departments shall use the money received in accordance with
5804     Subsection (3)(a) for enforcing:
5805          (i) the regulation provisions described in Section [26-57-103] 26B-7-505;
5806          (ii) the labeling requirement described in Section [26-57-104] 26B-7-505; and
5807          (iii) the penalty provisions described in Section [26-62-305] 26B-7-518.
5808          (b) The Department of [Health] Health and Human Services shall use the money
5809     received in accordance with Subsection (3)(b) for the Youth Electronic Cigarette, Marijuana,
5810     and Other Drug Prevention Program created in Section [26-7-10] 26B-1-428.
5811          (c) The local health departments shall use the money received in accordance with
5812     Subsection (3)(d) to issue grants under the Electronic Cigarette, Marijuana, and Other Drug
5813     Prevention Grant Program created in Section 26A-1-129.
5814          (d) The State Board of Education shall use the money received in accordance with
5815     Subsection (3)(e) to distribute to local education agencies to pay for:
5816          (i) stipends for positive behaviors specialists as described in Subsection
5817     53G-10-407(4)(a)(i);
5818          (ii) the cost of administering the positive behaviors plan as described in Subsection
5819     53G-10-407(4)(a)(ii); and
5820          (iii) the cost of implementing an Underage Drinking and Substance Abuse Prevention
5821     Program in grade 4 or 5, as described in Subsection 53G-10-406(3)(b).
5822          (5) (a) The fund shall earn interest.
5823          (b) All interest earned on fund money shall be deposited into the fund.
5824          (6) Subject to legislative appropriations, funds remaining in the Electronic Cigarette

5825     Substance and Nicotine Product Tax Restricted Account after the distribution described in
5826     Subsection (3) may only be used for programs and activities related to the prevention and
5827     cessation of electronic cigarette, nicotine products, marijuana, and other drug use.
5828          Section 64. Section 61-1-13 is amended to read:
5829          61-1-13. Definitions.
5830          (1) As used in this chapter:
5831          (a) "Affiliate" means a person that, directly or indirectly, through one or more
5832     intermediaries, controls or is controlled by, or is under common control with a person
5833     specified.
5834          (b) (i) "Agent" means an individual other than a broker-dealer who represents a
5835     broker-dealer or issuer in effecting or attempting to effect purchases or sales of securities.
5836          (ii) "Agent" does not include an individual who represents:
5837          (A) an issuer, who receives no commission or other remuneration, directly or
5838     indirectly, for effecting or attempting to effect purchases or sales of securities in this state, and
5839     who effects transactions:
5840          (I) in securities exempted by Subsection 61-1-14(1)(a), (b), (c), or (g);
5841          (II) exempted by Subsection 61-1-14(2);
5842          (III) in a covered security as described in Sections 18(b)(3) and 18(b)(4)(F) of the
5843     Securities Act of 1933; or
5844          (IV) with existing employees, partners, officers, or directors of the issuer; or
5845          (B) a broker-dealer in effecting transactions in this state limited to those transactions
5846     described in Section 15(h)(2) of the Securities Exchange Act of 1934.
5847          (iii) A partner, officer, or director of a broker-dealer or issuer, or a person occupying a
5848     similar status or performing similar functions, is an agent only if the partner, officer, director,
5849     or person otherwise comes within the definition of "agent."
5850          (iv) "Agent" does not include a person described in Subsection (3).
5851          (c) (i) "Broker-dealer" means a person engaged in the business of effecting transactions
5852     in securities for the account of others or for the person's own account.
5853          (ii) "Broker-dealer" does not include:
5854          (A) an agent;
5855          (B) an issuer;

5856          (C) a depository institution or trust company;
5857          (D) a person who has no place of business in this state if:
5858          (I) the person effects transactions in this state exclusively with or through:
5859          (Aa) the issuers of the securities involved in the transactions;
5860          (Bb) other broker-dealers;
5861          (Cc) a depository institution, whether acting for itself or as a trustee;
5862          (Dd) a trust company, whether acting for itself or as a trustee;
5863          (Ee) an insurance company, whether acting for itself or as a trustee;
5864          (Ff) an investment company, as defined in the Investment Company Act of 1940,
5865     whether acting for itself or as a trustee;
5866          (Gg) a pension or profit-sharing trust, whether acting for itself or as a trustee; or
5867          (Hh) another financial institution or institutional buyer, whether acting for itself or as a
5868     trustee; or
5869          (II) during any period of 12 consecutive months the person does not direct more than
5870     15 offers to sell or buy into this state in any manner to persons other than those specified in
5871     Subsection (1)(c)(ii)(D)(I), whether or not the offeror or an offeree is then present in this state;
5872          (E) a general partner who organizes and effects transactions in securities of three or
5873     fewer limited partnerships, of which the person is the general partner, in any period of 12
5874     consecutive months;
5875          (F) a person whose participation in transactions in securities is confined to those
5876     transactions made by or through a broker-dealer licensed in this state;
5877          (G) a person who is a principal broker or associate broker licensed in this state and
5878     who effects transactions in a bond or other evidence of indebtedness secured by a real or chattel
5879     mortgage or deed of trust, or by an agreement for the sale of real estate or chattels, if the entire
5880     mortgage, deed of trust, or agreement, together with all the bonds or other evidences of
5881     indebtedness secured thereby, is offered and sold as a unit;
5882          (H) a person effecting transactions in commodity contracts or commodity options;
5883          (I) a person described in Subsection (3); or
5884          (J) other persons as the division, by rule or order, may designate, consistent with the
5885     public interest and protection of investors, as not within the intent of this Subsection (1)(c).
5886          (d) "Buy" or "purchase" means a contract for purchase of, contract to buy, or

5887     acquisition of a security or interest in a security for value.
5888          (e) "Commission" means the Securities Commission created in Section 61-1-18.5.
5889          (f) "Commodity" means, except as otherwise specified by the division by rule:
5890          (i) an agricultural, grain, or livestock product or byproduct, except real property or a
5891     timber, agricultural, or livestock product grown or raised on real property and offered or sold
5892     by the owner or lessee of the real property;
5893          (ii) a metal or mineral, including a precious metal, except a numismatic coin whose fair
5894     market value is at least 15% greater than the value of the metal it contains;
5895          (iii) a gem or gemstone, whether characterized as precious, semi-precious, or
5896     otherwise;
5897          (iv) a fuel, whether liquid, gaseous, or otherwise;
5898          (v) a foreign currency; and
5899          (vi) all other goods, articles, products, or items of any kind, except a work of art
5900     offered or sold by art dealers, at public auction or offered or sold through a private sale by the
5901     owner of the work.
5902          (g) (i) "Commodity contract" means an account, agreement, or contract for the
5903     purchase or sale, primarily for speculation or investment purposes and not for use or
5904     consumption by the offeree or purchaser, of one or more commodities, whether for immediate
5905     or subsequent delivery or whether delivery is intended by the parties, and whether characterized
5906     as a cash contract, deferred shipment or deferred delivery contract, forward contract, futures
5907     contract, installment or margin contract, leverage contract, or otherwise.
5908          (ii) A commodity contract offered or sold shall, in the absence of evidence to the
5909     contrary, be presumed to be offered or sold for speculation or investment purposes.
5910          (iii) (A) A commodity contract may not include a contract or agreement that requires,
5911     and under which the purchaser receives, within 28 calendar days from the payment in good
5912     funds any portion of the purchase price, physical delivery of the total amount of each
5913     commodity to be purchased under the contract or agreement.
5914          (B) A purchaser is not considered to have received physical delivery of the total
5915     amount of each commodity to be purchased under the contract or agreement when the
5916     commodity or commodities are held as collateral for a loan or are subject to a lien of any
5917     person when the loan or lien arises in connection with the purchase of each commodity or

5918     commodities.
5919          (h) (i) "Commodity option" means an account, agreement, or contract giving a party to
5920     the option the right but not the obligation to purchase or sell one or more commodities or one
5921     or more commodity contracts, or both whether characterized as an option, privilege, indemnity,
5922     bid, offer, put, call, advance guaranty, decline guaranty, or otherwise.
5923          (ii) "Commodity option" does not include an option traded on a national securities
5924     exchange registered:
5925          (A) with the Securities and Exchange Commission; or
5926          (B) on a board of trade designated as a contract market by the Commodity Futures
5927     Trading Commission.
5928          (i) "Depository institution" means the same as that term is defined in Section 7-1-103.
5929          (j) "Director" means the director of the division appointed in accordance with Section
5930     61-1-18.
5931          (k) "Division" means the Division of Securities established by Section 61-1-18.
5932          (l) "Executive director" means the executive director of the Department of Commerce.
5933          (m) "Federal covered adviser" means a person who:
5934          (i) is registered under Section 203 of the Investment Advisers Act of 1940; or
5935          (ii) is excluded from the definition of "investment adviser" under Section 202(a)(11) of
5936     the Investment Advisers Act of 1940.
5937          (n) "Federal covered security" means a security that is a covered security under Section
5938     18(b) of the Securities Act of 1933 or rules or regulations promulgated under Section 18(b) of
5939     the Securities Act of 1933.
5940          (o) "Fraud," "deceit," and "defraud" are not limited to their common-law meanings.
5941          (p) "Guaranteed" means guaranteed as to payment of principal or interest as to debt
5942     securities, or dividends as to equity securities.
5943          (q) (i) "Investment adviser" means a person who:
5944          (A) for compensation, engages in the business of advising others, either directly or
5945     through publications or writings, as to the value of securities or as to the advisability of
5946     investing in, purchasing, or selling securities; or
5947          (B) for compensation and as a part of a regular business, issues or promulgates
5948     analyses or reports concerning securities.

5949          (ii) "Investment adviser" includes a financial planner or other person who:
5950          (A) as an integral component of other financially related services, provides the
5951     investment advisory services described in Subsection (1)(q)(i) to others as part of a business;
5952          (B) holds the person out as providing the investment advisory services described in
5953     Subsection (1)(q)(i) to others; or
5954          (C) holds the person out as a financial adviser, financial consultant, or any other similar
5955     title as the division may specify in rule made in accordance with Title 63G, Chapter 3, Utah
5956     Administrative Rulemaking Act, in any way as to imply that the person is generally engaged in
5957     an investment advisory business, including a person who does not hold a securities license and
5958     uses a title described in this Subsection (1)(q)(ii)(C) in any advertising or marketing material.
5959          (iii) "Investment adviser" does not include:
5960          (A) an investment adviser representative;
5961          (B) a depository institution or trust company;
5962          (C) a lawyer, accountant, engineer, or teacher whose performance of these services is
5963     solely incidental to the practice of the profession;
5964          (D) a broker-dealer or its agent whose performance of these services is solely
5965     incidental to the conduct of its business as a broker-dealer and who receives no special
5966     compensation for the services;
5967          (E) a publisher of a bona fide newspaper, news column, news letter, news magazine, or
5968     business or financial publication or service, of general, regular, and paid circulation, whether
5969     communicated in hard copy form, or by electronic means, or otherwise, that does not consist of
5970     the rendering of advice on the basis of the specific investment situation of each client;
5971          (F) a person who is a federal covered adviser;
5972          (G) a person described in Subsection (3); or
5973          (H) such other persons not within the intent of this Subsection (1)(q) as the division
5974     may by rule or order designate.
5975          (r) (i) "Investment adviser representative" means a partner, officer, director of, or a
5976     person occupying a similar status or performing similar functions, or other individual, except
5977     clerical or ministerial personnel, who:
5978          (A) (I) is employed by or associated with an investment adviser who is licensed or
5979     required to be licensed under this chapter; or

5980          (II) has a place of business located in this state and is employed by or associated with a
5981     federal covered adviser; and
5982          (B) does any of the following:
5983          (I) makes a recommendation or otherwise renders advice regarding securities;
5984          (II) manages accounts or portfolios of clients;
5985          (III) determines which recommendation or advice regarding securities should be given;
5986          (IV) solicits, offers, or negotiates for the sale of or sells investment advisory services;
5987     or
5988          (V) supervises employees who perform any of the acts described in this Subsection
5989     (1)(r)(i)(B).
5990          (ii) "Investment adviser representative" does not include a person described in
5991     Subsection (3).
5992          (s) "Investment contract" includes:
5993          (i) an investment in a common enterprise with the expectation of profit to be derived
5994     through the essential managerial efforts of someone other than the investor; or
5995          (ii) an investment by which:
5996          (A) an offeree furnishes initial value to an offerer;
5997          (B) a portion of the initial value is subjected to the risks of the enterprise;
5998          (C) the furnishing of the initial value is induced by the offerer's promises or
5999     representations that give rise to a reasonable understanding that a valuable benefit of some kind
6000     over and above the initial value will accrue to the offeree as a result of the operation of the
6001     enterprise; and
6002          (D) the offeree does not receive the right to exercise practical and actual control over
6003     the managerial decisions of the enterprise.
6004          (t) "Isolated transaction" means not more than a total of two transactions that occur
6005     anywhere during six consecutive months.
6006          (u) (i) "Issuer" means a person who issues or proposes to issue a security or has
6007     outstanding a security that it has issued.
6008          (ii) With respect to a preorganization certificate or subscription, "issuer" means the one
6009     or more promoters of the person to be organized.
6010          (iii) "Issuer" means the one or more persons performing the acts and assuming duties

6011     of a depositor or manager under the provisions of the trust or other agreement or instrument
6012     under which the security is issued with respect to:
6013          (A) interests in trusts, including collateral trust certificates, voting trust certificates, and
6014     certificates of deposit for securities; or
6015          (B) shares in an investment company without a board of directors.
6016          (iv) With respect to an equipment trust certificate, a conditional sales contract, or
6017     similar securities serving the same purpose, "issuer" means the person by whom the equipment
6018     or property is to be used.
6019          (v) With respect to interests in partnerships, general or limited, "issuer" means the
6020     partnership itself and not the general partner or partners.
6021          (vi) With respect to certificates of interest or participation in oil, gas, or mining titles or
6022     leases or in payment out of production under the titles or leases, "issuer" means the owner of
6023     the title or lease or right of production, whether whole or fractional, who creates fractional
6024     interests therein for the purpose of sale.
6025          (v) (i) "Life settlement interest" means the entire interest or a fractional interest in any
6026     of the following that is the subject of a life settlement:
6027          (A) a policy; or
6028          (B) the death benefit under a policy.
6029          (ii) "Life settlement interest" does not include the initial purchase from the owner by a
6030     life settlement provider.
6031          (w) "Nonissuer" means not directly or indirectly for the benefit of the issuer.
6032          (x) "Person" means:
6033          (i) an individual;
6034          (ii) a corporation;
6035          (iii) a partnership;
6036          (iv) a limited liability company;
6037          (v) an association;
6038          (vi) a joint-stock company;
6039          (vii) a joint venture;
6040          (viii) a trust where the interests of the beneficiaries are evidenced by a security;
6041          (ix) an unincorporated organization;

6042          (x) a government; or
6043          (xi) a political subdivision of a government.
6044          (y) "Precious metal" means the following, whether in coin, bullion, or other form:
6045          (i) silver;
6046          (ii) gold;
6047          (iii) platinum;
6048          (iv) palladium;
6049          (v) copper; and
6050          (vi) such other substances as the division may specify by rule.
6051          (z) "Promoter" means a person who, acting alone or in concert with one or more
6052     persons, takes initiative in founding or organizing the business or enterprise of a person.
6053          (aa) (i) Except as provided in Subsection (1)(aa)(ii), "record" means information that
6054     is:
6055          (A) inscribed in a tangible medium; or
6056          (B) (I) stored in an electronic or other medium; and
6057          (II) retrievable in perceivable form.
6058          (ii) This Subsection (1)(aa) does not apply when the context requires otherwise,
6059     including when "record" is used in the following phrases:
6060          (A) "of record";
6061          (B) "official record"; or
6062          (C) "public record."
6063          (bb) (i) "Sale" or "sell" includes a contract for sale of, contract to sell, or disposition of,
6064     a security or interest in a security for value.
6065          (ii) "Offer" or "offer to sell" includes an attempt or offer to dispose of, or solicitation of
6066     an offer to buy, a security or interest in a security for value.
6067          (iii) The following are examples of the definitions in Subsection (1)(bb)(i) or (ii):
6068          (A) a security given or delivered with or as a bonus on account of a purchase of a
6069     security or any other thing, is part of the subject of the purchase, and is offered and sold for
6070     value;
6071          (B) a purported gift of assessable stock is an offer or sale as is each assessment levied
6072     on the stock;

6073          (C) an offer or sale of a security that is convertible into, or entitles its holder to acquire
6074     or subscribe to another security of the same or another issuer is an offer or sale of that security,
6075     and also an offer of the other security, whether the right to convert or acquire is exercisable
6076     immediately or in the future;
6077          (D) a conversion or exchange of one security for another constitutes an offer or sale of
6078     the security received in a conversion or exchange, and the offer to buy or the purchase of the
6079     security converted or exchanged;
6080          (E) securities distributed as a dividend wherein the person receiving the dividend
6081     surrenders the right, or the alternative right, to receive a cash or property dividend is an offer or
6082     sale;
6083          (F) a dividend of a security of another issuer is an offer or sale; or
6084          (G) the issuance of a security under a merger, consolidation, reorganization,
6085     recapitalization, reclassification, or acquisition of assets constitutes the offer or sale of the
6086     security issued as well as the offer to buy or the purchase of a security surrendered in
6087     connection therewith, unless the sole purpose of the transaction is to change the issuer's
6088     domicile.
6089          (iv) The terms defined in Subsections (1)(bb)(i) and (ii) do not include:
6090          (A) a good faith gift;
6091          (B) a transfer by death;
6092          (C) a transfer by termination of a trust or of a beneficial interest in a trust;
6093          (D) a security dividend not within Subsection (1)(bb)(iii)(E) or (F); or
6094          (E) a securities split or reverse split.
6095          (cc) "Securities Act of 1933," "Securities Exchange Act of 1934," and "Investment
6096     Company Act of 1940" mean the federal statutes of those names as amended before or after the
6097     effective date of this chapter.
6098          (dd) "Securities Exchange Commission" means the United States Securities Exchange
6099     Commission created by the Securities Exchange Act of 1934.
6100          (ee) (i) "Security" means a:
6101          (A) note;
6102          (B) stock;
6103          (C) treasury stock;

6104          (D) bond;
6105          (E) debenture;
6106          (F) evidence of indebtedness;
6107          (G) certificate of interest or participation in a profit-sharing agreement;
6108          (H) collateral-trust certificate;
6109          (I) preorganization certificate or subscription;
6110          (J) transferable share;
6111          (K) investment contract;
6112          (L) burial certificate or burial contract;
6113          (M) voting-trust certificate;
6114          (N) certificate of deposit for a security;
6115          (O) certificate of interest or participation in an oil, gas, or mining title or lease or in
6116     payments out of production under such a title or lease;
6117          (P) commodity contract or commodity option;
6118          (Q) interest in a limited liability company;
6119          (R) life settlement interest; or
6120          (S) in general, an interest or instrument commonly known as a "security," or a
6121     certificate of interest or participation in, temporary or interim certificate for, receipt for,
6122     guarantee of, or warrant or right to subscribe to or purchase an item listed in Subsections
6123     (1)(ee)(i)(A) through (R).
6124          (ii) "Security" does not include:
6125          (A) an insurance or endowment policy or annuity contract under which an insurance
6126     company promises to pay money in a lump sum or periodically for life or some other specified
6127     period;
6128          (B) an interest in a limited liability company in which the limited liability company is
6129     formed as part of an estate plan where all of the members are related by blood or marriage, or
6130     the person claiming this exception can prove that all of the members are actively engaged in the
6131     management of the limited liability company; or
6132          (C) (I) a whole long-term estate in real property;
6133          (II) an undivided fractionalized long-term estate in real property that consists of 10 or
6134     fewer owners; or

6135          (III) an undivided fractionalized long-term estate in real property that consists of more
6136     than 10 owners if, when the real property estate is subject to a management agreement:
6137          (Aa) the management agreement permits a simple majority of owners of the real
6138     property estate to not renew or to terminate the management agreement at the earlier of the end
6139     of the management agreement's current term, or 180 days after the day on which the owners
6140     give notice of termination to the manager; and
6141          (Bb) the management agreement prohibits, directly or indirectly, the lending of the
6142     proceeds earned from the real property estate or the use or pledge of its assets to a person or
6143     entity affiliated with or under common control of the manager.
6144          (iii) For purposes of Subsection (1)(ee)(ii)(B), evidence that members vote or have the
6145     right to vote, or the right to information concerning the business and affairs of the limited
6146     liability company, or the right to participate in management, may not establish, without more,
6147     that all members are actively engaged in the management of the limited liability company.
6148          (ff) "State" means a state, territory, or possession of the United States, the District of
6149     Columbia, and Puerto Rico.
6150          (gg) (i) "Undivided fractionalized long-term estate" means the same as that term is
6151     defined in Section 57-29-102.
6152          (ii) "Undivided fractionalized long-term estate" does not include a joint tenancy.
6153          (hh) "Undue influence" means that a person uses a relationship or position of authority,
6154     trust, or confidence:
6155          (i) that is unrelated to a relationship created:
6156          (A) in the ordinary course of making investments regulated under this chapter; or
6157          (B) by a licensee providing services under this chapter;
6158          (ii) that results in:
6159          (A) an investor perceiving the person as having heightened credibility, personal
6160     trustworthiness, or dependability; or
6161          (B) the person having special access to or control of an investor's financial resources,
6162     information, or circumstances; and
6163          (iii) to:
6164          (A) exploit the trust, dependence, or fear of the investor;
6165          (B) knowingly assist or cause another to exploit the trust, dependence, or fear of the

6166     investor; or
6167          (C) gain control deceptively over the decision making of the investor.
6168          (ii) "Vulnerable adult" means the same as that term is defined in Section [62A-3-301]
6169     26B-6-201.
6170          (jj) "Whole long-term estate" means a person owns or persons through joint tenancy
6171     own real property through a fee estate.
6172          (kk) "Working days" means 8 a.m. to 5 p.m., Monday through Friday, exclusive of
6173     legal holidays listed in Section 63G-1-301.
6174          (2) A term not defined in this section shall have the meaning as established by division
6175     rule. The meaning of a term neither defined in this section nor by rule of the division shall be
6176     the meaning commonly accepted in the business community.
6177          (3) (a) This Subsection (3) applies to the offer or sale of a real property estate
6178     exempted from the definition of security under Subsection (1)(ee)(ii)(C).
6179          (b) A person who, directly or indirectly receives compensation in connection with the
6180     offer or sale as provided in this Subsection (3) of a real property estate is not an agent,
6181     broker-dealer, investment adviser, or investment adviser representative under this chapter if
6182     that person is licensed under Chapter 2f, Real Estate Licensing and Practices Act, as:
6183          (i) a principal broker;
6184          (ii) an associate broker; or
6185          (iii) a sales agent.
6186          Section 65. Section 61-1-201 is amended to read:
6187          61-1-201. Definitions.
6188          As used in this part:
6189          (1) "Adult Protective Services" means the same as that term is defined in Section
6190     [62A-3-301] 26B-6-201.
6191          (2) "Eligible adult" means:
6192          (a) an individual who is 65 years of age or older; or
6193          (b) a vulnerable adult as defined in Section [62A-3-301] 26B-6-201.
6194          (3) "Financial exploitation of an eligible adult" means:
6195          (a) the wrongful or unauthorized taking, withholding, appropriation, or use of money,
6196     assets, or other property of an eligible adult; or

6197          (b) an act or omission, including through a power of attorney, guardianship, or
6198     conservatorship of an eligible adult, to:
6199          (i) obtain control, through deception, intimidation, or undue influence, over an eligible
6200     adult's money, assets, or other property to deprive the eligible adult of the ownership, use,
6201     benefit, or possession of the eligible adult's money, assets, or other property; or
6202          (ii) convert an eligible adult's money, assets, or other property to deprive the eligible
6203     adult of the ownership, use, benefit, or possession of the eligible adult's money, assets, or other
6204     property.
6205          (4) "Law enforcement agency" means the same as that term is defined in Section
6206     53-1-102.
6207          (5) "Qualified individual" means:
6208          (a) an agent;
6209          (b) an investment adviser representative; or
6210          (c) an individual who serves in a supervisory, compliance, or legal capacity for a
6211     broker-dealer or an investment adviser.
6212          Section 66. Section 62A-2-101 is amended to read:
6213          62A-2-101. Definitions.
6214          As used in this chapter:
6215          (1) "Adoption services" means the same as that term is defined in Section 80-2-801.
6216          (2) "Adult day care" means nonresidential care and supervision:
6217          (a) for three or more adults for at least four but less than 24 hours a day; and
6218          (b) that meets the needs of functionally impaired adults through a comprehensive
6219     program that provides a variety of health, social, recreational, and related support services in a
6220     protective setting.
6221          (3) "Applicant" means a person that applies for an initial license or a license renewal
6222     under this chapter.
6223          (4) (a) "Associated with the licensee" means that an individual is:
6224          (i) affiliated with a licensee as an owner, director, member of the governing body,
6225     employee, agent, provider of care, department contractor, or volunteer; or
6226          (ii) applying to become affiliated with a licensee in a capacity described in Subsection
6227     (4)(a)(i).

6228          (b) "Associated with the licensee" does not include:
6229          (i) service on the following bodies, unless that service includes direct access to a child
6230     or a vulnerable adult:
6231          (A) a local mental health authority described in Section 17-43-301;
6232          (B) a local substance abuse authority described in Section 17-43-201; or
6233          (C) a board of an organization operating under a contract to provide mental health or
6234     substance abuse programs, or services for the local mental health authority or substance abuse
6235     authority; or
6236          (ii) a guest or visitor whose access to a child or a vulnerable adult is directly supervised
6237     at all times.
6238          (5) (a) "Boarding school" means a private school that:
6239          (i) uses a regionally accredited education program;
6240          (ii) provides a residence to the school's students:
6241          (A) for the purpose of enabling the school's students to attend classes at the school; and
6242          (B) as an ancillary service to educating the students at the school;
6243          (iii) has the primary purpose of providing the school's students with an education, as
6244     defined in Subsection (5)(b)(i); and
6245          (iv) (A) does not provide the treatment or services described in Subsection (38)(a); or
6246          (B) provides the treatment or services described in Subsection (38)(a) on a limited
6247     basis, as described in Subsection (5)(b)(ii).
6248          (b) (i) For purposes of Subsection (5)(a)(iii), "education" means a course of study for
6249     one or more of grades kindergarten through 12th grade.
6250          (ii) For purposes of Subsection (5)(a)(iv)(B), a private school provides the treatment or
6251     services described in Subsection (38)(a) on a limited basis if:
6252          (A) the treatment or services described in Subsection (38)(a) are provided only as an
6253     incidental service to a student; and
6254          (B) the school does not:
6255          (I) specifically solicit a student for the purpose of providing the treatment or services
6256     described in Subsection (38)(a); or
6257          (II) have a primary purpose of providing the treatment or services described in
6258     Subsection (38)(a).

6259          (c) "Boarding school" does not include a therapeutic school.
6260          (6) "Child" means an individual under 18 years old.
6261          (7) "Child placing" means receiving, accepting, or providing custody or care for any
6262     child, temporarily or permanently, for the purpose of:
6263          (a) finding a person to adopt the child;
6264          (b) placing the child in a home for adoption; or
6265          (c) foster home placement.
6266          (8) "Child-placing agency" means a person that engages in child placing.
6267          (9) "Client" means an individual who receives or has received services from a licensee.
6268          (10) (a) "Congregate care program" means any of the following that provide services to
6269     a child:
6270          (i) an outdoor youth program;
6271          (ii) a residential support program;
6272          (iii) a residential treatment program; or
6273          (iv) a therapeutic school.
6274          (b) "Congregate care program" does not include a human services program that:
6275          (i) is licensed to serve adults; and
6276          (ii) is approved by the office to service a child for a limited time.
6277          (11) "Day treatment" means specialized treatment that is provided to:
6278          (a) a client less than 24 hours a day; and
6279          (b) four or more persons who:
6280          (i) are unrelated to the owner or provider; and
6281          (ii) have emotional, psychological, developmental, physical, or behavioral
6282     dysfunctions, impairments, or chemical dependencies.
6283          (12) "Department" means the Department of [Human Services] Health and Human
6284     Services.
6285          (13) "Department contractor" means an individual who:
6286          (a) provides services under a contract with the department; and
6287          (b) due to the contract with the department, has or will likely have direct access to a
6288     child or vulnerable adult.
6289          (14) "Direct access" means that an individual has, or likely will have:

6290          (a) contact with or access to a child or vulnerable adult that provides the individual
6291     with an opportunity for personal communication or touch; or
6292          (b) an opportunity to view medical, financial, or other confidential personal identifying
6293     information of the child, the child's parents or legal guardians, or the vulnerable adult.
6294          (15) "Directly supervised" means that an individual is being supervised under the
6295     uninterrupted visual and auditory surveillance of another individual who has a current
6296     background screening approval issued by the office.
6297          (16) "Director" means the director of the office.
6298          (17) "Domestic violence" means the same as that term is defined in Section 77-36-1.
6299          (18) "Domestic violence treatment program" means a nonresidential program designed
6300     to provide psychological treatment and educational services to perpetrators and victims of
6301     domestic violence.
6302          (19) "Elder adult" means a person 65 years old or older.
6303          (20) "Executive director" means the executive director of the department.
6304          (21) "Foster home" means a residence that is licensed or certified by the office for the
6305     full-time substitute care of a child.
6306          (22) "Health benefit plan" means the same as that term is defined in Section
6307     31A-1-301.
6308          (23) "Health care provider" means the same as that term is defined in Section
6309     78B-3-403.
6310          (24) "Health insurer" means the same as that term is defined in Section 31A-22-615.5.
6311          (25) (a) "Human services program" means:
6312          (i) a foster home;
6313          (ii) a therapeutic school;
6314          (iii) a youth program;
6315          (iv) an outdoor youth program;
6316          (v) a residential treatment program;
6317          (vi) a residential support program;
6318          (vii) a resource family home;
6319          (viii) a recovery residence; or
6320          (ix) a facility or program that provides:

6321          (A) adult day care;
6322          (B) day treatment;
6323          (C) outpatient treatment;
6324          (D) domestic violence treatment;
6325          (E) child-placing services;
6326          (F) social detoxification; or
6327          (G) any other human services that are required by contract with the department to be
6328     licensed with the department.
6329          (b) "Human services program" does not include:
6330          (i) a boarding school; or
6331          (ii) a residential, vocational and life skills program, as defined in Section 13-53-102.
6332          (26) "Indian child" means the same as that term is defined in 25 U.S.C. Sec. 1903.
6333          (27) "Indian country" means the same as that term is defined in 18 U.S.C. Sec. 1151.
6334          (28) "Indian tribe" means the same as that term is defined in 25 U.S.C. Sec. 1903.
6335          (29) "Intermediate secure treatment" means 24-hour specialized residential treatment or
6336     care for an individual who:
6337          (a) cannot live independently or in a less restrictive environment; and
6338          (b) requires, without the individual's consent or control, the use of locked doors to care
6339     for the individual.
6340          (30) "Licensee" means an individual or a human services program licensed by the
6341     office.
6342          (31) "Local government" means a city, town, metro township, or county.
6343          (32) "Minor" means child.
6344          (33) "Office" means the Office of Licensing within the Department of [Human
6345     Services] Health and Human Services.
6346          (34) "Outdoor youth program" means a program that provides:
6347          (a) services to a child that has:
6348          (i) a chemical dependency; or
6349          (ii) a dysfunction or impairment that is emotional, psychological, developmental,
6350     physical, or behavioral;
6351          (b) a 24-hour outdoor group living environment; and

6352          (c) (i) regular therapy, including group, individual, or supportive family therapy; or
6353          (ii) informal therapy or similar services, including wilderness therapy, adventure
6354     therapy, or outdoor behavioral healthcare.
6355          (35) "Outpatient treatment" means individual, family, or group therapy or counseling
6356     designed to improve and enhance social or psychological functioning for those whose physical
6357     and emotional status allows them to continue functioning in their usual living environment.
6358          (36) "Practice group" or "group practice" means two or more health care providers
6359     legally organized as a partnership, professional corporation, or similar association, for which:
6360          (a) substantially all of the services of the health care providers who are members of the
6361     group are provided through the group and are billed in the name of the group and amounts
6362     received are treated as receipts of the group; and
6363          (b) the overhead expenses of and the income from the practice are distributed in
6364     accordance with methods previously determined by members of the group.
6365          (37) "Private-placement child" means a child whose parent or guardian enters into a
6366     contract with a congregate care program for the child to receive services.
6367          (38) (a) "Recovery residence" means a home, residence, or facility that meets at least
6368     two of the following requirements:
6369          (i) provides a supervised living environment for individuals recovering from a
6370     substance use disorder;
6371          (ii) provides a living environment in which more than half of the individuals in the
6372     residence are recovering from a substance use disorder;
6373          (iii) provides or arranges for residents to receive services related to their recovery from
6374     a substance use disorder, either on or off site;
6375          (iv) is held out as a living environment in which individuals recovering from substance
6376     abuse disorders live together to encourage continued sobriety; or
6377          (v) (A) receives public funding; or
6378          (B) is run as a business venture, either for-profit or not-for-profit.
6379          (b) "Recovery residence" does not mean:
6380          (i) a residential treatment program;
6381          (ii) residential support program; or
6382          (iii) a home, residence, or facility, in which:

6383          (A) residents, by their majority vote, establish, implement, and enforce policies
6384     governing the living environment, including the manner in which applications for residence are
6385     approved and the manner in which residents are expelled;
6386          (B) residents equitably share rent and housing-related expenses; and
6387          (C) a landlord, owner, or operator does not receive compensation, other than fair
6388     market rental income, for establishing, implementing, or enforcing policies governing the
6389     living environment.
6390          (39) "Regular business hours" means:
6391          (a) the hours during which services of any kind are provided to a client; or
6392          (b) the hours during which a client is present at the facility of a licensee.
6393          (40) (a) "Residential support program" means a program that arranges for or provides
6394     the necessities of life as a protective service to individuals or families who have a disability or
6395     who are experiencing a dislocation or emergency that prevents them from providing these
6396     services for themselves or their families.
6397          (b) "Residential support program" includes a program that provides a supervised living
6398     environment for individuals with dysfunctions or impairments that are:
6399          (i) emotional;
6400          (ii) psychological;
6401          (iii) developmental; or
6402          (iv) behavioral.
6403          (c) Treatment is not a necessary component of a residential support program.
6404          (d) "Residential support program" does not include:
6405          (i) a recovery residence; or
6406          (ii) a program that provides residential services that are performed:
6407          (A) exclusively under contract with the department and provided to individuals through
6408     the Division of Services for People with Disabilities; or
6409          (B) in a facility that serves fewer than four individuals.
6410          (41) (a) "Residential treatment" means a 24-hour group living environment for four or
6411     more individuals unrelated to the owner or provider that offers room or board and specialized
6412     treatment, behavior modification, rehabilitation, discipline, emotional growth, or habilitation
6413     services for persons with emotional, psychological, developmental, or behavioral dysfunctions,

6414     impairments, or chemical dependencies.
6415          (b) "Residential treatment" does not include a:
6416          (i) boarding school;
6417          (ii) foster home; or
6418          (iii) recovery residence.
6419          (42) "Residential treatment program" means a program or facility that provides:
6420          (a) residential treatment; or
6421          (b) intermediate secure treatment.
6422          (43) "Seclusion" means the involuntary confinement of an individual in a room or an
6423     area:
6424          (a) away from the individual's peers; and
6425          (b) in a manner that physically prevents the individual from leaving the room or area.
6426          (44) "Social detoxification" means short-term residential services for persons who are
6427     experiencing or have recently experienced drug or alcohol intoxication, that are provided
6428     outside of a health care facility licensed under [Title 26, Chapter 21, Health Care Facility
6429     Licensing and Inspection Act] Title 26B, Chapter 2, Part 2, Health Care Facility Licensing and
6430     Inspection, and that include:
6431          (a) room and board for persons who are unrelated to the owner or manager of the
6432     facility;
6433          (b) specialized rehabilitation to acquire sobriety; and
6434          (c) aftercare services.
6435          (45) "Substance abuse disorder" or "substance use disorder" mean the same as
6436     "substance use disorder" is defined in Section [62A-15-1202] 26B-5-501.
6437          (46) "Substance abuse treatment program" or "substance use disorder treatment
6438     program" means a program:
6439          (a) designed to provide:
6440          (i) specialized drug or alcohol treatment;
6441          (ii) rehabilitation; or
6442          (iii) habilitation services; and
6443          (b) that provides the treatment or services described in Subsection (46)(a) to persons
6444     with:

6445          (i) a diagnosed substance use disorder; or
6446          (ii) chemical dependency disorder.
6447          (47) "Therapeutic school" means a residential group living facility:
6448          (a) for four or more individuals that are not related to:
6449          (i) the owner of the facility; or
6450          (ii) the primary service provider of the facility;
6451          (b) that serves students who have a history of failing to function:
6452          (i) at home;
6453          (ii) in a public school; or
6454          (iii) in a nonresidential private school; and
6455          (c) that offers:
6456          (i) room and board; and
6457          (ii) an academic education integrated with:
6458          (A) specialized structure and supervision; or
6459          (B) services or treatment related to:
6460          (I) a disability;
6461          (II) emotional development;
6462          (III) behavioral development;
6463          (IV) familial development; or
6464          (V) social development.
6465          (48) "Unrelated persons" means persons other than parents, legal guardians,
6466     grandparents, brothers, sisters, uncles, or aunts.
6467          (49) "Vulnerable adult" means an elder adult or an adult who has a temporary or
6468     permanent mental or physical impairment that substantially affects the person's ability to:
6469          (a) provide personal protection;
6470          (b) provide necessities such as food, shelter, clothing, or mental or other health care;
6471          (c) obtain services necessary for health, safety, or welfare;
6472          (d) carry out the activities of daily living;
6473          (e) manage the adult's own resources; or
6474          (f) comprehend the nature and consequences of remaining in a situation of abuse,
6475     neglect, or exploitation.

6476          (50) (a) "Youth program" means a program designed to provide behavioral, substance
6477     abuse, or mental health services to minors that:
6478          (i) serves adjudicated or nonadjudicated youth;
6479          (ii) charges a fee for its services;
6480          (iii) may provide host homes or other arrangements for overnight accommodation of
6481     the youth;
6482          (iv) may provide all or part of its services in the outdoors;
6483          (v) may limit or censor access to parents or guardians; and
6484          (vi) prohibits or restricts a minor's ability to leave the program at any time of the
6485     minor's own free will.
6486          (b) "Youth program" does not include recreational programs such as Boy Scouts, Girl
6487     Scouts, 4-H, and other such organizations.
6488          (51) (a) "Youth transportation company" means any person that transports a child for
6489     payment to or from a congregate care program in Utah.
6490          (b) "Youth transportation company" does not include:
6491          (i) a relative of the child;
6492          (ii) a state agency; or
6493          (iii) a congregate care program's employee who transports the child from the
6494     congregate care program that employs the employee and returns the child to the same
6495     congregate care program.
6496          Section 67. Section 62A-2-106 is amended to read:
6497          62A-2-106. Office responsibilities.
6498          (1) Subject to the requirements of federal and state law, the office shall:
6499          (a) make rules in accordance with Title 63G, Chapter 3, Utah Administrative
6500     Rulemaking Act, to establish:
6501          (i) except as provided in Subsection (1)(a)(ii), basic health and safety standards for
6502     licensees, that shall be limited to:
6503          (A) fire safety;
6504          (B) food safety;
6505          (C) sanitation;
6506          (D) infectious disease control;

6507          (E) safety of the:
6508          (I) physical facility and grounds; and
6509          (II) area and community surrounding the physical facility;
6510          (F) transportation safety;
6511          (G) emergency preparedness and response;
6512          (H) the administration of medical standards and procedures, consistent with the related
6513     provisions of this title;
6514          (I) staff and client safety and protection;
6515          (J) the administration and maintenance of client and service records;
6516          (K) staff qualifications and training, including standards for permitting experience to
6517     be substituted for education, unless prohibited by law;
6518          (L) staff to client ratios;
6519          (M) access to firearms; and
6520          (N) the prevention of abuse, neglect, exploitation, harm, mistreatment, or fraud;
6521          (ii) basic health and safety standards for therapeutic schools, that shall be limited to:
6522          (A) fire safety, except that the standards are limited to those required by law or rule
6523     under Title 53, Chapter 7, Part 2, Fire Prevention and Fireworks Act;
6524          (B) food safety;
6525          (C) sanitation;
6526          (D) infectious disease control, except that the standards are limited to:
6527          (I) those required by law or rule under [Title 26, Utah Health Code, or] Title 26A,
6528     Local Health Authorities, or Title 26B, Utah Health and Human Services Code; and
6529          (II) requiring a separate room for clients who are sick;
6530          (E) safety of the physical facility and grounds, except that the standards are limited to
6531     those required by law or rule under Title 53, Chapter 7, Part 2, Fire Prevention and Fireworks
6532     Act;
6533          (F) transportation safety;
6534          (G) emergency preparedness and response;
6535          (H) access to appropriate medical care, including:
6536          (I) subject to the requirements of law, designation of a person who is authorized to
6537     dispense medication; and

6538          (II) storing, tracking, and securing medication;
6539          (I) staff and client safety and protection that permits the school to provide for the direct
6540     supervision of clients at all times;
6541          (J) the administration and maintenance of client and service records;
6542          (K) staff qualifications and training, including standards for permitting experience to
6543     be substituted for education, unless prohibited by law;
6544          (L) staff to client ratios;
6545          (M) access to firearms; and
6546          (N) the prevention of abuse, neglect, exploitation, harm, mistreatment, or fraud;
6547          (iii) procedures and standards for permitting a licensee to:
6548          (A) provide in the same facility and under the same conditions as children, residential
6549     treatment services to a person 18 years old or older who:
6550          (I) begins to reside at the licensee's residential treatment facility before the person's
6551     18th birthday;
6552          (II) has resided at the licensee's residential treatment facility continuously since the
6553     time described in Subsection (1)(a)(iii)(A)(I);
6554          (III) has not completed the course of treatment for which the person began residing at
6555     the licensee's residential treatment facility; and
6556          (IV) voluntarily consents to complete the course of treatment described in Subsection
6557     (1)(a)(iii)(A)(III); or
6558          (B) (I) provide residential treatment services to a child who is:
6559          (Aa) at least 12 years old or, as approved by the office, younger than 12 years old; and
6560          (Bb) under the custody of the Department of [Human Services] Health and Human
6561     Services, or one of its divisions; and
6562          (II) provide, in the same facility as a child described in Subsection (1)(a)(iii)(B)(I),
6563     residential treatment services to a person who is:
6564          (Aa) at least 18 years old, but younger than 21 years old; and
6565          (Bb) under the custody of the Department of [Human Services] Health and Human
6566     Services, or one of its divisions;
6567          (iv) minimum administration and financial requirements for licensees;
6568          (v) guidelines for variances from rules established under this Subsection (1);

6569          (vi) ethical standards, as described in Subsection 78B-6-106(3), and minimum
6570     responsibilities of a child-placing agency that provides adoption services and that is licensed
6571     under this chapter;
6572          (vii) what constitutes an "outpatient treatment program" for purposes of this chapter;
6573          (viii) a procedure requiring a licensee to provide an insurer the licensee's records
6574     related to any services or supplies billed to the insurer, and a procedure allowing the licensee
6575     and the insurer to contact the Insurance Department to resolve any disputes;
6576          (ix) a protocol for the office to investigate and process complaints about licensees;
6577          (x) a procedure for a licensee to:
6578          (A) report the use of a restraint or seclusion within one business day after the day on
6579     which the use of the restraint or seclusion occurs; and
6580          (B) report a critical incident within one business day after the day on which the
6581     incident occurs;
6582          (xi) guidelines for the policies and procedures described in Sections [62A-2-123 and
6583     62A-2-124] 26B-2-123 and 26B-2-109;
6584          (xii) a procedure for the office to review and approve the policies and procedures
6585     described in Sections [62A-2-123 and 62A-2-124] 26B-2-123 and 26B-2-109; and
6586          (xiii) a requirement that each human services program publicly post information that
6587     informs an individual how to submit a complaint about a human services program to the office;
6588          (b) enforce rules relating to the office;
6589          (c) issue licenses in accordance with this chapter;
6590          (d) if the United States Department of State executes an agreement with the office that
6591     designates the office to act as an accrediting entity in accordance with the Intercountry
6592     Adoption Act of 2000, Pub. L. No. 106-279, accredit one or more agencies and persons to
6593     provide intercountry adoption services pursuant to:
6594          (i) the Intercountry Adoption Act of 2000, Pub. L. No. 106-279; and
6595          (ii) the implementing regulations for the Intercountry Adoption Act of 2000, Pub. L.
6596     No. 106-279;
6597          (e) make rules to implement the provisions of Subsection (1)(d);
6598          (f) conduct surveys and inspections of licensees and facilities in accordance with
6599     Section [62A-2-118] 26B-2-107;

6600          (g) collect licensure fees;
6601          (h) notify licensees of the name of a person within the department to contact when
6602     filing a complaint;
6603          (i) investigate complaints regarding any licensee or human services program;
6604          (j) have access to all records, correspondence, and financial data required to be
6605     maintained by a licensee;
6606          (k) have authority to interview any client, family member of a client, employee, or
6607     officer of a licensee;
6608          (l) have authority to deny, condition, revoke, suspend, or extend any license issued by
6609     the department under this chapter by following the procedures and requirements of Title 63G,
6610     Chapter 4, Administrative Procedures Act;
6611          (m) electronically post notices of agency action issued to a human services program,
6612     with the exception of a foster home, on the office's website, in accordance with Title 63G,
6613     Chapter 2, Government Records Access and Management Act; and
6614          (n) upon receiving a local government's request under Section [62A-2-108.4]
6615     26B-2-118, notify the local government of new human services program license applications,
6616     except for foster homes, for human services programs located within the local government's
6617     jurisdiction.
6618          (2) In establishing rules under Subsection (1)(a)(ii)(G), the office shall require a
6619     licensee to establish and comply with an emergency response plan that requires clients and staff
6620     to:
6621          (a) immediately report to law enforcement any significant criminal activity, as defined
6622     by rule, committed:
6623          (i) on the premises where the licensee operates its human services program;
6624          (ii) by or against its clients; or
6625          (iii) by or against a staff member while the staff member is on duty;
6626          (b) immediately report to emergency medical services any medical emergency, as
6627     defined by rule:
6628          (i) on the premises where the licensee operates its human services program;
6629          (ii) involving its clients; or
6630          (iii) involving a staff member while the staff member is on duty; and

6631          (c) immediately report other emergencies that occur on the premises where the licensee
6632     operates its human services program to the appropriate emergency services agency.
6633          Section 68. Section 62A-2-110 is amended to read:
6634          62A-2-110. Exclusions from chapter.
6635          The provisions of this chapter do not apply to:
6636          (1) a facility or program owned or operated by an agency of the United States
6637     government;
6638          (2) a facility or program operated by or under an exclusive contract with the
6639     Department of Corrections;
6640          (3) unless required otherwise by a contract with the department, individual or group
6641     counseling by a mental health professional licensed under Title 58, Chapter 60, Mental Health
6642     Professional Practice Act;
6643          (4) a general acute hospital, small health care facility, specialty hospital, nursing care
6644     facility, or other health care facility licensed by the [Department of Health under Title 26,
6645     Chapter 21, Health Care Facility Licensing and Inspection Act] Department of Health and
6646     Human Services under Title 26B, Chapter 2, Part 2, Health Care Facility Licensing and
6647     Inspection; or
6648          (5) a boarding school.
6649          Section 69. Section 62A-3-322 is amended to read:
6650          62A-3-322. Medical cannabis use by a vulnerable adult or guardian.
6651          A peace officer or an employee or agent of the division may not solicit or provide, and a
6652     court may not order, emergency services for a vulnerable adult based solely on:
6653          (1) the vulnerable adult's possession or use of cannabis in accordance with [Title 26,
6654     Chapter 61a, Utah Medical Cannabis Act] Title 26B, Chapter 4, Part 2, Cannabinoid Research
6655     and Medical Cannabis; or
6656          (2) the guardian of the vulnerable adult assisting with the use of or possessing cannabis
6657     in accordance with [Title 26, Chapter 61a, Utah Medical Cannabis Act] Title 26B, Chapter 4,
6658     Part 2, Cannabinoid Research and Medical Cannabis.
6659          Section 70. Section 62A-5a-102 is amended to read:
6660          62A-5a-102. Definitions.
6661          As used in this chapter:

6662          (1) "Council" means the Coordinating Council for Persons with Disabilities.
6663          (2) "State agencies" means:
6664          (a) the Division of Services for People with Disabilities and the Division of Substance
6665     Abuse and Mental Health, within the Department of [Human Services] Health and Human
6666     Services;
6667          (b) the Division of Health Care Financing within the Department of [Health] Health
6668     and Human Services;
6669          (c) family health services programs established under Title 26, Chapter 10, Family
6670     Health Services, operated by the Department of [Health] Health and Human Services;
6671          (d) the Utah State Office of Rehabilitation created in Section 35A-1-202; and
6672          (e) special education programs operated by the State Board of Education or an LEA
6673     under Title 53E, Chapter 7, Part 2, Special Education Program.
6674          Section 71. Section 62A-11-103 is amended to read:
6675          62A-11-103. Definitions.
6676          As used in this part:
6677          (1) "Account" means a demand deposit account, checking or negotiable withdrawal
6678     order account, savings account, time deposit account, or money-market mutual fund account.
6679          (2) "Cash medical support" means an obligation to equally share all reasonable and
6680     necessary medical and dental expenses of children.
6681          (3) "Child support services" or "IV-D child support services" means services provided
6682     pursuant to Part D of Title IV of the Social Security Act, 42 U.S.C. Sec. 651, et seq.
6683          (4) "Director" means the director of the Office of Recovery Services.
6684          (5) "Disposable earnings" means that part of the earnings of an individual remaining
6685     after the deduction of all amounts required by law to be withheld.
6686          (6) "Financial institution" means:
6687          (a) a depository institution as defined in Section 7-1-103 or the Federal Deposit
6688     Insurance Act, 12 U.S.C. Sec. 1813(c);
6689          (b) an institution-affiliated party as defined in the Federal Deposit Insurance Act, 12
6690     U.S.C. Sec. 1813(u);
6691          (c) any federal credit union or state credit union as defined in the Federal Credit Union
6692     Act, 12 U.S.C. Sec. 1752, including an institution-affiliated party of such a credit union as

6693     defined in 12 U.S.C. Sec. 1786(r);
6694          (d) a broker-dealer as defined in Section 61-1-13; or
6695          (e) any benefit association, insurance company, safe deposit company, money-market
6696     mutual fund, or similar entity authorized to do business in the state.
6697          (7) "Financial record" is defined in the Right to Financial Privacy Act of 1978, 12
6698     U.S.C. Sec. 3401.
6699          (8) "Income" means earnings, compensation, or other payment due to an individual,
6700     regardless of source, whether denominated as wages, salary, commission, bonus, pay, or
6701     contract payment, or denominated as advances on future wages, salary, commission, bonus,
6702     pay, allowances, contract payment, or otherwise, including severance pay, sick pay, and
6703     incentive pay. "Income" includes:
6704          (a) all gain derived from capital assets, labor, or both, including profit gained through
6705     sale or conversion of capital assets;
6706          (b) interest and dividends;
6707          (c) periodic payments made under pension or retirement programs or insurance policies
6708     of any type;
6709          (d) unemployment compensation benefits;
6710          (e) workers' compensation benefits; and
6711          (f) disability benefits.
6712          (9) "IV-D" means Part D of Title IV of the Social Security Act, 42 U.S.C. Sec. 651 et
6713     seq.
6714          (10) "New hire registry" means the centralized new hire registry created in Section
6715     35A-7-103.
6716          (11) "Obligee" means an individual, this state, another state, or other comparable
6717     jurisdiction to whom a debt is owed or who is entitled to reimbursement of child support or
6718     public assistance.
6719          (12) "Obligor" means a person, firm, corporation, or the estate of a decedent owing
6720     money to this state, to an individual, to another state, or other comparable jurisdiction in whose
6721     behalf this state is acting.
6722          (13) "Office" means the Office of Recovery Services.
6723          (14) "Provider" means a person or entity that receives compensation from any public

6724     assistance program for goods or services provided to a public assistance recipient.
6725          (15) "Public assistance" or "assistance" means:
6726          (a) services or benefits provided under Title 35A, Chapter 3, Employment Support Act;
6727          (b) medical assistance provided under [Title 26, Chapter 18, Medical Assistance Act]
6728     Title 26B, Chapter 3, Health Care - Delivery and Assistance;
6729          (c) foster care maintenance payments under Part E of Title IV of the Social Security
6730     Act, 42 U.S.C. Sec. 670, et seq.;
6731          (d) SNAP benefits as defined in Section 35A-1-102; or
6732          (e) any other public funds expended for the benefit of a person in need of financial,
6733     medical, food, housing, or related assistance.
6734          (16) "State case registry" means the central, automated record system maintained by
6735     the office and the central, automated district court record system maintained by the
6736     Administrative Office of the Courts, that contains records which use standardized data
6737     elements, such as names, Social Security numbers and other uniform identification numbers,
6738     dates of birth, and case identification numbers, with respect to:
6739          (a) each case in which services are being provided by the office under the state IV-D
6740     child support services plan; and
6741          (b) each support order established or modified in the state on or after October 1, 1998.
6742          Section 72. Section 63A-5b-303 is amended to read:
6743          63A-5b-303. Duties and authority of division.
6744          (1) (a) The division shall:
6745          (i) subject to Subsection (1)(b), supervise and control the allocation of space, in
6746     accordance with legislative directive through annual appropriations acts, other legislation, or
6747     statute, to agencies in all buildings or space owned, leased, or rented by or to the state, except
6748     as provided in Subsection (3) or as otherwise provided by statute;
6749          (ii) assure the efficient use of all building space under the division's supervision and
6750     control;
6751          (iii) acquire title to all real property, buildings, fixtures, and appurtenances for use by
6752     the state or an agency, as authorized by the Legislature through an appropriation act, other
6753     legislation, or statute, subject to Subsection (1)(c);
6754          (iv) except as otherwise provided by statute, hold title to all real property, buildings,

6755     fixtures, and appurtenances owned by the state or an agency;
6756          (v) collect and maintain all deeds, abstracts of title, and all other documents evidencing
6757     title to or an interest in property belonging to the state or to the state's departments, except
6758     institutions of higher education and the trust lands administration;
6759          (vi) (A) periodically conduct a market analysis of proposed rates and fees; and
6760          (B) include in a market analysis a comparison of the division's rates and fees with the
6761     rates and fees of other public or private sector providers of comparable services, if rates and
6762     fees for comparable services are reasonably available;
6763          (vii) fulfill the division's responsibilities under Part 10, Energy Conservation and
6764     Efficiency, including responsibilities:
6765          (A) to implement the state building energy efficiency program under Section
6766     63A-5b-1002; and
6767          (B) related to the approval of loans from the State Facility Energy Efficiency Fund
6768     under Section 63A-5b-1003;
6769          (viii) convey, lease, or dispose of the real property, water rights, or water shares
6770     associated with the Utah State Developmental Center if directed to do so by the Utah State
6771     Developmental Center board, as provided in Subsection [62A-5-206.6(2)] 26B-6-507(2); and
6772          (ix) take all other action that the division is required to do under this chapter or other
6773     applicable statute.
6774          (b) In making an allocation of space under Subsection (1)(a)(i), the division shall
6775     conduct one or more studies to determine the actual needs of each agency.
6776          (c) The division may, without legislative approval, acquire title to real property for use
6777     by the state or an agency if the acquisition cost does not exceed $500,000.
6778          (2) The division may:
6779          (a) sue and be sued;
6780          (b) as authorized by the Legislature, buy, lease, or otherwise acquire, by exchange or
6781     otherwise, and hold real or personal property necessary for the discharge of the division's
6782     duties; and
6783          (c) take all other action necessary for carrying out the purposes of this chapter.
6784          (3) (a) The division may not supervise or control the allocation of space for an entity in
6785     the public education system.

6786          (b) The supervision and control of the legislative area is reserved to the Legislature.
6787          (c) The supervision and control of capitol hill facilities and capitol hill grounds is
6788     reserved to the State Capitol Preservation Board.
6789          (d) (i) Subject to Subsection (3)(d)(ii), the supervision and control of the allocation of
6790     space for an institution of higher education is reserved to the Utah Board of Higher Education.
6791          (ii) The Utah Board of Higher Education shall consult and cooperate with the division
6792     in the establishment and enforcement of standards for the supervision and control of the
6793     allocation of space for an institution of higher education.
6794          (e) (i) Subject to Subsection (3)(e)(ii), the supervision and control of the allocation of
6795     space for the courts of record listed in Subsection 78A-1-101(1) is reserved to the
6796     Administrative Office of the Courts referred to in Subsection 78A-2-108(3).
6797          (ii) The Administrative Office of the Courts shall consult and cooperate with the
6798     division in the establishment and enforcement of standards for the supervision and control of
6799     the allocation of space for the courts of record listed in Subsection 78A-1-101(1).
6800          (4) Before the division charges a rate, fee, or other amount for a service provided by
6801     the division's internal service fund to an executive branch agency, or to a service subscriber
6802     other than an executive branch agency, the division shall:
6803          (a) submit an analysis of the proposed rate, fee, or other amount to the rate committee
6804     created in Section 63A-1-114; and
6805          (b) obtain the approval of the Legislature as required by Section 63J-1-410 or
6806     63J-1-504.
6807          Section 73. Section 63A-5b-607 is amended to read:
6808          63A-5b-607. Health insurance requirements -- Penalties.
6809          (1) As used in this section:
6810          (a) "Aggregate amount" means the dollar sum of all contracts, change orders, and
6811     modifications for a single project.
6812          (b) "Change order" means the same as that term is defined in Section 63G-6a-103.
6813          (c) "Eligible employee" means an employee, as defined in Section 34A-2-104, who:
6814          (i) works at least 30 hours per calendar week; and
6815          (ii) meets the employer eligibility waiting period for qualified health insurance
6816     coverage provided by the employer.

6817          (d) "Health benefit plan" means:
6818          (i) the same as that term is defined in Section 31A-1-301; or
6819          (ii) an employee welfare benefit plan:
6820          (A) established under the Employee Retirement Income Security Act of 1974, 29
6821     U.S.C. Sec. 1001 et seq.;
6822          (B) for an employer with 100 or more employees; and
6823          (C) in which the employer establishes a self-funded or partially self-funded group
6824     health plan to provide medical care for the employer's employees and dependents of the
6825     employees.
6826          (e) "Qualified health insurance coverage" means the same as that term is defined in
6827     Section [26-40-115] 26B-3-909.
6828          (f) "Subcontractor" means the same as that term is defined in Section 63A-5b-605.
6829          (g) "Third party administrator" or "administrator" means the same as that term is
6830     defined in Section 31A-1-301.
6831          (2) Except as provided in Subsection (3), the requirements of this section apply to:
6832          (a) a contractor of a design or construction contract with the division if the prime
6833     contract is in an aggregate amount of $2,000,000 or more; and
6834          (b) a subcontractor of a contractor of a design or construction contract with the division
6835     if the subcontract is in an aggregate amount of $1,000,000 or more.
6836          (3) The requirements of this section do not apply to a contractor or subcontractor if:
6837          (a) the application of this section jeopardizes the division's receipt of federal funds;
6838          (b) the contract is a sole source contract, as defined in Section 63G-6a-103; or
6839          (c) the contract is the result of an emergency procurement.
6840          (4) A person who intentionally uses a change order, contract modification, or multiple
6841     contracts to circumvent the requirements of this section is guilty of an infraction.
6842          (5) (a) A contractor that is subject to the requirements of this section shall:
6843          (i) make and maintain an offer of qualified health coverage for the contractor's eligible
6844     employees and the eligible employees' dependents; and
6845          (ii) submit to the director a written statement demonstrating that the contractor is in
6846     compliance with Subsection (5)(a)(i).
6847          (b) A statement under Subsection (5)(a)(ii):

6848          (i) shall be from:
6849          (A) an actuary selected by the contractor or the contractor's insurer;
6850          (B) an underwriter who is responsible for developing the employer group's premium
6851     rates; or
6852          (C) if the contractor provides a health benefit plan described in Subsection (1)(d)(ii),
6853     an actuary or underwriter selected by a third party administrator; and
6854          (ii) may not be created more than one year before the day on which the contractor
6855     submits the statement to the director.
6856          (c) (i) A contractor that provides a health benefit plan described in Subsection (1)(d)(ii)
6857     shall provide the actuary or underwriter selected by an administrator, as described in
6858     Subsection (5)(b)(i)(C), sufficient information to determine whether the contractor's
6859     contribution to the health benefit plan and the actuarial value of the health benefit plan meet the
6860     requirements of qualified health coverage.
6861          (ii) A contractor may not make a change to the contractor's contribution to the health
6862     benefit plan, unless the contractor provides notice to:
6863          (A) the actuary or underwriter selected by an administrator, as described in Subsection
6864     (5)(b)(i)(C), for the actuary or underwriter to update the written statement described in
6865     Subsection (5)(a) in compliance with this section; and
6866          (B) the division.
6867          (6) (a) A contractor that is subject to the requirements of this section shall:
6868          (i) ensure that each contract the contractor enters with a subcontractor that is subject to
6869     the requirements of this section requires the subcontractor to obtain and maintain an offer of
6870     qualified health coverage for the subcontractor's eligible employees and the eligible employees'
6871     dependents during the duration of the subcontract; and
6872          (ii) obtain from a subcontractor referred to in Subsection (6)(a)(i) a written statement
6873     demonstrating that the subcontractor offers qualified health coverage to eligible employees and
6874     eligible employees' dependents.
6875          (b) A statement under Subsection (6)(a)(ii):
6876          (i) shall be from:
6877          (A) an actuary selected by the subcontractor or the subcontractor's insurer;
6878          (B) an underwriter who is responsible for developing the employer group's premium

6879     rates; or
6880          (C) if the subcontractor provides a health benefit plan described in Subsection
6881     (1)(d)(ii), an actuary or underwriter selected by an administrator; and
6882          (ii) may not be created more than one year before the day on which the contractor
6883     obtains the statement from the subcontractor.
6884          (7) (a) (i) A contractor that fails to maintain an offer of qualified health coverage
6885     during the duration of the contract as required in this section is subject to penalties in
6886     accordance with administrative rules made by the division under this section, in accordance
6887     with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
6888          (ii) A contractor is not subject to penalties for the failure of a subcontractor to obtain
6889     and maintain an offer of qualified health coverage as required in this section.
6890          (b) (i) A subcontractor that fails to obtain and maintain an offer of qualified health
6891     coverage during the duration of the subcontract as required in this section is subject to penalties
6892     in accordance with administrative rules made by the division under this section, in accordance
6893     with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
6894          (ii) A subcontractor is not subject to penalties for the failure of a contractor to maintain
6895     an offer of qualified health coverage as required in this section.
6896          (8) The division shall make rules:
6897          (a) in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act;
6898          (b) in coordination with:
6899          (i) the Department of Environmental Quality in accordance with Section 19-1-206;
6900          (ii) the Department of Natural Resources in accordance with Section 79-2-404;
6901          (iii) a public transit district in accordance with Section 17B-2a-818.5;
6902          (iv) the State Capitol Preservation Board in accordance with Section 63C-9-403;
6903          (v) the Department of Transportation in accordance with Section 72-6-107.5; and
6904          (vi) the Legislature's Administrative Rules Review and General Oversight Committee;
6905     and
6906          (c) that establish:
6907          (i) the requirements and procedures for a contractor and a subcontractor to demonstrate
6908     compliance with this section, including:
6909          (A) a provision that a contractor or subcontractor's compliance with this section is

6910     subject to an audit by the division or the Office of the Legislative Auditor General;
6911          (B) a provision that a contractor that is subject to the requirements of this section
6912     obtain a written statement as provided in Subsection (5); and
6913          (C) a provision that a subcontractor that is subject to the requirements of this section
6914     obtain a written statement as provided in Subsection (6);
6915          (ii) the penalties that may be imposed if a contractor or subcontractor intentionally
6916     violates the provisions of this section, which may include:
6917          (A) a three-month suspension of the contractor or subcontractor from entering into a
6918     future contract with the state upon the first violation;
6919          (B) a six-month suspension of the contractor or subcontractor from entering into a
6920     future contract with the state upon the second violation;
6921          (C) an action for debarment of the contractor or subcontractor in accordance with
6922     Section 63G-6a-904 upon the third or subsequent violation; and
6923          (D) monetary penalties which may not exceed 50% of the amount necessary to
6924     purchase qualified health coverage for eligible employees and dependents of eligible
6925     employees of the contractor or subcontractor who were not offered qualified health coverage
6926     during the duration of the contract; and
6927          (iii) a website for the department to post the commercially equivalent benchmark for
6928     the qualified health coverage that is provided by the Department of [Health] Health and Human
6929     Services in accordance with Subsection [26-40-115(2)] 26B-3-909(2).
6930          (9) During the duration of a contract, the division may perform an audit to verify a
6931     contractor or subcontractor's compliance with this section.
6932          (10) (a) Upon the division's request, a contractor or subcontractor shall provide the
6933     division:
6934          (i) a signed actuarial certification that the coverage the contractor or subcontractor
6935     offers is qualified health coverage; or
6936          (ii) all relevant documents and information necessary for the division to determine
6937     compliance with this section.
6938          (b) If a contractor or subcontractor provides the documents and information described
6939     in Subsection (10)(a)(i), the Insurance Department shall assist the division in determining if the
6940     coverage the contractor or subcontractor offers is qualified health coverage.

6941          (11) (a) (i) In addition to the penalties imposed under Subsection (7), a contractor or
6942     subcontractor that intentionally violates the provisions of this section is liable to an eligible
6943     employee for health care costs that would have been covered by qualified health coverage.
6944          (ii) An employer has an affirmative defense to a cause of action under Subsection
6945     (11)(a)(i) if:
6946          (A) the employer relied in good faith on a written statement described in Subsection (5)
6947     or (6); or
6948          (B) the department determines that compliance with this section is not required under
6949     the provisions of Subsection (3).
6950          (b) An eligible employee has a private right of action against the employee's employer
6951     only as provided in this Subsection (11).
6952          (12) The director shall cause money collected from the imposition and collection of a
6953     penalty under this section to be deposited into the Medicaid Restricted Account created by
6954     Section [26-18-402] 26B-1-309.
6955          (13) The failure of a contractor or subcontractor to provide qualified health coverage as
6956     required by this section:
6957          (a) may not be the basis for a protest or other action from a prospective bidder, offeror,
6958     or contractor under:
6959          (i) Section 63G-6a-1602; or
6960          (ii) any other provision in Title 63G, Chapter 6a, Utah Procurement Code; and
6961          (b) may not be used by the procurement entity or a prospective bidder, offeror, or
6962     contractor as a basis for any action or suit that would suspend, disrupt, or terminate the design
6963     or construction.
6964          (14) An employer's waiting period for an employee to become eligible for qualified
6965     health coverage may not extend beyond the first day of the calendar month following 60 days
6966     after the day on which the employee is hired.
6967          (15) An administrator, including an administrator's actuary or underwriter, who
6968     provides a written statement under Subsection (5)(a) or (c) regarding the qualified health
6969     coverage of a contractor or subcontractor who provides a health benefit plan described in
6970     Subsection (1)(d)(ii):
6971          (a) subject to Subsection (11)(b), is not liable for an error in the written statement,

6972     unless the administrator commits gross negligence in preparing the written statement;
6973          (b) is not liable for any error in the written statement if the administrator relied in good
6974     faith on information from the contractor or subcontractor; and
6975          (c) may require as a condition of providing the written statement that a contractor or
6976     subcontractor hold the administrator harmless for an action arising under this section.
6977          Section 74. Section 63A-5b-910 is amended to read:
6978          63A-5b-910. Disposition of proceeds received by division from sale of vacant
6979     division-owned property.
6980          (1) (a) Except as provided in Section [62A-5-206.7] 26B-1-331, the division shall pay
6981     into the state treasury the money received from the transfer of ownership or lease of vacant
6982     division-owned property.
6983          (b) Money paid into the state treasury under Subsection (1)(a):
6984          (i) becomes a part of the funds provided by law for carrying out the building program
6985     of the state; and
6986          (ii) is appropriated for the purpose described in Subsection (1)(b)(i).
6987          (2) The proceeds from the transfer of ownership or lease of vacant division-owned
6988     property belonging to or used by a particular state agency shall, to the extent practicable, be
6989     expended for the construction of buildings or in the performance of other work for the benefit
6990     of that state agency.
6991          Section 75. Section 63A-9-701 is amended to read:
6992          63A-9-701. Subscription to motor pool by certain local government entities.
6993          (1) The following local government entities may subscribe to the central motor pool
6994     service provided by the division subject to the conditions established in Subsection (2):
6995          (a) local health departments as defined in Title 26A, Chapter 1, Part 1, Local Health
6996     Department Act;
6997          (b) local substance abuse authorities as defined in Section 17-43-201;
6998          (c) local area agencies, as authorized by Section [62A-3-104] 26B-6-104, or their
6999     subcontractors who are local governmental or public entities; and
7000          (d) local mental health authorities as defined in Section 17-43-301.
7001          (2) The local government entities outlined in Subsection (1) may subscribe to the
7002     central motor pool service provided by the division only if:

7003          (a) the director of the local government entity determines it will result in substantial
7004     cost savings or increased efficiency to the local government entity; and
7005          (b) the central motor pool has sufficient vehicles available.
7006          Section 76. Section 63A-13-102 is amended to read:
7007          63A-13-102. Definitions.
7008          As used in this chapter:
7009          (1) "Abuse" means:
7010          (a) an action or practice that:
7011          (i) is inconsistent with sound fiscal, business, or medical practices; and
7012          (ii) results, or may result, in unnecessary Medicaid related costs; or
7013          (b) reckless or negligent upcoding.
7014          (2) "Claimant" means a person that:
7015          (a) provides a service; and
7016          (b) submits a claim for Medicaid reimbursement for the service.
7017          (3) "Department" means the Department of Health and Human Services created in
7018     Section 26B-1-201.
7019          (4) "Division" means the Division of Medicaid and Health Financing, created in
7020     Section [26-18-2.1] 26B-3-102.
7021          (5) "Extrapolation" means a method of using a mathematical formula that takes the
7022     audit results from a small sample of Medicaid claims and projects those results over a much
7023     larger group of Medicaid claims.
7024          (6) "Fraud" means intentional or knowing:
7025          (a) deception, misrepresentation, or upcoding in relation to Medicaid funds, costs, a
7026     claim, reimbursement, or services; or
7027          (b) a violation of a provision of Sections [26-20-3] 26B-3-1102 through [26-20-7]
7028     26B-3-1106.
7029          (7) "Fraud unit" means the Medicaid Fraud Control Unit of the attorney general's
7030     office.
7031          (8) "Health care professional" means a person licensed under:
7032          (a) Title 58, Chapter 5a, Podiatric Physician Licensing Act;
7033          (b) Title 58, Chapter 16a, Utah Optometry Practice Act;

7034          (c) Title 58, Chapter 17b, Pharmacy Practice Act;
7035          (d) Title 58, Chapter 24b, Physical Therapy Practice Act;
7036          (e) Title 58, Chapter 31b, Nurse Practice Act;
7037          (f) Title 58, Chapter 40, Recreational Therapy Practice Act;
7038          (g) Title 58, Chapter 41, Speech-Language Pathology and Audiology Licensing Act;
7039          (h) Title 58, Chapter 42a, Occupational Therapy Practice Act;
7040          (i) Title 58, Chapter 44a, Nurse Midwife Practice Act;
7041          (j) Title 58, Chapter 49, Dietitian Certification Act;
7042          (k) Title 58, Chapter 60, Mental Health Professional Practice Act;
7043          (l) Title 58, Chapter 67, Utah Medical Practice Act;
7044          (m) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act;
7045          (n) Title 58, Chapter 69, Dentist and Dental Hygienist Practice Act;
7046          (o) Title 58, Chapter 70a, Utah Physician Assistant Act; and
7047          (p) Title 58, Chapter 73, Chiropractic Physician Practice Act.
7048          (9) "Inspector general" means the inspector general of the office, appointed under
7049     Section 63A-13-201.
7050          (10) "Office" means the Office of Inspector General of Medicaid Services, created in
7051     Section 63A-13-201.
7052          (11) "Provider" means a person that provides:
7053          (a) medical assistance, including supplies or services, in exchange, directly or
7054     indirectly, for Medicaid funds; or
7055          (b) billing or recordkeeping services relating to Medicaid funds.
7056          (12) "Upcoding" means assigning an inaccurate billing code for a service that is
7057     payable or reimbursable by Medicaid funds, if the correct billing code for the service, taking
7058     into account reasonable opinions derived from official published coding definitions, would
7059     result in a lower Medicaid payment or reimbursement.
7060          (13) (a) "Waste" means the act of using or expending a resource carelessly,
7061     extravagantly, or to no purpose.
7062          (b) "Waste" includes an activity that:
7063          (i) does not constitute abuse or necessarily involve a violation of law; and
7064          (ii) relates primarily to mismanagement, an inappropriate action, or inadequate

7065     oversight.
7066          Section 77. Section 63A-13-204 is amended to read:
7067          63A-13-204. Selection and review of claims.
7068          (1) (a) The office shall periodically select and review a representative sample of claims
7069     submitted for reimbursement under the state Medicaid program to determine whether fraud,
7070     waste, or abuse occurred.
7071          (b) The office shall limit its review for waste and abuse under Subsection (1)(a) to 36
7072     months prior to the date of the inception of the investigation or 72 months if there is a credible
7073     allegation of fraud. In the event the office or the fraud unit determines that there is fraud as
7074     defined in Section 63A-13-102, then the statute of limitations defined in Subsection
7075     [26-20-15(1)] 26B-3-1115 shall apply.
7076          (2) The office may directly contact the recipient of record for a Medicaid reimbursed
7077     service to determine whether the service for which reimbursement was claimed was actually
7078     provided to the recipient of record.
7079          (3) The office shall:
7080          (a) generate statistics from the sample described in Subsection (1) to determine the
7081     type of fraud, waste, or abuse that is most advantageous to focus on in future audits or
7082     investigations;
7083          (b) ensure that the office, or any entity that contracts with the office to conduct audits:
7084          (i) has on staff or contracts with a medical or dental professional who is experienced in
7085     the treatment, billing, and coding procedures used by the type of provider being audited; and
7086          (ii) uses the services of the appropriate professional described in Subsection (3)(b)(i) if
7087     the provider that is the subject of the audit disputes the findings of the audit;
7088          (c) ensure that a finding of overpayment or underpayment to a provider is not based on
7089     extrapolation, unless:
7090          (i) there is a determination that the level of payment error involving the provider
7091     exceeds a 10% error rate:
7092          (A) for a sample of claims for a particular service code; and
7093          (B) over a three year period of time;
7094          (ii) documented education intervention has failed to correct the level of payment error;
7095     and

7096          (iii) the value of the claims for the provider, in aggregate, exceeds $200,000 in
7097     reimbursement for a particular service code on an annual basis; and
7098          (d) require that any entity with which the office contracts, for the purpose of
7099     conducting an audit of a service provider, shall be paid on a flat fee basis for identifying both
7100     overpayments and underpayments.
7101          (4) (a) If the office, or a contractor on behalf of the department:
7102          (i) intends to implement the use of extrapolation as a method of auditing claims, the
7103     department shall, prior to adopting the extrapolation method of auditing, report its intent to use
7104     extrapolation:
7105          (A) to the Social Services Appropriations Subcommittee; and
7106          (B) as required under Section 63A-13-502; and
7107          (ii) determines Subsections (3)(c)(i) through (iii) are applicable to a provider, the office
7108     or the contractor may use extrapolation only for the service code associated with the findings
7109     under Subsections (3)(c)(i) through (iii).
7110          (b) (i) If extrapolation is used under this section, a provider may, at the provider's
7111     option, appeal the results of the audit based on:
7112          (A) each individual claim; or
7113          (B) the extrapolation sample.
7114          (ii) Nothing in this section limits a provider's right to appeal the audit under Title 63G,
7115     Chapter 4, Administrative Procedures Act, the Medicaid program and its manual or rules, or
7116     other laws or rules that may provide remedies to providers.
7117          Section 78. Section 63A-13-301 is amended to read:
7118          63A-13-301. Access to records -- Retention of designation under Government
7119     Records Access and Management Act.
7120          (1) In order to fulfill the duties described in Section 63A-13-202, and in the manner
7121     provided in Subsection (4), the office shall have unrestricted access to all records of state
7122     executive branch entities, all local government entities, and all providers relating, directly or
7123     indirectly, to:
7124          (a) the state Medicaid program;
7125          (b) state or federal Medicaid funds;
7126          (c) the provision of Medicaid related services;

7127          (d) the regulation or management of any aspect of the state Medicaid program;
7128          (e) the use or expenditure of state or federal Medicaid funds;
7129          (f) suspected or proven fraud, waste, or abuse of state or federal Medicaid funds;
7130          (g) Medicaid program policies, practices, and procedures;
7131          (h) monitoring of Medicaid services or funds; or
7132          (i) a fatality review of a person who received Medicaid funded services.
7133          (2) The office shall have access to information in any database maintained by the state
7134     or a local government to verify identity, income, employment status, or other factors that affect
7135     eligibility for Medicaid services.
7136          (3) The records described in Subsections (1) and (2) include records held or maintained
7137     by the department, the division, the Department of [Human Services] Health and Human
7138     Services, the Department of Workforce Services, a local health department, a local mental
7139     health authority, or a school district. The records described in Subsection (1) include records
7140     held or maintained by a provider. When conducting an audit of a provider, the office shall, to
7141     the extent possible, limit the records accessed to the scope of the audit.
7142          (4) A record, described in Subsection (1) or (2), that is accessed or copied by the
7143     office:
7144          (a) may be reviewed or copied by the office during normal business hours, unless
7145     otherwise requested by the provider or health care professional under Subsection (4)(b);
7146          (b) unless there is a credible allegation of fraud, shall be accessed, reviewed, and
7147     copied in a manner, on a day, and at a time that is minimally disruptive to the health care
7148     professional's or provider's care of patients, as requested by the health care professional or
7149     provider;
7150          (c) may be submitted electronically;
7151          (d) may be submitted together with other records for multiple claims; and
7152          (e) if it is a government record, shall retain the classification made by the entity
7153     responsible for the record, under Title 63G, Chapter 2, Government Records Access and
7154     Management Act.
7155          (5) Except as provided in Subsection (7), notwithstanding any provision of state law to
7156     the contrary, the office shall have the same access to all records, information, and databases to
7157     which the department or the division has access.

7158          (6) The office shall comply with the requirements of federal law, including the Health
7159     Insurance Portability and Accountability Act of 1996 and 42 C.F.R., Part 2, relating to the
7160     office's:
7161          (a) access, review, retention, and use of records; and
7162          (b) use of information included in, or derived from, records.
7163          (7) The office's access to data held by the Health Data Committee:
7164          (a) is not subject to this section; and
7165          (b) is subject to [Title 26, Chapter 33a, Utah Health Data Authority Act] Title 26B,
7166     Chapter 8, Part 5, Utah Health Data Authority.
7167          Section 79. Section 63A-16-803 is amended to read:
7168          63A-16-803. Single sign-on citizen portal -- Creation.
7169          (1) The division shall, in consultation with the entities described in Subsection (4),
7170     design and create a single sign-on citizen portal that is:
7171          (a) a web portal through which an individual may access information and services
7172     described in Subsection (2), as agreed upon by the entities described in Subsection (4); and
7173          (b) secure, centralized, and interconnected.
7174          (2) The division shall ensure that the single sign-on citizen portal allows an individual,
7175     at a single point of entry, to:
7176          (a) access and submit an application for:
7177          (i) medical and support programs including:
7178          (A) a medical assistance program administered under [Title 26, Chapter 18, Medical
7179     Assistance Act] Title 26B, Chapter 3, Health Care - Delivery and Assistance, including
7180     Medicaid;
7181          (B) the Children's Health Insurance Program under [Title 26, Chapter 40, Utah
7182     Children's Health Insurance Act] Title 26B, Chapter 3, Part 9, Utah Children's Health Insurance
7183     Program;
7184          (C) the Primary Care Network as defined in Section [26-18-416] 26B-3-211; and
7185          (D) the Women, Infants, and Children program administered under 42 U.S.C. Sec.
7186     1786;
7187          (ii) unemployment insurance under Title 35A, Chapter 4, Employment Security Act;
7188          (iii) workers' compensation under Title 34A, Chapter 2, Workers' Compensation Act;

7189          (iv) employment with a state agency;
7190          (v) a driver license or state identification card renewal under Title 53, Chapter 3,
7191     Uniform Driver License Act;
7192          (vi) a birth or death certificate under [Title 26, Chapter 2, Utah Vital Statistics Act]
7193     Title 26B, Chapter 8, Part 1, Vital Statistics; and
7194          (vii) a hunting or fishing license under Title 23, Chapter 19, Licenses, Permits, and
7195     Tags;
7196          (b) access the individual's:
7197          (i) transcripts from an institution of higher education described in Section 53B-2-101;
7198     and
7199          (ii) immunization records maintained by the Utah Department of [Health] Health and
7200     Human Services;
7201          (c) register the individual's vehicle under Title 41, Chapter 1a, Part 2, Registration,
7202     with the Motor Vehicle Division of the State Tax Commission;
7203          (d) file the individual's state income taxes under Title 59, Chapter 10, Individual
7204     Income Tax Act, beginning December 1, 2020;
7205          (e) access information about positions available for employment with the state; and
7206          (f) access any other service or information the department determines is appropriate in
7207     consultation with the entities described in Subsection (4).
7208          (3) The division shall develop the single sign-on citizen portal using an open platform
7209     that:
7210          (a) facilitates participation in the portal by a state entity;
7211          (b) allows for optional participation in the portal by a political subdivision of the state;
7212     and
7213          (c) contains a link to the State Tax Commission website.
7214          (4) In developing the single sign-on citizen portal, the department shall consult with:
7215          (a) each state executive branch agency that administers a program, provides a service,
7216     or manages applicable information described in Subsection (2);
7217          (b) the Utah League of Cities and Towns;
7218          (c) the Utah Association of Counties; and
7219          (d) other appropriate state executive branch agencies.

7220          (5) The division shall ensure that the single sign-on citizen portal is fully operational
7221     no later than January 1, 2025.
7222          Section 80. Section 63A-17-806 is amended to read:
7223          63A-17-806. Definitions -- Infant at Work Pilot Program -- Administration --
7224     Report.
7225          (1) As used in this section:
7226          (a) "Eligible employee" means an employee who has been employed by the
7227     Department of [Health] Health and Human Services for a minimum of:
7228          (i) 12 consecutive months; and
7229          (ii) 1,250 hours, excluding paid time off during the 12-month period immediately
7230     preceding the day on which the employee applies for participation in the program.
7231          (b) "Infant" means a baby that is at least six weeks of age and no more than six months
7232     of age.
7233          (c) "Parent" means:
7234          (i) a biological or adoptive parent of an infant; or
7235          (ii) an individual who has an infant placed in the individual's foster care by the
7236     Division of Child and Family Services.
7237          (d) "Program" means the Infant at Work Pilot Program established in this section.
7238          (2) There is created the Infant at Work Pilot Program for eligible employees.
7239          (3) The program shall:
7240          (a) allow an eligible employee to bring the eligible employee's infant to work subject to
7241     the provisions of this section;
7242          (b) be administered by the division; and
7243          (c) be implemented for a minimum of one year.
7244          (4) The division shall establish an application process for eligible employees of the
7245     Department of [Health] Health and Human Services to apply to the program that includes:
7246          (a) a process for evaluating whether an eligible employee's work environment is
7247     appropriate for an infant;
7248          (b) guidelines for infant health and safety; and
7249          (c) guidelines regarding an eligible employee's initial and ongoing participation in the
7250     program.

7251          (5) If the division approves the eligible employee for participation in the program, the
7252     eligible employee shall have the sole responsibility for the care and safety of the infant at the
7253     workplace.
7254          (6) The division may not require the Department of [Health] Health and Human
7255     Services to designate or set aside space for an eligible employee's infant other than the eligible
7256     employee's existing work space.
7257          (7) The division, in consultation with the Department of [Health] Health and Human
7258     Services, shall make rules that the department determines necessary to establish the program in
7259     accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
7260          (8) On or before June 30, 2022, the division, in consultation with the Department of
7261     [Health] Health and Human Services, shall submit a written report to the Business and Labor
7262     Interim Committee that describes the efficacy of the program, including any recommendations
7263     for additional legislative action.
7264          Section 81. Section 63A-17-1001 is amended to read:
7265          63A-17-1001. Controlled substances and alcohol use prohibited.
7266          Except as provided in [Title 26, Chapter 61a, Utah Medical Cannabis Act] Title 26B,
7267     Chapter 4, Part 2, Cannabinoid Research and Medical Cannabis, an employee may not:
7268          (1) manufacture, dispense, possess, use, distribute, or be under the influence of a
7269     controlled substance or alcohol during work hours or on state property except where legally
7270     permissible;
7271          (2) manufacture, dispense, possess, use, or distribute a controlled substance or alcohol
7272     if the activity prevents:
7273          (a) state agencies from receiving federal grants or performing under federal contracts of
7274     $25,000 or more; or
7275          (b) the employee to perform his services or work for state government effectively as
7276     regulated by the rules of the executive director in accordance with Section 63A-17-1002; or
7277          (3) refuse to submit to a drug or alcohol test under Section 63A-17-1004.
7278          Section 82. Section 63B-16-401 is amended to read:
7279          63B-16-401. Authorizations to acquire, sell, lease, or exchange property.
7280          (1) It is the intent of the Legislature that:
7281          (a) the Southeast Applied Technology Campus of the Utah College of Applied

7282     Technology and Utah State University Eastern may cooperatively enter into negotiations with a
7283     nonstate entity and complete a real property exchange to acquire an applied technology facility
7284     in Price;
7285          (b) no state funds be used for any portion of this project; and
7286          (c) the college may request state funds for operations and maintenance costs and capital
7287     improvements to the extent that the college is able to demonstrate to the Board of Regents that
7288     the facility meets approved academic and training purposes under Board of Regents policy
7289     R710.
7290          (2) It is the intent of the Legislature that:
7291          (a) the Mountainland Applied Technology Campus of the Utah College of Applied
7292     Technology may exercise its option to purchase additional property in northern Utah County
7293     adjacent to property purchased with the appropriation in Chapter 367, Item 41, Laws of Utah
7294     2006;
7295          (b) the purchase be financed through donations, institutional funds, a land exchange
7296     involving Lehi City and the Utah Transit Authority, or some combination of donations,
7297     institutional funds, and a land exchange involving Lehi City and the Utah Transit Authority for
7298     future development of a commuter rail station;
7299          (c) the purchase be conducted under the direction of the director of the Division of
7300     Facilities Construction and Management; and
7301          (d) no state funds be used for any portion of this purchase.
7302          (3) It is the intent of the Legislature that:
7303          (a) the Department of Human Services Complex located at 120 North 200 West, Salt
7304     Lake City, Utah be sold for $11,000,000;
7305          (b) that the proceeds from the sale be used to:
7306          (i) payoff the outstanding bond on the Human Services Complex;
7307          (ii) purchase the Brigham Young University Salt Lake Center located at 3760 South
7308     Highland Drive, Salt Lake City, Utah for up to $6,000,000 for occupancy by the Utah State
7309     Board of Education Schools for the Deaf and Blind; and
7310          (iii) the remaining funds be used to remodel the Salt Lake Center; and
7311          (c) the Division of Facilities, Construction and Management enter into a lease with the
7312     buyer of the Human Services Complex for and on behalf of the Department of Health and

7313     Human Services that allows the Department of Health and Human Services to continue to
7314     occupy the complex for the period of time needed for the state to purchase, construct, or lease a
7315     replacement facility for the Department of Health and Human Services.
7316          Section 83. Section 63C-9-403 is amended to read:
7317          63C-9-403. Contracting power of executive director -- Health insurance coverage.
7318          (1) As used in this section:
7319          (a) "Aggregate" means the sum of all contracts, change orders, and modifications
7320     related to a single project.
7321          (b) "Change order" means the same as that term is defined in Section 63G-6a-103.
7322          (c) "Employee" means, as defined in Section 34A-2-104, an "employee," "worker," or
7323     "operative" who:
7324          (i) works at least 30 hours per calendar week; and
7325          (ii) meets employer eligibility waiting requirements for health care insurance, which
7326     may not exceed the first of the calendar month following 60 days after the day on which the
7327     individual is hired.
7328          (d) "Health benefit plan" means:
7329          (i) the same as that term is defined in Section 31A-1-301; or
7330          (ii) an employee welfare benefit plan:
7331          (A) established under the Employee Retirement Income Security Act of 1974, 29
7332     U.S.C. Sec. 1001 et seq.;
7333          (B) for an employer with 100 or more employees; and
7334          (C) in which the employer establishes a self-funded or partially self-funded group
7335     health plan to provide medical care for the employer's employees and dependents of the
7336     employees.
7337          (e) "Qualified health coverage" means the same as that term is defined in Section
7338     [26-40-115] 26B-3-909.
7339          (f) "Subcontractor" means the same as that term is defined in Section 63A-5b-605.
7340          (g) "Third party administrator" or "administrator" means the same as that term is
7341     defined in Section 31A-1-301.
7342          (2) Except as provided in Subsection (3), the requirements of this section apply to:
7343          (a) a contractor of a design or construction contract entered into by the board, or on

7344     behalf of the board, on or after July 1, 2009, if the prime contract is in an aggregate amount
7345     equal to or greater than $2,000,000; and
7346          (b) a subcontractor of a contractor of a design or construction contract entered into by
7347     the board, or on behalf of the board, on or after July 1, 2009, if the subcontract is in an
7348     aggregate amount equal to or greater than $1,000,000.
7349          (3) The requirements of this section do not apply to a contractor or subcontractor
7350     described in Subsection (2) if:
7351          (a) the application of this section jeopardizes the receipt of federal funds;
7352          (b) the contract is a sole source contract; or
7353          (c) the contract is an emergency procurement.
7354          (4) A person that intentionally uses change orders, contract modifications, or multiple
7355     contracts to circumvent the requirements of this section is guilty of an infraction.
7356          (5) (a) A contractor subject to the requirements of this section shall demonstrate to the
7357     executive director that the contractor has and will maintain an offer of qualified health
7358     coverage for the contractor's employees and the employees' dependents during the duration of
7359     the contract by submitting to the executive director a written statement that:
7360          (i) the contractor offers qualified health coverage that complies with Section
7361     [26-40-115] 26B-3-909;
7362          (ii) is from:
7363          (A) an actuary selected by the contractor or the contractor's insurer;
7364          (B) an underwriter who is responsible for developing the employer group's premium
7365     rates; or
7366          (C) if the contractor provides a health benefit plan described in Subsection (1)(d)(ii),
7367     an actuary or underwriter selected by a third party administrator; and
7368          (iii) was created within one year before the day on which the statement is submitted.
7369          (b) (i) A contractor that provides a health benefit plan described in Subsection (1)(d)(ii)
7370     shall provide the actuary or underwriter selected by the administrator, as described in
7371     Subsection (5)(a)(ii)(C), sufficient information to determine whether the contractor's
7372     contribution to the health benefit plan and the health benefit plan's actuarial value meets the
7373     requirements of qualified health coverage.
7374          (ii) A contractor may not make a change to the contractor's contribution to the health

7375     benefit plan, unless the contractor provides notice to:
7376          (A) the actuary or underwriter selected by the administrator, as described in Subsection
7377     (5)(a)(ii)(C), for the actuary or underwriter to update the written statement described in
7378     Subsection (5)(a) in compliance with this section; and
7379          (B) the executive director.
7380          (c) A contractor that is subject to the requirements of this section shall:
7381          (i) place a requirement in each of the contractor's subcontracts that a subcontractor that
7382     is subject to the requirements of this section shall obtain and maintain an offer of qualified
7383     health coverage for the subcontractor's employees and the employees' dependents during the
7384     duration of the subcontract; and
7385          (ii) obtain from a subcontractor that is subject to the requirements of this section a
7386     written statement that:
7387          (A) the subcontractor offers qualified health coverage that complies with Section
7388     [26-40-115] 26B-3-909;
7389          (B) is from an actuary selected by the subcontractor or the subcontractor's insurer, an
7390     underwriter who is responsible for developing the employer group's premium rates, or if the
7391     subcontractor provides a health benefit plan described in Subsection (1)(d)(ii), an actuary or
7392     underwriter selected by an administrator; and
7393          (C) was created within one year before the day on which the contractor obtains the
7394     statement.
7395          (d) (i) (A) A contractor that fails to maintain an offer of qualified health coverage as
7396     described in Subsection (5)(a) during the duration of the contract is subject to penalties in
7397     accordance with administrative rules adopted by the division under Subsection (6).
7398          (B) A contractor is not subject to penalties for the failure of a subcontractor to obtain
7399     and maintain an offer of qualified health coverage described in Subsection (5)(c)(i).
7400          (ii) (A) A subcontractor that fails to obtain and maintain an offer of qualified health
7401     coverage described in Subsection (5)(c)(i) during the duration of the subcontract is subject to
7402     penalties in accordance with administrative rules adopted by the department under Subsection
7403     (6).
7404          (B) A subcontractor is not subject to penalties for the failure of a contractor to maintain
7405     an offer of qualified health coverage described in Subsection (5)(a).

7406          (6) The department shall adopt administrative rules:
7407          (a) in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act;
7408          (b) in coordination with:
7409          (i) the Department of Environmental Quality in accordance with Section 19-1-206;
7410          (ii) the Department of Natural Resources in accordance with Section 79-2-404;
7411          (iii) the Division of Facilities Construction and Management in accordance with
7412     Section 63A-5b-607;
7413          (iv) a public transit district in accordance with Section 17B-2a-818.5;
7414          (v) the Department of Transportation in accordance with Section 72-6-107.5; and
7415          (vi) the Legislature's Administrative Rules Review and General Oversight Committee;
7416     and
7417          (c) that establish:
7418          (i) the requirements and procedures a contractor and a subcontractor shall follow to
7419     demonstrate compliance with this section, including:
7420          (A) that a contractor or subcontractor's compliance with this section is subject to an
7421     audit by the department or the Office of the Legislative Auditor General;
7422          (B) that a contractor that is subject to the requirements of this section shall obtain a
7423     written statement described in Subsection (5)(a); and
7424          (C) that a subcontractor that is subject to the requirements of this section shall obtain a
7425     written statement described in Subsection (5)(c)(ii);
7426          (ii) the penalties that may be imposed if a contractor or subcontractor intentionally
7427     violates the provisions of this section, which may include:
7428          (A) a three-month suspension of the contractor or subcontractor from entering into
7429     future contracts with the state upon the first violation;
7430          (B) a six-month suspension of the contractor or subcontractor from entering into future
7431     contracts with the state upon the second violation;
7432          (C) an action for debarment of the contractor or subcontractor in accordance with
7433     Section 63G-6a-904 upon the third or subsequent violation; and
7434          (D) monetary penalties which may not exceed 50% of the amount necessary to
7435     purchase qualified health coverage for employees and dependents of employees of the
7436     contractor or subcontractor who were not offered qualified health coverage during the duration

7437     of the contract; and
7438          (iii) a website on which the department shall post the commercially equivalent
7439     benchmark, for the qualified health coverage identified in Subsection (1)(e), that is provided by
7440     the Department of [Health] Health and Human Services, in accordance with Subsection
7441     [26-40-115(2)] 26B-3-909(2).
7442          (7) (a) (i) In addition to the penalties imposed under Subsection (6)(c)(ii), a contractor
7443     or subcontractor who intentionally violates the provisions of this section is liable to the
7444     employee for health care costs that would have been covered by qualified health coverage.
7445          (ii) An employer has an affirmative defense to a cause of action under Subsection
7446     (7)(a)(i) if:
7447          (A) the employer relied in good faith on a written statement described in Subsection
7448     (5)(a) or (5)(c)(ii); or
7449          (B) the department determines that compliance with this section is not required under
7450     the provisions of Subsection (3).
7451          (b) An employee has a private right of action only against the employee's employer to
7452     enforce the provisions of this Subsection (7).
7453          (8) Any penalties imposed and collected under this section shall be deposited into the
7454     Medicaid Restricted Account created in Section [26-18-402] 26B-1-309.
7455          (9) The failure of a contractor or subcontractor to provide qualified health coverage as
7456     required by this section:
7457          (a) may not be the basis for a protest or other action from a prospective bidder, offeror,
7458     or contractor under:
7459          (i) Section 63G-6a-1602; or
7460          (ii) any other provision in Title 63G, Chapter 6a, Utah Procurement Code; and
7461          (b) may not be used by the procurement entity or a prospective bidder, offeror, or
7462     contractor as a basis for any action or suit that would suspend, disrupt, or terminate the design
7463     or construction.
7464          (10) An administrator, including the administrator's actuary or underwriter, who
7465     provides a written statement under Subsection (5)(a) or (c) regarding the qualified health
7466     coverage of a contractor or subcontractor who provides a health benefit plan described in
7467     Subsection (1)(d)(ii):

7468          (a) subject to Subsection (10)(b), is not liable for an error in the written statement,
7469     unless the administrator commits gross negligence in preparing the written statement;
7470          (b) is not liable for any error in the written statement if the administrator relied in good
7471     faith on information from the contractor or subcontractor; and
7472          (c) may require as a condition of providing the written statement that a contractor or
7473     subcontractor hold the administrator harmless for an action arising under this section.
7474          Section 84. Section 63C-18-102 is amended to read:
7475          63C-18-102. Definitions.
7476          As used in this chapter:
7477          (1) "Commission" means the Behavioral Health Crisis Response Commission created
7478     in Section 63C-18-202.
7479          (2) "Local mental health crisis line" means the same as that term is defined in Section
7480     [62A-15-1301] 26B-5-610.
7481          (3) "Statewide mental health crisis line" means the same as that term is defined in
7482     Section [62A-15-1301] 26B-5-610.
7483          (4) "Statewide warm line" means the same as that term is defined in Section
7484     [62A-15-1301] 26B-5-610.
7485          Section 85. Section 63C-18-202 is amended to read:
7486          63C-18-202. Commission established -- Members.
7487          (1) There is created the Behavioral Health Crisis Response Commission, composed of
7488     the following members:
7489          (a) the executive director of the University Neuropsychiatric Institute;
7490          (b) the governor or the governor's designee;
7491          (c) the director of the Division of Substance Abuse and Mental Health;
7492          (d) one representative of the Office of the Attorney General, appointed by the attorney
7493     general;
7494          (e) one member of the public, appointed by the chair of the commission and approved
7495     by the commission;
7496          (f) two individuals who are mental or behavioral health clinicians licensed to practice
7497     in the state, appointed by the chair of the commission and approved by the commission, at least
7498     one of whom is an individual who:

7499          (i) is licensed as a physician under:
7500          (A) Title 58, Chapter 67, Utah Medical Practice Act;
7501          (B) Title 58, Chapter 67b, Interstate Medical Licensure Compact; or
7502          (C) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; and
7503          (ii) is board eligible for a psychiatry specialization recognized by the American Board
7504     of Medical Specialists or the American Osteopathic Association's Bureau of Osteopathic
7505     Specialists;
7506          (g) one individual who represents a county of the first or second class, appointed by the
7507     Utah Association of Counties;
7508          (h) one individual who represents a county of the third, fourth, or fifth class, appointed
7509     by the Utah Association of Counties;
7510          (i) one individual who represents the Utah Hospital Association, appointed by the chair
7511     of the commission;
7512          (j) one individual who represents law enforcement, appointed by the chair of the
7513     commission;
7514          (k) one individual who has lived with a mental health disorder, appointed by the chair
7515     of the commission;
7516          (l) one individual who represents an integrated health care system that:
7517          (i) is not affiliated with the chair of the commission; and
7518          (ii) provides inpatient behavioral health services and emergency room services to
7519     individuals in the state;
7520          (m) one individual who represents an accountable care organization, as defined in
7521     Section [26-18-423] 26B-3-219, with a statewide membership base;
7522          (n) three members of the House of Representatives, appointed by the speaker of the
7523     House of Representatives, no more than two of whom may be from the same political party;
7524          (o) three members of the Senate, appointed by the president of the Senate, no more
7525     than two of whom may be from the same political party;
7526          (p) one individual who represents 911 call centers and public safety answering points,
7527     appointed by the chair of the commission;
7528          (q) one individual who represents Emergency Medical Services, appointed by the chair
7529     of the commission;

7530          (r) one individual who represents the mobile wireless service provider industry,
7531     appointed by the chair of the commission;
7532          (s) one individual who represents rural telecommunications providers, appointed by the
7533     chair of the commission;
7534          (t) one individual who represents voice over internet protocol and land line providers,
7535     appointed by the chair of the commission; and
7536          (u) one individual who represents the Utah League of Cities and Towns, appointed by
7537     the chair of the commission.
7538          (2) On December 31, 2022:
7539          (a) the number of members described in Subsection (1)(n) and the number of members
7540     described in Subsection (1)(o) is reduced to one, with no restriction relating to party
7541     membership; and
7542          (b) the members described in Subsections (1)(p) through (u) are removed from the
7543     commission.
7544          (3) (a) The executive director of the University Neuropsychiatric Institute is the chair
7545     of the commission.
7546          (b) The chair of the commission shall appoint a member of the commission to serve as
7547     the vice chair of the commission, with the approval of the commission.
7548          (c) The chair of the commission shall set the agenda for each commission meeting.
7549          (4) (a) A majority of the members of the commission constitutes a quorum.
7550          (b) The action of a majority of a quorum constitutes the action of the commission.
7551          (5) (a) Except as provided in Subsection (5)(b), a member may not receive
7552     compensation, benefits, per diem, or travel expenses for the member's service on the
7553     commission.
7554          (b) Compensation and expenses of a member who is a legislator are governed by
7555     Section 36-2-2 and Legislative Joint Rules, Title 5, Legislative Compensation and Expenses.
7556          (6) The Office of the Attorney General shall provide staff support to the commission.
7557          Section 86. Section 63C-18-203 is amended to read:
7558          63C-18-203. Commission duties -- Reporting requirements.
7559          (1) The commission shall:
7560          (a) identify a method to integrate existing local mental health crisis lines to ensure each

7561     individual who accesses a local mental health crisis line is connected to a qualified mental or
7562     behavioral health professional, regardless of the time, date, or number of individuals trying to
7563     simultaneously access the local mental health crisis line;
7564          (b) study how to establish and implement a statewide mental health crisis line and a
7565     statewide warm line, including identifying:
7566          (i) a statewide phone number or other means for an individual to easily access the
7567     statewide mental health crisis line, including a short code for text messaging and a three-digit
7568     number for calls;
7569          (ii) a statewide phone number or other means for an individual to easily access the
7570     statewide warm line, including a short code for text messaging and a three-digit number for
7571     calls;
7572          (iii) a supply of:
7573          (A) qualified mental or behavioral health professionals to staff the statewide mental
7574     health crisis line; and
7575          (B) qualified mental or behavioral health professionals or certified peer support
7576     specialists to staff the statewide warm line; and
7577          (iv) a funding mechanism to operate and maintain the statewide mental health crisis
7578     line and the statewide warm line;
7579          (c) coordinate with local mental health authorities in fulfilling the commission's duties
7580     described in Subsections (1)(a) and (b); and
7581          (d) recommend standards for the certifications described in Section [62A-15-1302]
7582     26B-5-610.
7583          (2) In preparation for the implementation of the statewide 988 hotline, the commission
7584     shall study and make recommendations regarding:
7585          (a) crisis line practices and needs, including:
7586          (i) quality and timeliness of service;
7587          (ii) service volume projections;
7588          (iii) a statewide assessment of crisis line staffing needs, including required
7589     certifications; and
7590          (iv) a statewide assessment of technology needs;
7591          (b) primary duties performed by crisis line workers;

7592          (c) coordination or redistribution of secondary duties performed by crisis line workers,
7593     including responding to non-emergency calls;
7594          (d) establishing a statewide 988 hotline:
7595          (i) in accordance with federal law;
7596          (ii) that ensures the efficient and effective routing of calls to an appropriate crisis
7597     center; and
7598          (iii) that includes directly responding to calls with trained personnel and the provision
7599     of acute mental health, crisis outreach, and stabilization services;
7600          (e) opportunities to increase operational and technological efficiencies and
7601     effectiveness between 988 and 911, utilizing current technology;
7602          (f) needs for interoperability partnerships and policies related to 911 call transfers and
7603     public safety responses;
7604          (g) standards for statewide mobile crisis outreach teams, including:
7605          (i) current models and projected needs;
7606          (ii) quality and timeliness of service;
7607          (iii) hospital and jail diversions; and
7608          (iv) staffing and certification;
7609          (h) resource centers, including:
7610          (i) current models and projected needs; and
7611          (ii) quality and timeliness of service;
7612          (i) policy considerations related to whether the state should:
7613          (i) manage, operate, and pay for a complete behavioral health system; or
7614          (ii) create partnerships with private industry; and
7615          (j) sustainable funding source alternatives, including:
7616          (i) charging a 988 fee, including a recommendation on the fee amount;
7617          (ii) General Fund appropriations;
7618          (iii) other government funding options;
7619          (iv) private funding sources;
7620          (v) grants;
7621          (vi) insurance partnerships, including coverage for support and treatment after initial
7622     call and triage; and

7623          (vii) other funding resources.
7624          (3) The commission shall:
7625          (a) before December 31, 2021, present an initial report on the matters described in
7626     Subsection (2), including any proposed legislation, to the Executive Appropriations
7627     Committee; and
7628          (b) before December 31, 2022, present a final report on the items described in
7629     Subsection (2), including any proposed legislation, to the Executive Appropriations
7630     Committee.
7631          (4) The duties described in Subsection (2) are removed on December 31, 2022.
7632          (5) The commission may conduct other business related to the commission's duties
7633     described in this section.
7634          (6) The commission shall consult with the Division of Substance Abuse and Mental
7635     Health regarding the standards and operation of the statewide mental health crisis line and the
7636     statewide warm line, in accordance with Title 62A, Chapter 15, Part 13, Statewide Mental
7637     Health Crisis Line and Statewide Warm Line.
7638          Section 87. Section 63G-2-202 is amended to read:
7639          63G-2-202. Access to private, controlled, and protected documents.
7640          (1) Except as provided in Subsection (11)(a), a governmental entity:
7641          (a) shall, upon request, disclose a private record to:
7642          (i) the subject of the record;
7643          (ii) the parent or legal guardian of an unemancipated minor who is the subject of the
7644     record;
7645          (iii) the legal guardian of a legally incapacitated individual who is the subject of the
7646     record;
7647          (iv) any other individual who:
7648          (A) has a power of attorney from the subject of the record;
7649          (B) submits a notarized release from the subject of the record or the individual's legal
7650     representative dated no more than 90 days before the date the request is made; or
7651          (C) if the record is a medical record described in Subsection 63G-2-302(1)(b), is a
7652     health care provider, as defined in Section [26-33a-102] 26B-8-501, if releasing the record or
7653     information in the record is consistent with normal professional practice and medical ethics; or

7654          (v) any person to whom the record must be provided pursuant to:
7655          (A) court order as provided in Subsection (7); or
7656          (B) a legislative subpoena as provided in Title 36, Chapter 14, Legislative Subpoena
7657     Powers; and
7658          (b) may disclose a private record described in Subsections 63G-2-302(1)(j) through
7659     (m), without complying with Section 63G-2-206, to another governmental entity for a purpose
7660     related to:
7661          (i) voter registration; or
7662          (ii) the administration of an election.
7663          (2) (a) Upon request, a governmental entity shall disclose a controlled record to:
7664          (i) a physician, physician assistant, psychologist, certified social worker, insurance
7665     provider or producer, or a government public health agency upon submission of:
7666          (A) a release from the subject of the record that is dated no more than 90 days prior to
7667     the date the request is made; and
7668          (B) a signed acknowledgment of the terms of disclosure of controlled information as
7669     provided by Subsection (2)(b); and
7670          (ii) any person to whom the record must be disclosed pursuant to:
7671          (A) a court order as provided in Subsection (7); or
7672          (B) a legislative subpoena as provided in Title 36, Chapter 14, Legislative Subpoena
7673     Powers.
7674          (b) A person who receives a record from a governmental entity in accordance with
7675     Subsection (2)(a)(i) may not disclose controlled information from that record to any person,
7676     including the subject of the record.
7677          (3) If there is more than one subject of a private or controlled record, the portion of the
7678     record that pertains to another subject shall be segregated from the portion that the requester is
7679     entitled to inspect.
7680          (4) Upon request, and except as provided in Subsection (11)(b), a governmental entity
7681     shall disclose a protected record to:
7682          (a) the person that submitted the record;
7683          (b) any other individual who:
7684          (i) has a power of attorney from all persons, governmental entities, or political

7685     subdivisions whose interests were sought to be protected by the protected classification; or
7686          (ii) submits a notarized release from all persons, governmental entities, or political
7687     subdivisions whose interests were sought to be protected by the protected classification or from
7688     their legal representatives dated no more than 90 days prior to the date the request is made;
7689          (c) any person to whom the record must be provided pursuant to:
7690          (i) a court order as provided in Subsection (7); or
7691          (ii) a legislative subpoena as provided in Title 36, Chapter 14, Legislative Subpoena
7692     Powers; or
7693          (d) the owner of a mobile home park, subject to the conditions of Subsection
7694     41-1a-116(5).
7695          (5) Except as provided in Subsection (1)(b), a governmental entity may disclose a
7696     private, controlled, or protected record to another governmental entity, political subdivision,
7697     state, the United States, or a foreign government only as provided by Section 63G-2-206.
7698          (6) Before releasing a private, controlled, or protected record, the governmental entity
7699     shall obtain evidence of the requester's identity.
7700          (7) A governmental entity shall disclose a record pursuant to the terms of a court order
7701     signed by a judge from a court of competent jurisdiction, provided that:
7702          (a) the record deals with a matter in controversy over which the court has jurisdiction;
7703          (b) the court has considered the merits of the request for access to the record;
7704          (c) the court has considered and, where appropriate, limited the requester's use and
7705     further disclosure of the record in order to protect:
7706          (i) privacy interests in the case of private or controlled records;
7707          (ii) business confidentiality interests in the case of records protected under Subsection
7708     63G-2-305(1), (2), (40)(a)(ii), or (40)(a)(vi); and
7709          (iii) privacy interests or the public interest in the case of other protected records;
7710          (d) to the extent the record is properly classified private, controlled, or protected, the
7711     interests favoring access, considering limitations thereon, are greater than or equal to the
7712     interests favoring restriction of access; and
7713          (e) where access is restricted by a rule, statute, or regulation referred to in Subsection
7714     63G-2-201(3)(b), the court has authority independent of this chapter to order disclosure.
7715          (8) (a) Except as provided in Subsection (8)(d), a governmental entity may disclose or

7716     authorize disclosure of private or controlled records for research purposes if the governmental
7717     entity:
7718          (i) determines that the research purpose cannot reasonably be accomplished without
7719     use or disclosure of the information to the researcher in individually identifiable form;
7720          (ii) determines that:
7721          (A) the proposed research is bona fide; and
7722          (B) the value of the research is greater than or equal to the infringement upon personal
7723     privacy;
7724          (iii) (A) requires the researcher to assure the integrity, confidentiality, and security of
7725     the records; and
7726          (B) requires the removal or destruction of the individual identifiers associated with the
7727     records as soon as the purpose of the research project has been accomplished;
7728          (iv) prohibits the researcher from:
7729          (A) disclosing the record in individually identifiable form, except as provided in
7730     Subsection (8)(b); or
7731          (B) using the record for purposes other than the research approved by the governmental
7732     entity; and
7733          (v) secures from the researcher a written statement of the researcher's understanding of
7734     and agreement to the conditions of this Subsection (8) and the researcher's understanding that
7735     violation of the terms of this Subsection (8) may subject the researcher to criminal prosecution
7736     under Section 63G-2-801.
7737          (b) A researcher may disclose a record in individually identifiable form if the record is
7738     disclosed for the purpose of auditing or evaluating the research program and no subsequent use
7739     or disclosure of the record in individually identifiable form will be made by the auditor or
7740     evaluator except as provided by this section.
7741          (c) A governmental entity may require indemnification as a condition of permitting
7742     research under this Subsection (8).
7743          (d) A governmental entity may not disclose or authorize disclosure of a private record
7744     for research purposes as described in this Subsection (8) if the private record is a record
7745     described in Subsection 63G-2-302(1)(w).
7746          (9) (a) Under Subsections 63G-2-201(5)(b) and 63G-2-401(6), a governmental entity

7747     may disclose to persons other than those specified in this section records that are:
7748          (i) private under Section 63G-2-302; or
7749          (ii) protected under Section 63G-2-305, subject to Section 63G-2-309 if a claim for
7750     business confidentiality has been made under Section 63G-2-309.
7751          (b) Under Subsection 63G-2-403(11)(b), the State Records Committee may require the
7752     disclosure to persons other than those specified in this section of records that are:
7753          (i) private under Section 63G-2-302;
7754          (ii) controlled under Section 63G-2-304; or
7755          (iii) protected under Section 63G-2-305, subject to Section 63G-2-309 if a claim for
7756     business confidentiality has been made under Section 63G-2-309.
7757          (c) Under Subsection 63G-2-404(7), the court may require the disclosure of records
7758     that are private under Section 63G-2-302, controlled under Section 63G-2-304, or protected
7759     under Section 63G-2-305 to persons other than those specified in this section.
7760          (10) (a) A private record described in Subsection 63G-2-302(2)(f) may only be
7761     disclosed as provided in Subsection (1)(a)(v).
7762          (b) A protected record described in Subsection 63G-2-305(43) may only be disclosed
7763     as provided in Subsection (4)(c) or Section [62A-3-312] 26B-6-212.
7764          (11) (a) A private, protected, or controlled record described in Section [62A-16-301]
7765     26B-1-506 shall be disclosed as required under:
7766          (i) Subsections [62A-16-301(1)(b), (2), and (4)(c)] 26B-1-506(1)(b), (2), and (4)(c);
7767     and
7768          (ii) Subsections [62A-16-302(1) and (6)] 26B-1-507(1) and (6).
7769          (b) A record disclosed under Subsection (11)(a) shall retain its character as private,
7770     protected, or controlled.
7771          Section 88. Section 63G-2-302 is amended to read:
7772          63G-2-302. Private records.
7773          (1) The following records are private:
7774          (a) records concerning an individual's eligibility for unemployment insurance benefits,
7775     social services, welfare benefits, or the determination of benefit levels;
7776          (b) records containing data on individuals describing medical history, diagnosis,
7777     condition, treatment, evaluation, or similar medical data;

7778          (c) records of publicly funded libraries that when examined alone or with other records
7779     identify a patron;
7780          (d) records received by or generated by or for:
7781          (i) the Independent Legislative Ethics Commission, except for:
7782          (A) the commission's summary data report that is required under legislative rule; and
7783          (B) any other document that is classified as public under legislative rule; or
7784          (ii) a Senate or House Ethics Committee in relation to the review of ethics complaints,
7785     unless the record is classified as public under legislative rule;
7786          (e) records received by, or generated by or for, the Independent Executive Branch
7787     Ethics Commission, except as otherwise expressly provided in Title 63A, Chapter 14, Review
7788     of Executive Branch Ethics Complaints;
7789          (f) records received or generated for a Senate confirmation committee concerning
7790     character, professional competence, or physical or mental health of an individual:
7791          (i) if, prior to the meeting, the chair of the committee determines release of the records:
7792          (A) reasonably could be expected to interfere with the investigation undertaken by the
7793     committee; or
7794          (B) would create a danger of depriving a person of a right to a fair proceeding or
7795     impartial hearing; and
7796          (ii) after the meeting, if the meeting was closed to the public;
7797          (g) employment records concerning a current or former employee of, or applicant for
7798     employment with, a governmental entity that would disclose that individual's home address,
7799     home telephone number, social security number, insurance coverage, marital status, or payroll
7800     deductions;
7801          (h) records or parts of records under Section 63G-2-303 that a current or former
7802     employee identifies as private according to the requirements of that section;
7803          (i) that part of a record indicating a person's social security number or federal employer
7804     identification number if provided under Section 31A-23a-104, 31A-25-202, 31A-26-202,
7805     58-1-301, 58-55-302, 61-1-4, or 61-2f-203;
7806          (j) that part of a voter registration record identifying a voter's:
7807          (i) driver license or identification card number;
7808          (ii) social security number, or last four digits of the social security number;

7809          (iii) email address;
7810          (iv) date of birth; or
7811          (v) phone number;
7812          (k) a voter registration record that is classified as a private record by the lieutenant
7813     governor or a county clerk under Subsection 20A-2-101.1(5)(a), 20A-2-104(4)(h), or
7814     20A-2-204(4)(b);
7815          (l) a voter registration record that is withheld under Subsection 20A-2-104(7);
7816          (m) a withholding request form described in Subsections 20A-2-104(7) and (8) and any
7817     verification submitted in support of the form;
7818          (n) a record that:
7819          (i) contains information about an individual;
7820          (ii) is voluntarily provided by the individual; and
7821          (iii) goes into an electronic database that:
7822          (A) is designated by and administered under the authority of the Chief Information
7823     Officer; and
7824          (B) acts as a repository of information about the individual that can be electronically
7825     retrieved and used to facilitate the individual's online interaction with a state agency;
7826          (o) information provided to the Commissioner of Insurance under:
7827          (i) Subsection 31A-23a-115(3)(a);
7828          (ii) Subsection 31A-23a-302(4); or
7829          (iii) Subsection 31A-26-210(4);
7830          (p) information obtained through a criminal background check under Title 11, Chapter
7831     40, Criminal Background Checks by Political Subdivisions Operating Water Systems;
7832          (q) information provided by an offender that is:
7833          (i) required by the registration requirements of Title 77, Chapter 41, Sex and Kidnap
7834     Offender Registry or Title 77, Chapter 43, Child Abuse Offender Registry; and
7835          (ii) not required to be made available to the public under Subsection 77-41-110(4) or
7836     77-43-108(4);
7837          (r) a statement and any supporting documentation filed with the attorney general in
7838     accordance with Section 34-45-107, if the federal law or action supporting the filing involves
7839     homeland security;

7840          (s) electronic toll collection customer account information received or collected under
7841     Section 72-6-118 and customer information described in Section 17B-2a-815 received or
7842     collected by a public transit district, including contact and payment information and customer
7843     travel data;
7844          (t) an email address provided by a military or overseas voter under Section
7845     20A-16-501;
7846          (u) a completed military-overseas ballot that is electronically transmitted under Title
7847     20A, Chapter 16, Uniform Military and Overseas Voters Act;
7848          (v) records received by or generated by or for the Political Subdivisions Ethics Review
7849     Commission established in Section 63A-15-201, except for:
7850          (i) the commission's summary data report that is required in Section 63A-15-202; and
7851          (ii) any other document that is classified as public in accordance with Title 63A,
7852     Chapter 15, Political Subdivisions Ethics Review Commission;
7853          (w) a record described in Section 53G-9-604 that verifies that a parent was notified of
7854     an incident or threat;
7855          (x) a criminal background check or credit history report conducted in accordance with
7856     Section 63A-3-201;
7857          (y) a record described in Subsection 53-5a-104(7);
7858          (z) on a record maintained by a county for the purpose of administering property taxes,
7859     an individual's:
7860          (i) email address;
7861          (ii) phone number; or
7862          (iii) personal financial information related to a person's payment method;
7863          (aa) a record submitted by a taxpayer to establish the taxpayer's eligibility for an
7864     exemption, deferral, abatement, or relief under:
7865          (i) Title 59, Chapter 2, Part 11, Exemptions, Deferrals, and Abatements;
7866          (ii) Title 59, Chapter 2, Part 12, Property Tax Relief;
7867          (iii) Title 59, Chapter 2, Part 18, Tax Deferral and Tax Abatement; or
7868          (iv) Title 59, Chapter 2, Part 19, Armed Forces Exemptions;
7869          (bb) a record provided by the State Tax Commission in response to a request under
7870     Subsection 59-1-403(4)(y)(iii);

7871          (cc) a record of the Child Welfare Legislative Oversight Panel regarding an individual
7872     child welfare case, as described in Subsection 36-33-103(3); and
7873          (dd) a record relating to drug or alcohol testing of a state employee under Section
7874     63A-17-1004.
7875          (2) The following records are private if properly classified by a governmental entity:
7876          (a) records concerning a current or former employee of, or applicant for employment
7877     with a governmental entity, including performance evaluations and personal status information
7878     such as race, religion, or disabilities, but not including records that are public under Subsection
7879     63G-2-301(2)(b) or 63G-2-301(3)(o) or private under Subsection (1)(b);
7880          (b) records describing an individual's finances, except that the following are public:
7881          (i) records described in Subsection 63G-2-301(2);
7882          (ii) information provided to the governmental entity for the purpose of complying with
7883     a financial assurance requirement; or
7884          (iii) records that must be disclosed in accordance with another statute;
7885          (c) records of independent state agencies if the disclosure of those records would
7886     conflict with the fiduciary obligations of the agency;
7887          (d) other records containing data on individuals the disclosure of which constitutes a
7888     clearly unwarranted invasion of personal privacy;
7889          (e) records provided by the United States or by a government entity outside the state
7890     that are given with the requirement that the records be managed as private records, if the
7891     providing entity states in writing that the record would not be subject to public disclosure if
7892     retained by it;
7893          (f) any portion of a record in the custody of the Division of Aging and Adult Services,
7894     created in Section [62A-3-102] 26B-6-102, that may disclose, or lead to the discovery of, the
7895     identity of a person who made a report of alleged abuse, neglect, or exploitation of a vulnerable
7896     adult; and
7897          (g) audio and video recordings created by a body-worn camera, as defined in Section
7898     77-7a-103, that record sound or images inside a home or residence except for recordings that:
7899          (i) depict the commission of an alleged crime;
7900          (ii) record any encounter between a law enforcement officer and a person that results in
7901     death or bodily injury, or includes an instance when an officer fires a weapon;

7902          (iii) record any encounter that is the subject of a complaint or a legal proceeding
7903     against a law enforcement officer or law enforcement agency;
7904          (iv) contain an officer involved critical incident as defined in Subsection
7905     76-2-408(1)(f); or
7906          (v) have been requested for reclassification as a public record by a subject or
7907     authorized agent of a subject featured in the recording.
7908          (3) (a) As used in this Subsection (3), "medical records" means medical reports,
7909     records, statements, history, diagnosis, condition, treatment, and evaluation.
7910          (b) Medical records in the possession of the University of Utah Hospital, its clinics,
7911     doctors, or affiliated entities are not private records or controlled records under Section
7912     63G-2-304 when the records are sought:
7913          (i) in connection with any legal or administrative proceeding in which the patient's
7914     physical, mental, or emotional condition is an element of any claim or defense; or
7915          (ii) after a patient's death, in any legal or administrative proceeding in which any party
7916     relies upon the condition as an element of the claim or defense.
7917          (c) Medical records are subject to production in a legal or administrative proceeding
7918     according to state or federal statutes or rules of procedure and evidence as if the medical
7919     records were in the possession of a nongovernmental medical care provider.
7920          Section 89. Section 63G-2-305 is amended to read:
7921          63G-2-305. Protected records.
7922          The following records are protected if properly classified by a governmental entity:
7923          (1) trade secrets as defined in Section 13-24-2 if the person submitting the trade secret
7924     has provided the governmental entity with the information specified in Section 63G-2-309;
7925          (2) commercial information or nonindividual financial information obtained from a
7926     person if:
7927          (a) disclosure of the information could reasonably be expected to result in unfair
7928     competitive injury to the person submitting the information or would impair the ability of the
7929     governmental entity to obtain necessary information in the future;
7930          (b) the person submitting the information has a greater interest in prohibiting access
7931     than the public in obtaining access; and
7932          (c) the person submitting the information has provided the governmental entity with

7933     the information specified in Section 63G-2-309;
7934          (3) commercial or financial information acquired or prepared by a governmental entity
7935     to the extent that disclosure would lead to financial speculations in currencies, securities, or
7936     commodities that will interfere with a planned transaction by the governmental entity or cause
7937     substantial financial injury to the governmental entity or state economy;
7938          (4) records, the disclosure of which could cause commercial injury to, or confer a
7939     competitive advantage upon a potential or actual competitor of, a commercial project entity as
7940     defined in Subsection 11-13-103(4);
7941          (5) test questions and answers to be used in future license, certification, registration,
7942     employment, or academic examinations;
7943          (6) records, the disclosure of which would impair governmental procurement
7944     proceedings or give an unfair advantage to any person proposing to enter into a contract or
7945     agreement with a governmental entity, except, subject to Subsections (1) and (2), that this
7946     Subsection (6) does not restrict the right of a person to have access to, after the contract or
7947     grant has been awarded and signed by all parties:
7948          (a) a bid, proposal, application, or other information submitted to or by a governmental
7949     entity in response to:
7950          (i) an invitation for bids;
7951          (ii) a request for proposals;
7952          (iii) a request for quotes;
7953          (iv) a grant; or
7954          (v) other similar document; or
7955          (b) an unsolicited proposal, as defined in Section 63G-6a-712;
7956          (7) information submitted to or by a governmental entity in response to a request for
7957     information, except, subject to Subsections (1) and (2), that this Subsection (7) does not restrict
7958     the right of a person to have access to the information, after:
7959          (a) a contract directly relating to the subject of the request for information has been
7960     awarded and signed by all parties; or
7961          (b) (i) a final determination is made not to enter into a contract that relates to the
7962     subject of the request for information; and
7963          (ii) at least two years have passed after the day on which the request for information is

7964     issued;
7965          (8) records that would identify real property or the appraisal or estimated value of real
7966     or personal property, including intellectual property, under consideration for public acquisition
7967     before any rights to the property are acquired unless:
7968          (a) public interest in obtaining access to the information is greater than or equal to the
7969     governmental entity's need to acquire the property on the best terms possible;
7970          (b) the information has already been disclosed to persons not employed by or under a
7971     duty of confidentiality to the entity;
7972          (c) in the case of records that would identify property, potential sellers of the described
7973     property have already learned of the governmental entity's plans to acquire the property;
7974          (d) in the case of records that would identify the appraisal or estimated value of
7975     property, the potential sellers have already learned of the governmental entity's estimated value
7976     of the property; or
7977          (e) the property under consideration for public acquisition is a single family residence
7978     and the governmental entity seeking to acquire the property has initiated negotiations to acquire
7979     the property as required under Section 78B-6-505;
7980          (9) records prepared in contemplation of sale, exchange, lease, rental, or other
7981     compensated transaction of real or personal property including intellectual property, which, if
7982     disclosed prior to completion of the transaction, would reveal the appraisal or estimated value
7983     of the subject property, unless:
7984          (a) the public interest in access is greater than or equal to the interests in restricting
7985     access, including the governmental entity's interest in maximizing the financial benefit of the
7986     transaction; or
7987          (b) when prepared by or on behalf of a governmental entity, appraisals or estimates of
7988     the value of the subject property have already been disclosed to persons not employed by or
7989     under a duty of confidentiality to the entity;
7990          (10) records created or maintained for civil, criminal, or administrative enforcement
7991     purposes or audit purposes, or for discipline, licensing, certification, or registration purposes, if
7992     release of the records:
7993          (a) reasonably could be expected to interfere with investigations undertaken for
7994     enforcement, discipline, licensing, certification, or registration purposes;

7995          (b) reasonably could be expected to interfere with audits, disciplinary, or enforcement
7996     proceedings;
7997          (c) would create a danger of depriving a person of a right to a fair trial or impartial
7998     hearing;
7999          (d) reasonably could be expected to disclose the identity of a source who is not
8000     generally known outside of government and, in the case of a record compiled in the course of
8001     an investigation, disclose information furnished by a source not generally known outside of
8002     government if disclosure would compromise the source; or
8003          (e) reasonably could be expected to disclose investigative or audit techniques,
8004     procedures, policies, or orders not generally known outside of government if disclosure would
8005     interfere with enforcement or audit efforts;
8006          (11) records the disclosure of which would jeopardize the life or safety of an
8007     individual;
8008          (12) records the disclosure of which would jeopardize the security of governmental
8009     property, governmental programs, or governmental recordkeeping systems from damage, theft,
8010     or other appropriation or use contrary to law or public policy;
8011          (13) records that, if disclosed, would jeopardize the security or safety of a correctional
8012     facility, or records relating to incarceration, treatment, probation, or parole, that would interfere
8013     with the control and supervision of an offender's incarceration, treatment, probation, or parole;
8014          (14) records that, if disclosed, would reveal recommendations made to the Board of
8015     Pardons and Parole by an employee of or contractor for the Department of Corrections, the
8016     Board of Pardons and Parole, or the Department of [Human Services] Health and Human
8017     Services that are based on the employee's or contractor's supervision, diagnosis, or treatment of
8018     any person within the board's jurisdiction;
8019          (15) records and audit workpapers that identify audit, collection, and operational
8020     procedures and methods used by the State Tax Commission, if disclosure would interfere with
8021     audits or collections;
8022          (16) records of a governmental audit agency relating to an ongoing or planned audit
8023     until the final audit is released;
8024          (17) records that are subject to the attorney client privilege;
8025          (18) records prepared for or by an attorney, consultant, surety, indemnitor, insurer,

8026     employee, or agent of a governmental entity for, or in anticipation of, litigation or a judicial,
8027     quasi-judicial, or administrative proceeding;
8028          (19) (a) (i) personal files of a state legislator, including personal correspondence to or
8029     from a member of the Legislature; and
8030          (ii) notwithstanding Subsection (19)(a)(i), correspondence that gives notice of
8031     legislative action or policy may not be classified as protected under this section; and
8032          (b) (i) an internal communication that is part of the deliberative process in connection
8033     with the preparation of legislation between:
8034          (A) members of a legislative body;
8035          (B) a member of a legislative body and a member of the legislative body's staff; or
8036          (C) members of a legislative body's staff; and
8037          (ii) notwithstanding Subsection (19)(b)(i), a communication that gives notice of
8038     legislative action or policy may not be classified as protected under this section;
8039          (20) (a) records in the custody or control of the Office of Legislative Research and
8040     General Counsel, that, if disclosed, would reveal a particular legislator's contemplated
8041     legislation or contemplated course of action before the legislator has elected to support the
8042     legislation or course of action, or made the legislation or course of action public; and
8043          (b) notwithstanding Subsection (20)(a), the form to request legislation submitted to the
8044     Office of Legislative Research and General Counsel is a public document unless a legislator
8045     asks that the records requesting the legislation be maintained as protected records until such
8046     time as the legislator elects to make the legislation or course of action public;
8047          (21) research requests from legislators to the Office of Legislative Research and
8048     General Counsel or the Office of the Legislative Fiscal Analyst and research findings prepared
8049     in response to these requests;
8050          (22) drafts, unless otherwise classified as public;
8051          (23) records concerning a governmental entity's strategy about:
8052          (a) collective bargaining; or
8053          (b) imminent or pending litigation;
8054          (24) records of investigations of loss occurrences and analyses of loss occurrences that
8055     may be covered by the Risk Management Fund, the Employers' Reinsurance Fund, the
8056     Uninsured Employers' Fund, or similar divisions in other governmental entities;

8057          (25) records, other than personnel evaluations, that contain a personal recommendation
8058     concerning an individual if disclosure would constitute a clearly unwarranted invasion of
8059     personal privacy, or disclosure is not in the public interest;
8060          (26) records that reveal the location of historic, prehistoric, paleontological, or
8061     biological resources that if known would jeopardize the security of those resources or of
8062     valuable historic, scientific, educational, or cultural information;
8063          (27) records of independent state agencies if the disclosure of the records would
8064     conflict with the fiduciary obligations of the agency;
8065          (28) records of an institution within the state system of higher education defined in
8066     Section 53B-1-102 regarding tenure evaluations, appointments, applications for admissions,
8067     retention decisions, and promotions, which could be properly discussed in a meeting closed in
8068     accordance with Title 52, Chapter 4, Open and Public Meetings Act, provided that records of
8069     the final decisions about tenure, appointments, retention, promotions, or those students
8070     admitted, may not be classified as protected under this section;
8071          (29) records of the governor's office, including budget recommendations, legislative
8072     proposals, and policy statements, that if disclosed would reveal the governor's contemplated
8073     policies or contemplated courses of action before the governor has implemented or rejected
8074     those policies or courses of action or made them public;
8075          (30) records of the Office of the Legislative Fiscal Analyst relating to budget analysis,
8076     revenue estimates, and fiscal notes of proposed legislation before issuance of the final
8077     recommendations in these areas;
8078          (31) records provided by the United States or by a government entity outside the state
8079     that are given to the governmental entity with a requirement that they be managed as protected
8080     records if the providing entity certifies that the record would not be subject to public disclosure
8081     if retained by it;
8082          (32) transcripts, minutes, recordings, or reports of the closed portion of a meeting of a
8083     public body except as provided in Section 52-4-206;
8084          (33) records that would reveal the contents of settlement negotiations but not including
8085     final settlements or empirical data to the extent that they are not otherwise exempt from
8086     disclosure;
8087          (34) memoranda prepared by staff and used in the decision-making process by an

8088     administrative law judge, a member of the Board of Pardons and Parole, or a member of any
8089     other body charged by law with performing a quasi-judicial function;
8090          (35) records that would reveal negotiations regarding assistance or incentives offered
8091     by or requested from a governmental entity for the purpose of encouraging a person to expand
8092     or locate a business in Utah, but only if disclosure would result in actual economic harm to the
8093     person or place the governmental entity at a competitive disadvantage, but this section may not
8094     be used to restrict access to a record evidencing a final contract;
8095          (36) materials to which access must be limited for purposes of securing or maintaining
8096     the governmental entity's proprietary protection of intellectual property rights including patents,
8097     copyrights, and trade secrets;
8098          (37) the name of a donor or a prospective donor to a governmental entity, including an
8099     institution within the state system of higher education defined in Section 53B-1-102, and other
8100     information concerning the donation that could reasonably be expected to reveal the identity of
8101     the donor, provided that:
8102          (a) the donor requests anonymity in writing;
8103          (b) any terms, conditions, restrictions, or privileges relating to the donation may not be
8104     classified protected by the governmental entity under this Subsection (37); and
8105          (c) except for an institution within the state system of higher education defined in
8106     Section 53B-1-102, the governmental unit to which the donation is made is primarily engaged
8107     in educational, charitable, or artistic endeavors, and has no regulatory or legislative authority
8108     over the donor, a member of the donor's immediate family, or any entity owned or controlled
8109     by the donor or the donor's immediate family;
8110          (38) accident reports, except as provided in Sections 41-6a-404, 41-12a-202, and
8111     73-18-13;
8112          (39) a notification of workers' compensation insurance coverage described in Section
8113     34A-2-205;
8114          (40) (a) the following records of an institution within the state system of higher
8115     education defined in Section 53B-1-102, which have been developed, discovered, disclosed to,
8116     or received by or on behalf of faculty, staff, employees, or students of the institution:
8117          (i) unpublished lecture notes;
8118          (ii) unpublished notes, data, and information:

8119          (A) relating to research; and
8120          (B) of:
8121          (I) the institution within the state system of higher education defined in Section
8122     53B-1-102; or
8123          (II) a sponsor of sponsored research;
8124          (iii) unpublished manuscripts;
8125          (iv) creative works in process;
8126          (v) scholarly correspondence; and
8127          (vi) confidential information contained in research proposals;
8128          (b) Subsection (40)(a) may not be construed to prohibit disclosure of public
8129     information required pursuant to Subsection 53B-16-302(2)(a) or (b); and
8130          (c) Subsection (40)(a) may not be construed to affect the ownership of a record;
8131          (41) (a) records in the custody or control of the Office of the Legislative Auditor
8132     General that would reveal the name of a particular legislator who requests a legislative audit
8133     prior to the date that audit is completed and made public; and
8134          (b) notwithstanding Subsection (41)(a), a request for a legislative audit submitted to the
8135     Office of the Legislative Auditor General is a public document unless the legislator asks that
8136     the records in the custody or control of the Office of the Legislative Auditor General that would
8137     reveal the name of a particular legislator who requests a legislative audit be maintained as
8138     protected records until the audit is completed and made public;
8139          (42) records that provide detail as to the location of an explosive, including a map or
8140     other document that indicates the location of:
8141          (a) a production facility; or
8142          (b) a magazine;
8143          (43) information contained in the statewide database of the Division of Aging and
8144     Adult Services created by Section [62A-3-311.1] 26B-6-210;
8145          (44) information contained in the Licensing Information System described in Title 80,
8146     Chapter 2, Child Welfare Services;
8147          (45) information regarding National Guard operations or activities in support of the
8148     National Guard's federal mission;
8149          (46) records provided by any pawn or secondhand business to a law enforcement

8150     agency or to the central database in compliance with Title 13, Chapter 32a, Pawnshop,
8151     Secondhand Merchandise, and Catalytic Converter Transaction Information Act;
8152          (47) information regarding food security, risk, and vulnerability assessments performed
8153     by the Department of Agriculture and Food;
8154          (48) except to the extent that the record is exempt from this chapter pursuant to Section
8155     63G-2-106, records related to an emergency plan or program, a copy of which is provided to or
8156     prepared or maintained by the Division of Emergency Management, and the disclosure of
8157     which would jeopardize:
8158          (a) the safety of the general public; or
8159          (b) the security of:
8160          (i) governmental property;
8161          (ii) governmental programs; or
8162          (iii) the property of a private person who provides the Division of Emergency
8163     Management information;
8164          (49) records of the Department of Agriculture and Food that provides for the
8165     identification, tracing, or control of livestock diseases, including any program established under
8166     Title 4, Chapter 24, Utah Livestock Brand and Anti-Theft Act, or Title 4, Chapter 31, Control
8167     of Animal Disease;
8168          (50) as provided in Section [26-39-501] 26B-2-408:
8169          (a) information or records held by the Department of [Health] Health and Human
8170     Services related to a complaint regarding a child care program or residential child care which
8171     the department is unable to substantiate; and
8172          (b) information or records related to a complaint received by the Department of
8173     [Health] Health and Human Services from an anonymous complainant regarding a child care
8174     program or residential child care;
8175          (51) unless otherwise classified as public under Section 63G-2-301 and except as
8176     provided under Section 41-1a-116, an individual's home address, home telephone number, or
8177     personal mobile phone number, if:
8178          (a) the individual is required to provide the information in order to comply with a law,
8179     ordinance, rule, or order of a government entity; and
8180          (b) the subject of the record has a reasonable expectation that this information will be

8181     kept confidential due to:
8182          (i) the nature of the law, ordinance, rule, or order; and
8183          (ii) the individual complying with the law, ordinance, rule, or order;
8184          (52) the portion of the following documents that contains a candidate's residential or
8185     mailing address, if the candidate provides to the filing officer another address or phone number
8186     where the candidate may be contacted:
8187          (a) a declaration of candidacy, a nomination petition, or a certificate of nomination,
8188     described in Section 20A-9-201, 20A-9-202, 20A-9-203, 20A-9-404, 20A-9-405, 20A-9-408,
8189     20A-9-408.5, 20A-9-502, or 20A-9-601;
8190          (b) an affidavit of impecuniosity, described in Section 20A-9-201; or
8191          (c) a notice of intent to gather signatures for candidacy, described in Section
8192     20A-9-408;
8193          (53) the name, home address, work addresses, and telephone numbers of an individual
8194     that is engaged in, or that provides goods or services for, medical or scientific research that is:
8195          (a) conducted within the state system of higher education, as defined in Section
8196     53B-1-102; and
8197          (b) conducted using animals;
8198          (54) in accordance with Section 78A-12-203, any record of the Judicial Performance
8199     Evaluation Commission concerning an individual commissioner's vote, in relation to whether a
8200     judge meets or exceeds minimum performance standards under Subsection 78A-12-203(4), and
8201     information disclosed under Subsection 78A-12-203(5)(e);
8202          (55) information collected and a report prepared by the Judicial Performance
8203     Evaluation Commission concerning a judge, unless Section 20A-7-702 or Title 78A, Chapter
8204     12, Judicial Performance Evaluation Commission Act, requires disclosure of, or makes public,
8205     the information or report;
8206          (56) records provided or received by the Public Lands Policy Coordinating Office in
8207     furtherance of any contract or other agreement made in accordance with Section 63L-11-202;
8208          (57) information requested by and provided to the 911 Division under Section
8209     63H-7a-302;
8210          (58) in accordance with Section 73-10-33:
8211          (a) a management plan for a water conveyance facility in the possession of the Division

8212     of Water Resources or the Board of Water Resources; or
8213          (b) an outline of an emergency response plan in possession of the state or a county or
8214     municipality;
8215          (59) the following records in the custody or control of the Office of Inspector General
8216     of Medicaid Services, created in Section 63A-13-201:
8217          (a) records that would disclose information relating to allegations of personal
8218     misconduct, gross mismanagement, or illegal activity of a person if the information or
8219     allegation cannot be corroborated by the Office of Inspector General of Medicaid Services
8220     through other documents or evidence, and the records relating to the allegation are not relied
8221     upon by the Office of Inspector General of Medicaid Services in preparing a final investigation
8222     report or final audit report;
8223          (b) records and audit workpapers to the extent they would disclose the identity of a
8224     person who, during the course of an investigation or audit, communicated the existence of any
8225     Medicaid fraud, waste, or abuse, or a violation or suspected violation of a law, rule, or
8226     regulation adopted under the laws of this state, a political subdivision of the state, or any
8227     recognized entity of the United States, if the information was disclosed on the condition that
8228     the identity of the person be protected;
8229          (c) before the time that an investigation or audit is completed and the final
8230     investigation or final audit report is released, records or drafts circulated to a person who is not
8231     an employee or head of a governmental entity for the person's response or information;
8232          (d) records that would disclose an outline or part of any investigation, audit survey
8233     plan, or audit program; or
8234          (e) requests for an investigation or audit, if disclosure would risk circumvention of an
8235     investigation or audit;
8236          (60) records that reveal methods used by the Office of Inspector General of Medicaid
8237     Services, the fraud unit, or the Department of [Health] Health and Human Services, to discover
8238     Medicaid fraud, waste, or abuse;
8239          (61) information provided to the Department of [Health] Health and Human Services
8240     or the Division of Professional Licensing under Subsections 58-67-304(3) and (4) and
8241     Subsections 58-68-304(3) and (4);
8242          (62) a record described in Section 63G-12-210;

8243          (63) captured plate data that is obtained through an automatic license plate reader
8244     system used by a governmental entity as authorized in Section 41-6a-2003;
8245          (64) any record in the custody of the Utah Office for Victims of Crime relating to a
8246     victim, including:
8247          (a) a victim's application or request for benefits;
8248          (b) a victim's receipt or denial of benefits; and
8249          (c) any administrative notes or records made or created for the purpose of, or used to,
8250     evaluate or communicate a victim's eligibility for or denial of benefits from the Crime Victim
8251     Reparations Fund;
8252          (65) an audio or video recording created by a body-worn camera, as that term is
8253     defined in Section 77-7a-103, that records sound or images inside a hospital or health care
8254     facility as those terms are defined in Section 78B-3-403, inside a clinic of a health care
8255     provider, as that term is defined in Section 78B-3-403, or inside a human service program as
8256     that term is defined in Section 62A-2-101, except for recordings that:
8257          (a) depict the commission of an alleged crime;
8258          (b) record any encounter between a law enforcement officer and a person that results in
8259     death or bodily injury, or includes an instance when an officer fires a weapon;
8260          (c) record any encounter that is the subject of a complaint or a legal proceeding against
8261     a law enforcement officer or law enforcement agency;
8262          (d) contain an officer involved critical incident as defined in Subsection
8263     76-2-408(1)(f); or
8264          (e) have been requested for reclassification as a public record by a subject or
8265     authorized agent of a subject featured in the recording;
8266          (66) a record pertaining to the search process for a president of an institution of higher
8267     education described in Section 53B-2-102, except for application materials for a publicly
8268     announced finalist;
8269          (67) an audio recording that is:
8270          (a) produced by an audio recording device that is used in conjunction with a device or
8271     piece of equipment designed or intended for resuscitating an individual or for treating an
8272     individual with a life-threatening condition;
8273          (b) produced during an emergency event when an individual employed to provide law

8274     enforcement, fire protection, paramedic, emergency medical, or other first responder service:
8275          (i) is responding to an individual needing resuscitation or with a life-threatening
8276     condition; and
8277          (ii) uses a device or piece of equipment designed or intended for resuscitating an
8278     individual or for treating an individual with a life-threatening condition; and
8279          (c) intended and used for purposes of training emergency responders how to improve
8280     their response to an emergency situation;
8281          (68) records submitted by or prepared in relation to an applicant seeking a
8282     recommendation by the Research and General Counsel Subcommittee, the Budget
8283     Subcommittee, or the Audit Subcommittee, established under Section 36-12-8, for an
8284     employment position with the Legislature;
8285          (69) work papers as defined in Section 31A-2-204;
8286          (70) a record made available to Adult Protective Services or a law enforcement agency
8287     under Section 61-1-206;
8288          (71) a record submitted to the Insurance Department in accordance with Section
8289     31A-37-201;
8290          (72) a record described in Section 31A-37-503;
8291          (73) any record created by the Division of Professional Licensing as a result of
8292     Subsection 58-37f-304(5) or 58-37f-702(2)(a)(ii);
8293          (74) a record described in Section 72-16-306 that relates to the reporting of an injury
8294     involving an amusement ride;
8295          (75) except as provided in Subsection 63G-2-305.5(1), the signature of an individual
8296     on a political petition, or on a request to withdraw a signature from a political petition,
8297     including a petition or request described in the following titles:
8298          (a) Title 10, Utah Municipal Code;
8299          (b) Title 17, Counties;
8300          (c) Title 17B, Limited Purpose Local Government Entities - Local Districts;
8301          (d) Title 17D, Limited Purpose Local Government Entities - Other Entities; and
8302          (e) Title 20A, Election Code;
8303          (76) except as provided in Subsection 63G-2-305.5(2), the signature of an individual in
8304     a voter registration record;

8305          (77) except as provided in Subsection 63G-2-305.5(3), any signature, other than a
8306     signature described in Subsection (75) or (76), in the custody of the lieutenant governor or a
8307     local political subdivision collected or held under, or in relation to, Title 20A, Election Code;
8308          (78) a Form I-918 Supplement B certification as described in Title 77, Chapter 38, Part
8309     5, Victims Guidelines for Prosecutors Act;
8310          (79) a record submitted to the Insurance Department under Section 31A-48-103;
8311          (80) personal information, as defined in Section 63G-26-102, to the extent disclosure is
8312     prohibited under Section 63G-26-103;
8313          (81) an image taken of an individual during the process of booking the individual into
8314     jail, unless:
8315          (a) the individual is convicted of a criminal offense based upon the conduct for which
8316     the individual was incarcerated at the time the image was taken;
8317          (b) a law enforcement agency releases or disseminates the image:
8318          (i) after determining that the individual is a fugitive or an imminent threat to an
8319     individual or to public safety and releasing or disseminating the image will assist in
8320     apprehending the individual or reducing or eliminating the threat; or
8321          (ii) to a potential witness or other individual with direct knowledge of events relevant
8322     to a criminal investigation or criminal proceeding for the purpose of identifying or locating an
8323     individual in connection with the criminal investigation or criminal proceeding; or
8324          (c) a judge orders the release or dissemination of the image based on a finding that the
8325     release or dissemination is in furtherance of a legitimate law enforcement interest;
8326          (82) a record:
8327          (a) concerning an interstate claim to the use of waters in the Colorado River system;
8328          (b) relating to a judicial proceeding, administrative proceeding, or negotiation with a
8329     representative from another state or the federal government as provided in Section
8330     63M-14-205; and
8331          (c) the disclosure of which would:
8332          (i) reveal a legal strategy relating to the state's claim to the use of the water in the
8333     Colorado River system;
8334          (ii) harm the ability of the Colorado River Authority of Utah or river commissioner to
8335     negotiate the best terms and conditions regarding the use of water in the Colorado River

8336     system; or
8337          (iii) give an advantage to another state or to the federal government in negotiations
8338     regarding the use of water in the Colorado River system;
8339          (83) any part of an application described in Section 63N-16-201 that the Governor's
8340     Office of Economic Opportunity determines is nonpublic, confidential information that if
8341     disclosed would result in actual economic harm to the applicant, but this Subsection (83) may
8342     not be used to restrict access to a record evidencing a final contract or approval decision;
8343          (84) the following records of a drinking water or wastewater facility:
8344          (a) an engineering or architectural drawing of the drinking water or wastewater facility;
8345     and
8346          (b) except as provided in Section 63G-2-106, a record detailing tools or processes the
8347     drinking water or wastewater facility uses to secure, or prohibit access to, the records described
8348     in Subsection (84)(a); and
8349          (85) a statement that an employee of a governmental entity provides to the
8350     governmental entity as part of the governmental entity's personnel or administrative
8351     investigation into potential misconduct involving the employee if the governmental entity:
8352          (a) requires the statement under threat of employment disciplinary action, including
8353     possible termination of employment, for the employee's refusal to provide the statement; and
8354          (b) provides the employee assurance that the statement cannot be used against the
8355     employee in any criminal proceeding.
8356          Section 90. Section 63G-3-501 is amended to read:
8357          63G-3-501. Administrative Rules Review and General Oversight Committee.
8358          (1) (a) There is created an Administrative Rules Review and General Oversight
8359     Committee of the following 10 permanent members:
8360          (i) five members of the Senate appointed by the president of the Senate, no more than
8361     three of whom may be from the same political party; and
8362          (ii) five members of the House of Representatives appointed by the speaker of the
8363     House of Representatives, no more than three of whom may be from the same political party.
8364          (b) Each permanent member shall serve:
8365          (i) for a two-year term; or
8366          (ii) until the permanent member's successor is appointed.

8367          (c) (i) A vacancy exists when a permanent member ceases to be a member of the
8368     Legislature, or when a permanent member resigns from the committee.
8369          (ii) When a vacancy exists:
8370          (A) if the departing member is a member of the Senate, the president of the Senate
8371     shall appoint a member of the Senate to fill the vacancy; or
8372          (B) if the departing member is a member of the House of Representatives, the speaker
8373     of the House of Representatives shall appoint a member of the House of Representatives to fill
8374     the vacancy.
8375          (iii) The newly appointed member shall serve the remainder of the departing member's
8376     unexpired term.
8377          (d) (i) The president of the Senate shall designate a member of the Senate appointed
8378     under Subsection (1)(a)(i) as a cochair of the committee.
8379          (ii) The speaker of the House of Representatives shall designate a member of the
8380     House of Representatives appointed under Subsection (1)(a)(ii) as a cochair of the committee.
8381          (e) Three representatives and three senators from the permanent members are a quorum
8382     for the transaction of business at any meeting.
8383          (f) (i) Subject to Subsection (1)(f)(ii), the committee shall meet at least once each
8384     month to review new agency rules, amendments to existing agency rules, and repeals of
8385     existing agency rules.
8386          (ii) The committee chairs may suspend the meeting requirement described in
8387     Subsection (1)(f)(i) at the committee chairs' discretion.
8388          (2) The office shall submit a copy of each issue of the bulletin to the committee.
8389          (3) (a) The committee shall exercise continuous oversight of the rulemaking process.
8390          (b) The committee shall examine each rule, including any rule made according to the
8391     emergency rulemaking procedure described in Section 63G-3-304, submitted by an agency to
8392     determine:
8393          (i) whether the rule is authorized by statute;
8394          (ii) whether the rule complies with legislative intent;
8395          (iii) the rule's impact on the economy and the government operations of the state and
8396     local political subdivisions;
8397          (iv) the rule's impact on affected persons;

8398          (v) the rule's total cost to entities regulated by the state;
8399          (vi) the rule's benefit to the citizens of the state; and
8400          (vii) whether adoption of the rule requires legislative review or approval.
8401          (c) The committee may examine and review:
8402          (i) any executive order issued pursuant to Title 53, Chapter 2a, Part 2, Disaster
8403     Response and Recovery Act;
8404          (ii) any public health order issued during a public health emergency declared in
8405     accordance with [Title 26, Utah Health Code, or] Title 26A, Local Health Authorities or Title
8406     26B, Utah Health and Human Services Code; or
8407          (iii) an agency's policies that:
8408          (A) affect a class of persons other than the agency; or
8409          (B) are contrary to legislative intent.
8410          (d) (i) To carry out these duties, the committee may examine any other issues that the
8411     committee considers necessary.
8412          (ii) Notwithstanding anything to the contrary in this section, the committee may not
8413     examine an agency's internal policies, procedures, or practices.
8414          (iii) The committee may also notify and refer rules to the chairs of the interim
8415     committee that has jurisdiction over a particular agency when the committee determines that an
8416     issue involved in an agency's rules may be more appropriately addressed by that committee.
8417          (e) An agency shall respond to a request from the committee for:
8418          (i) an agency's policy described in Subsection (3)(c)(iii); or
8419          (ii) information related to an agency's policy described in Subsection (3)(c)(iii).
8420          (f) In reviewing a rule, the committee shall follow generally accepted principles of
8421     statutory construction.
8422          (4) When the committee reviews an existing rule, the committee chairs shall invite the
8423     Senate and House chairs of the standing committee and of the appropriation subcommittee that
8424     have jurisdiction over the agency whose existing rule is being reviewed to participate as
8425     nonvoting, ex officio members with the committee.
8426          (5) The committee may request that the Office of the Legislative Fiscal Analyst prepare
8427     a fiscal note on any rule.
8428          (6) In order to accomplish the committee's functions described in this chapter, the

8429     committee has all the powers granted to legislative interim committees under Section 36-12-11.
8430          (7) (a) The committee may prepare written findings of the committee's review of a rule,
8431     policy, practice, or procedure and may include any recommendation, including:
8432          (i) legislative action; or
8433          (ii) action by a standing committee or interim committee.
8434          (b) When the committee reviews a rule, the committee shall provide to the agency that
8435     enacted the rule:
8436          (i) the committee's findings, if any; and
8437          (ii) a request that the agency notify the committee of any changes the agency makes to
8438     the rule.
8439          (c) The committee shall provide a copy of the committee's findings described in
8440     Subsection (7)(a), if any, to:
8441          (i) any member of the Legislature, upon request;
8442          (ii) any person affected by the rule, upon request;
8443          (iii) the president of the Senate;
8444          (iv) the speaker of the House of Representatives;
8445          (v) the Senate and House chairs of the standing committee that has jurisdiction over the
8446     agency whose rule, policy, practice, or procedure is the subject of the finding; and
8447          (vi) the Senate and House chairs of the appropriation subcommittee that has
8448     jurisdiction over the agency that made the rule.
8449          (8) (a) (i) The committee may submit a report on the committee's review under this
8450     section to each member of the Legislature at each regular session.
8451          (ii) The report shall include:
8452          (A) any finding or recommendation the committee made under Subsection (7);
8453          (B) any action an agency took in response to a committee recommendation; and
8454          (C) any recommendation by the committee for legislation.
8455          (b) If the committee receives a recommendation not to reauthorize a rule, as described
8456     in Subsection 63G-3-301(13)(b), and the committee recommends to the Legislature
8457     reauthorization of the rule, the committee shall submit a report to each member of the
8458     Legislature detailing the committee's decision.
8459          (c) If the committee recommends legislation, the committee may prepare legislation for

8460     consideration by the Legislature at the next general session.
8461          Section 91. Section 63G-4-102 is amended to read:
8462          63G-4-102. Scope and applicability of chapter.
8463          (1) Except as set forth in Subsection (2), and except as otherwise provided by a statute
8464     superseding provisions of this chapter by explicit reference to this chapter, the provisions of
8465     this chapter apply to every agency of the state and govern:
8466          (a) state agency action that determines the legal rights, duties, privileges, immunities,
8467     or other legal interests of an identifiable person, including agency action to grant, deny, revoke,
8468     suspend, modify, annul, withdraw, or amend an authority, right, or license; and
8469          (b) judicial review of the action.
8470          (2) This chapter does not govern:
8471          (a) the procedure for making agency rules, or judicial review of the procedure or rules;
8472          (b) the issuance of a notice of a deficiency in the payment of a tax, the decision to
8473     waive a penalty or interest on taxes, the imposition of and penalty or interest on taxes, or the
8474     issuance of a tax assessment, except that this chapter governs an agency action commenced by
8475     a taxpayer or by another person authorized by law to contest the validity or correctness of the
8476     action;
8477          (c) state agency action relating to extradition, to the granting of a pardon or parole, a
8478     commutation or termination of a sentence, or to the rescission, termination, or revocation of
8479     parole or probation, to the discipline of, resolution of a grievance of, supervision of,
8480     confinement of, or the treatment of an inmate or resident of a correctional facility, the Utah
8481     State Hospital, the Utah State Developmental Center, or a person in the custody or jurisdiction
8482     of the Division of Substance Abuse and Mental Health, or a person on probation or parole, or
8483     judicial review of the action;
8484          (d) state agency action to evaluate, discipline, employ, transfer, reassign, or promote a
8485     student or teacher in a school or educational institution, or judicial review of the action;
8486          (e) an application for employment and internal personnel action within an agency
8487     concerning its own employees, or judicial review of the action;
8488          (f) the issuance of a citation or assessment under Title 34A, Chapter 6, Utah
8489     Occupational Safety and Health Act, and Title 58, Occupations and Professions, except that
8490     this chapter governs an agency action commenced by the employer, licensee, or other person

8491     authorized by law to contest the validity or correctness of the citation or assessment;
8492          (g) state agency action relating to management of state funds, the management and
8493     disposal of school and institutional trust land assets, and contracts for the purchase or sale of
8494     products, real property, supplies, goods, or services by or for the state, or by or for an agency of
8495     the state, except as provided in those contracts, or judicial review of the action;
8496          (h) state agency action under Title 7, Chapter 1, Part 3, Powers and Duties of
8497     Commissioner of Financial Institutions, Title 7, Chapter 2, Possession of Depository Institution
8498     by Commissioner, Title 7, Chapter 19, Acquisition of Failing Depository Institutions or
8499     Holding Companies, and Chapter 7, Governmental Immunity Act of Utah, or judicial review of
8500     the action;
8501          (i) the initial determination of a person's eligibility for unemployment benefits, the
8502     initial determination of a person's eligibility for benefits under Title 34A, Chapter 2, Workers'
8503     Compensation Act, and Title 34A, Chapter 3, Utah Occupational Disease Act, or the initial
8504     determination of a person's unemployment tax liability;
8505          (j) state agency action relating to the distribution or award of a monetary grant to or
8506     between governmental units, or for research, development, or the arts, or judicial review of the
8507     action;
8508          (k) the issuance of a notice of violation or order under [Title 26, Chapter 8a, Utah
8509     Emergency Medical Services System Act] Title 26B, Chapter 4, Part 1, Utah Emergency
8510     Medical Services System, Title 19, Chapter 2, Air Conservation Act, Title 19, Chapter 3,
8511     Radiation Control Act, Title 19, Chapter 4, Safe Drinking Water Act, Title 19, Chapter 5,
8512     Water Quality Act, Title 19, Chapter 6, Part 1, Solid and Hazardous Waste Act, Title 19,
8513     Chapter 6, Part 4, Underground Storage Tank Act, or Title 19, Chapter 6, Part 7, Used Oil
8514     Management Act, or Title 19, Chapter 6, Part 10, Mercury Switch Removal Act, except that
8515     this chapter governs an agency action commenced by a person authorized by law to contest the
8516     validity or correctness of the notice or order;
8517          (l) state agency action, to the extent required by federal statute or regulation, to be
8518     conducted according to federal procedures;
8519          (m) the initial determination of a person's eligibility for government or public
8520     assistance benefits;
8521          (n) state agency action relating to wildlife licenses, permits, tags, and certificates of

8522     registration;
8523          (o) a license for use of state recreational facilities;
8524          (p) state agency action under Chapter 2, Government Records Access and Management
8525     Act, except as provided in Section 63G-2-603;
8526          (q) state agency action relating to the collection of water commissioner fees and
8527     delinquency penalties, or judicial review of the action;
8528          (r) state agency action relating to the installation, maintenance, and repair of headgates,
8529     caps, values, or other water controlling works and weirs, flumes, meters, or other water
8530     measuring devices, or judicial review of the action;
8531          (s) the issuance and enforcement of an initial order under Section 73-2-25;
8532          (t) (i) a hearing conducted by the Division of Securities under Section 61-1-11.1; and
8533          (ii) an action taken by the Division of Securities under a hearing conducted under
8534     Section 61-1-11.1, including a determination regarding the fairness of an issuance or exchange
8535     of securities described in Subsection 61-1-11.1(1);
8536          (u) state agency action relating to water well driller licenses, water well drilling
8537     permits, water well driller registration, or water well drilling construction standards, or judicial
8538     review of the action;
8539          (v) the issuance of a determination and order under Title 34A, Chapter 5, Utah
8540     Antidiscrimination Act;
8541          (w) state environmental studies and related decisions by the Department of
8542     Transportation approving state or locally funded projects, or judicial review of the action;
8543          (x) the suspension of operations under Subsection 32B-1-304(3); or
8544          (y) the issuance of a determination of violation by the Governor's Office of Economic
8545     Opportunity under Section 11-41-104.
8546          (3) This chapter does not affect a legal remedy otherwise available to:
8547          (a) compel an agency to take action; or
8548          (b) challenge an agency's rule.
8549          (4) This chapter does not preclude an agency, prior to the beginning of an adjudicative
8550     proceeding, or the presiding officer during an adjudicative proceeding from:
8551          (a) requesting or ordering a conference with parties and interested persons to:
8552          (i) encourage settlement;

8553          (ii) clarify the issues;
8554          (iii) simplify the evidence;
8555          (iv) facilitate discovery; or
8556          (v) expedite the proceeding; or
8557          (b) granting a timely motion to dismiss or for summary judgment if the requirements of
8558     Rule 12(b) or Rule 56 of the Utah Rules of Civil Procedure are met by the moving party,
8559     except to the extent that the requirements of those rules are modified by this chapter.
8560          (5) (a) A declaratory proceeding authorized by Section 63G-4-503 is not governed by
8561     this chapter, except as explicitly provided in that section.
8562          (b) Judicial review of a declaratory proceeding authorized by Section 63G-4-503 is
8563     governed by this chapter.
8564          (6) This chapter does not preclude an agency from enacting a rule affecting or
8565     governing an adjudicative proceeding or from following the rule, if the rule is enacted
8566     according to the procedures outlined in Chapter 3, Utah Administrative Rulemaking Act, and if
8567     the rule conforms to the requirements of this chapter.
8568          (7) (a) If the attorney general issues a written determination that a provision of this
8569     chapter would result in the denial of funds or services to an agency of the state from the federal
8570     government, the applicability of the provision to that agency shall be suspended to the extent
8571     necessary to prevent the denial.
8572          (b) The attorney general shall report the suspension to the Legislature at its next
8573     session.
8574          (8) Nothing in this chapter may be interpreted to provide an independent basis for
8575     jurisdiction to review final agency action.
8576          (9) Nothing in this chapter may be interpreted to restrict a presiding officer, for good
8577     cause shown, from lengthening or shortening a time period prescribed in this chapter, except
8578     the time period established for judicial review.
8579          (10) Notwithstanding any other provision of this section, this chapter does not apply to
8580     a special adjudicative proceeding, as defined in Section 19-1-301.5, except to the extent
8581     expressly provided in Section 19-1-301.5.
8582          (11) Subsection (2)(w), regarding action taken based on state environmental studies
8583     and policies of the Department of Transportation, applies to any claim for which a court of

8584     competent jurisdiction has not issued a final unappealable judgment or order before May 14,
8585     2019.
8586          Section 92. Section 63G-7-201 is amended to read:
8587          63G-7-201. Immunity of governmental entities and employees from suit.
8588          (1) Except as otherwise provided in this chapter, each governmental entity and each
8589     employee of a governmental entity are immune from suit for any injury that results from the
8590     exercise of a governmental function.
8591          (2) Notwithstanding the waiver of immunity provisions of Section 63G-7-301, a
8592     governmental entity, its officers, and its employees are immune from suit:
8593          (a) as provided in Section 78B-4-517; and
8594          (b) for any injury or damage resulting from the implementation of or the failure to
8595     implement measures to:
8596          (i) control the causes of epidemic and communicable diseases and other conditions
8597     significantly affecting the public health or necessary to protect the public health as set out in
8598     Title 26A, Chapter 1, Local Health Departments;
8599          (ii) investigate and control suspected bioterrorism and disease as set out in [Title 26,
8600     Chapter 23b, Detection of Public Health Emergencies Act] Title 26B, Chapter 7, Part 3,
8601     Treatment, Isolation, and Quarantine Procedures for Communicable Diseases;
8602          (iii) respond to a national, state, or local emergency, a public health emergency as
8603     defined in Section [26-23b-102] 26B-7-301, or a declaration by the President of the United
8604     States or other federal official requesting public health related activities, including the use,
8605     provision, operation, and management of:
8606          (A) an emergency shelter;
8607          (B) housing;
8608          (C) a staging place; or
8609          (D) a medical facility; and
8610          (iv) adopt methods or measures, in accordance with Section [26-1-30] 26B-1-202, for
8611     health care providers, public health entities, and health care insurers to coordinate among
8612     themselves to verify the identity of the individuals they serve.
8613          (3) A governmental entity, its officers, and its employees are immune from suit, and
8614     immunity is not waived, for any injury if the injury arises out of or in connection with, or

8615     results from:
8616          (a) a latent dangerous or latent defective condition of:
8617          (i) any highway, road, street, alley, crosswalk, sidewalk, culvert, tunnel, bridge, or
8618     viaduct; or
8619          (ii) another structure located on any of the items listed in Subsection (3)(a)(i); or
8620          (b) a latent dangerous or latent defective condition of any public building, structure,
8621     dam, reservoir, or other public improvement.
8622          (4) A governmental entity, its officers, and its employees are immune from suit, and
8623     immunity is not waived, for any injury proximately caused by a negligent act or omission of an
8624     employee committed within the scope of employment, if the injury arises out of or in
8625     connection with, or results from:
8626          (a) the exercise or performance, or the failure to exercise or perform, a discretionary
8627     function, whether or not the discretion is abused;
8628          (b) except as provided in Subsections 63G-7-301(2)(j), (3), and (4), assault, battery,
8629     false imprisonment, false arrest, malicious prosecution, intentional trespass, abuse of process,
8630     libel, slander, deceit, interference with contract rights, infliction of mental anguish, or violation
8631     of civil rights;
8632          (c) the issuance, denial, suspension, or revocation of, or the failure or refusal to issue,
8633     deny, suspend, or revoke, any permit, license, certificate, approval, order, or similar
8634     authorization;
8635          (d) a failure to make an inspection or making an inadequate or negligent inspection;
8636          (e) the institution or prosecution of any judicial or administrative proceeding, even if
8637     malicious or without probable cause;
8638          (f) a misrepresentation by an employee whether or not the misrepresentation is
8639     negligent or intentional;
8640          (g) a riot, unlawful assembly, public demonstration, mob violence, or civil disturbance;
8641          (h) the collection or assessment of taxes;
8642          (i) an activity of the Utah National Guard;
8643          (j) the incarceration of a person in a state prison, county or city jail, or other place of
8644     legal confinement;
8645          (k) a natural condition on publicly owned or controlled land;

8646          (l) a condition existing in connection with an abandoned mine or mining operation;
8647          (m) an activity authorized by the School and Institutional Trust Lands Administration
8648     or the Division of Forestry, Fire, and State Lands;
8649          (n) the operation or existence of a pedestrian or equestrian trail that is along a ditch,
8650     canal, stream, or river, regardless of ownership or operation of the ditch, canal, stream, or river,
8651     if:
8652          (i) the trail is designated under a general plan adopted by a municipality under Section
8653     10-9a-401 or by a county under Section 17-27a-401;
8654          (ii) the trail right-of-way or the right-of-way where the trail is located is open to public
8655     use as evidenced by a written agreement between:
8656          (A) the owner or operator of the trail right-of-way or of the right-of-way where the trail
8657     is located; and
8658          (B) the municipality or county where the trail is located; and
8659          (iii) the written agreement:
8660          (A) contains a plan for operation and maintenance of the trail; and
8661          (B) provides that an owner or operator of the trail right-of-way or of the right-of-way
8662     where the trail is located has, at a minimum, the same level of immunity from suit as the
8663     governmental entity in connection with or resulting from the use of the trail;
8664          (o) research or implementation of cloud management or seeding for the clearing of fog;
8665          (p) the management of flood waters, earthquakes, or natural disasters;
8666          (q) the construction, repair, or operation of flood or storm systems;
8667          (r) the operation of an emergency vehicle, while being driven in accordance with the
8668     requirements of Section 41-6a-212;
8669          (s) the activity of:
8670          (i) providing emergency medical assistance;
8671          (ii) fighting fire;
8672          (iii) regulating, mitigating, or handling hazardous materials or hazardous wastes;
8673          (iv) an emergency evacuation;
8674          (v) transporting or removing an injured person to a place where emergency medical
8675     assistance can be rendered or where the person can be transported by a licensed ambulance
8676     service; or

8677          (vi) intervening during a dam emergency;
8678          (t) the exercise or performance, or the failure to exercise or perform, any function
8679     pursuant to Title 73, Chapter 10, Board of Water Resources - Division of Water Resources;
8680          (u) an unauthorized access to government records, data, or electronic information
8681     systems by any person or entity;
8682          (v) an activity of wildlife, as defined in Section 23-13-2, that arises during the use of a
8683     public or private road; or
8684          (w) a communication between employees of one or more law enforcement agencies
8685     related to the employment, disciplinary history, character, professional competence, or physical
8686     or mental health of a peace officer, or a former, current, or prospective employee of a law
8687     enforcement agency, including any communication made in accordance with Section
8688     53-14-101.
8689          Section 93. Section 63I-1-226 is repealed and reenacted to read:
8690          63I-1-226. Repeal dates: Title 26A through 26B.
8691          (1) Subsection 26B-1-204(2)(i), related to the Residential Child Care Licensing
8692     Advisory Committee, is repealed July 1, 2024.
8693          (2) Subsection 26B-1-204(2)(k), related to the Primary Care Grant Committee, is
8694     repealed July 1, 2025.
8695          (3) Section 26B-1-230, related to governmental entities requiring COVID-19 vaccines,
8696     is repealed July 1, 2024.
8697          (4) Section 26B-1-315, which creates the Medicaid Expansion Fund, is repealed July 1,
8698     2024.
8699          (5) Section 26B-1-319, which creates the Spinal Cord and Brain Injury Rehabilitation
8700     Fund, is repealed January 1, 2025.
8701          (6) Section 26B-1-320, which creates the Pediatric Neuro-Rehabilitation Fund, is
8702     repealed January 1, 2025.
8703          (7) Subsection 26B-1-329(6), related to the Behavioral Health Crisis Response
8704     Commission, is repealed July 1, 2023.
8705          (8) Section 26B-1-402, related to the Rare Disease Advisory Council Grant Program, is
8706     repealed July 1, 2026.
8707          (9) Section 26B-1-409, which creates the Utah Digital Health Service Commission, is

8708     repealed July 1, 2025.
8709          (10) Section 26B-1-410, which creates the Primary Care Grant Committee, is repealed
8710     July 1, 2025.
8711          (11) Section 26B-1-415, which creates the Residential Child Care Licensing Advisory
8712     Committee, is repealed July 1, 2024.
8713          (12) Section 26B-1-416, which creates the Utah Children's Health Insurance Program
8714     Advisory Council, is repealed July 1, 2025.
8715          (13) Section 26B-1-417, which creates the Traumatic Brain Injury Advisory
8716     Committee, is repealed July 1, 2025.
8717          (14) Section 26B-1-418, which creates the Spinal Cord and Brain Injury Rehabilitation
8718     Fund and Pediatric Neuro-Rehabilitation Fund Advisory Committee, is repealed January 1,
8719     2025.
8720          (15) Section 26B-1-422, which creates the Early Childhood Utah Advisory Council, is
8721     repealed July 1, 2026.
8722          (16) Section 26B-1-428, which creates the Youth Electronic Cigarette, Marijuana, and
8723     Other Drug Prevention Program, is repealed July 1, 2025.
8724          (17) Section 26B-1-430, which creates the Coordinating Council for Persons with
8725     Disabilities, is repealed July 1, 2027.
8726          (18) Section 26B-1-431, which creates the Forensic Mental Health Coordinating
8727     Council, is repealed July 1, 2023.
8728          (19) Section 26B-2-309, related to assisted living facility transfers, is repealed July 1,
8729     2023.
8730          (20) Section 26B-2-407, related to drinking water quality in child care centers, is
8731     repealed July 1, 2027.
8732          (21) Subsection 26B-3-107(9), which addresses reimbursement for dental hygienists, is
8733     repealed July 1, 2028.
8734          (22) Section 26B-3-136, which creates the Children's Health Care Coverage Program,
8735     is repealed July 1, 2025.
8736          (23) Section 26B-3-137, related to reimbursement for the National Diabetes Prevention
8737     Program, is repealed June 30, 2027.
8738          (24) Subsection 26B-3-213(2), the language that states "and the Behavioral Health

8739     Crisis Response Commission created in Section 63C-18-202" is repealed July 1, 2023.
8740          (25) Title 26B, Chapter 3, Part 5, Inpatient Hospital Assessment, is repealed July 1,
8741     2024.
8742          (26) Title 26B, Chapter 3, Part 6, Medicaid Expansion Hospital Assessment, is
8743     repealed July 1, 2024.
8744          (27) Title 26B, Chapter 3, Part 7, Hospital Provider Assessment, is repealed July 1,
8745     2024.
8746          (28) Section 26B-4-136, related to the Volunteer Emergency Medical Service
8747     Personnel Health Insurance Program, is repealed July 1, 2027.
8748          (29) Subsection 26B-4-319(5), which creates the Newborn Hearing Screening
8749     Committee, is repealed July 1, 2026.
8750          (30) Section 26B-4-710, related to rural residency training programs, is repealed July 1,
8751     2025.
8752          (31) Subsections 26B-5-112(1) and (5), the language that states "In consultation with
8753     the Behavioral Health Crisis Response Commission, established in Section 63C-18-202," is
8754     repealed January 1, 2023.
8755          (32) Section 26B-5-114, related to the Behavioral Health Receiving Center Grant
8756     Program, is repealed December 31, 2023.
8757          (33) Section 26B-5-118, related to collaborative care grant programs, is repealed
8758     December 31, 2024.
8759          (34) In relation to the Behavioral Health Crisis Response Commission, on July 1, 2023:
8760          (a) Subsection 26B-5-609(1)(a) is repealed;
8761          (b) Subsection 26B-5-609(3)(a), the language that states "With recommendations from
8762     the commission," is repealed;
8763          (c) Subsection 26B-5-610(1)(b) is repealed; and
8764          (d) Subsection 26B-5-610(2)(b), the language that states "and in consultation with the
8765     commission," is repealed.
8766          (35) Subsections 26B-5-611(1)(a) and (10), in relation to the Utah Substance Use and
8767     Mental Health Advisory Council, are repealed January 1, 2033.
8768          (36) Section 26B-5-612, related to integrated behavioral health care grant programs, is
8769     repealed December 31, 2025.

8770          (37) Subsection 26B-7-119(5), related to reports to the Legislature on the outcomes of
8771     the Hepatitis C Outreach Pilot Program, is repealed July 1, 2028.
8772          (38) Section 26B-7-224, related to reports to the Legislature on violent incidents and
8773     fatalities involving substance abuse, is repealed December 31, 2027.
8774          (39) Title 26B, Chapter 8, Part 5, Utah Health Data Authority, is repealed July 1, 2024.
8775          (40) Section 26B-8-513, related to identifying overuse of non-evidence-based health
8776     care, is repealed December 31, 2023.
8777          Section 94. Section 63I-1-262 is amended to read:
8778          63I-1-262. Repeal dates: Title 62.
8779          [(1) Section 62A-3-209 is repealed July 1, 2023.]
8780          [(2) Sections 62A-5a-101, 62A-5a-102, 62A-5a-103, and 62A-5a-104, which create the
8781     Coordinating Council for Persons with Disabilities, are repealed July 1, 2027.]
8782          [(3) Subsections 62A-15-116(1) and (5), the language that states "In consultation with
8783     the Behavioral Health Crisis Response Commission, established in Section 63C-18-202," is
8784     repealed January 1, 2023.]
8785          [(4) Section 62A-15-118 is repealed December 31, 2023.]
8786          [(5) Section 62A-15-124 is repealed December 31, 2024.]
8787          [(6) Section 62A-15-605, which creates the Forensic Mental Health Coordinating
8788     Council, is repealed July 1, 2023.]
8789          [(7) Subsections 62A-15-1100(1) and 62A-15-1101(9), in relation to the Utah
8790     Substance Use and Mental Health Advisory Council, are repealed January 1, 2033.]
8791          [(8) In relation to the Behavioral Health Crisis Response Commission, on July 1,
8792     2023:]
8793          [(a) Subsections 62A-15-1301(2) and 62A-15-1401(1) are repealed;]
8794          [(b) Subsection 62A-15-1302(1)(b), the language that states "and in consultation with
8795     the commission" is repealed;]
8796          [(c) Subsection 62A-15-1303(1), the language that states "In consultation with the
8797     commission," is repealed;]
8798          [(d) Subsection 62A-15-1402(2)(a), the language that states "With recommendations
8799     from the commission," is repealed; and]
8800          [(e) Subsection 62A-15-1702(6) is repealed.]

8801          Section 95. Section 63I-2-226 is repealed and reenacted to read:
8802          63I-2-226. Repeal dates: Title 26A through 26B.
8803          (1) Subsection 26B-1-204(2)(f), related to the Air Ambulance Committee, is repealed
8804     July 1, 2024.
8805          (2) Section 26B-1-405, related to the Air Ambulance Committee, is repealed on July 1,
8806     2024.
8807          (3) Section 26B-1-419, which creates the Utah Health Care Workforce Financial
8808     Assistance Program Advisory Committee, is repealed July 1, 2027.
8809          (4) In relation to the Air Ambulance Committee, July 1, 2024, Subsection
8810     26B-2-231(1)(a) is amended to read:
8811          "(a) provide the patient or the patient's representative with the following information
8812     before contacting an air medical transport provider:
8813          (i) which health insurers in the state the air medical transport provider contracts with;
8814          (ii) if sufficient data is available, the average charge for air medical transport services
8815     for a patient who is uninsured or out of network; and
8816          (iii) whether the air medical transport provider balance bills a patient for any charge
8817     not paid by the patient's health insurer; and".
8818          (5) Subsection 26B-3-215(5), related to reporting on coverage for in vitro fertilization
8819     and genetic testing, is repealed July 1, 2030.
8820          (6) In relation to the Air Ambulance Committee, on July 1, 2024, Subsection
8821     26B-4-135(1)(a) is amended to read:
8822          "(a) provide the patient or the patient's representative with the following information
8823     before contacting an air medical transport provider:
8824          (i) which health insurers in the state the air medical transport provider contracts with;
8825          (ii) if sufficient data is available, the average charge for air medical transport services
8826     for a patient who is uninsured or out of network; and
8827          (iii) whether the air medical transport provider balance bills a patient for any charge
8828     not paid by the patient's health insurer; and".
8829          (7) Section 26B-4-702, related to the Utah Health Care Workforce Financial Assistance
8830     Program, is repealed July 1, 2027.
8831          (8) Section 26B-5-117, related to early childhood mental health support grant

8832     programs, is repealed January 2, 2025.
8833          (9) Subsection 26B-7-117(3), related to reports to the Legislature on syringe exchange
8834     and education, is repealed January 1, 2027.
8835          Section 96. Section 63I-2-262 is amended to read:
8836          63I-2-262. Repeal dates: Title 62.
8837          [(1) Section 62A-4a-1003.5, relating to the Management Information System, is
8838     repealed September 1, 2022.]
8839          [(2) Subsection 62A-5-103.1(6) is repealed January 1, 2023.]
8840          [(3) Section 62A-15-122 is repealed January 2, 2025]
8841          [(4) Title 62A, Chapter 15, Part 19, Mental Health Crisis Intervention Council, is
8842     repealed January 1, 2023.]
8843          Section 97. Section 63J-1-315 is amended to read:
8844          63J-1-315. Medicaid Growth Reduction and Budget Stabilization Account --
8845     Transfers of Medicaid growth savings -- Base budget adjustments.
8846          (1) As used in this section:
8847          (a) "Department" means the Department of Health and Human Services created in
8848     Section 26B-1-201.
8849          (b) "Division" means the Division of Medicaid and Health Financing created in Section
8850     [26-18-2.1] 26B-3-102.
8851          (c) "General Fund revenue surplus" means a situation where actual General Fund
8852     revenues collected in a completed fiscal year exceed the estimated revenues for the General
8853     Fund for that fiscal year that were adopted by the Executive Appropriations Committee of the
8854     Legislature.
8855          (d) "Medicaid growth savings" means the Medicaid growth target minus Medicaid
8856     program expenditures, if Medicaid program expenditures are less than the Medicaid growth
8857     target.
8858          (e) "Medicaid growth target" means Medicaid program expenditures for the previous
8859     year multiplied by 1.08.
8860          (f) "Medicaid program" is as defined in Section [26-18-2] 26B-3-103.
8861          (g) "Medicaid program expenditures" means total state revenue expended for the
8862     Medicaid program from the General Fund, including restricted accounts within the General

8863     Fund, during a fiscal year.
8864          (h) "Medicaid program expenditures for the previous year" means total state revenue
8865     expended for the Medicaid program from the General Fund, including restricted accounts
8866     within the General Fund, during the fiscal year immediately preceding a fiscal year for which
8867     Medicaid program expenditures are calculated.
8868          (i) "Operating deficit" means that, at the end of the fiscal year, the unassigned fund
8869     balance in the General Fund is less than zero.
8870          (j) "State revenue" means revenue other than federal revenue.
8871          (k) "State revenue expended for the Medicaid program" includes money transferred or
8872     appropriated to the Medicaid Growth Reduction and Budget Stabilization Account only to the
8873     extent the money is appropriated for the Medicaid program by the Legislature.
8874          (2) There is created within the General Fund a restricted account to be known as the
8875     Medicaid Growth Reduction and Budget Stabilization Account.
8876          (3) (a) (i) Except as provided in Subsection (6), if, at the end of a fiscal year, there is a
8877     General Fund revenue surplus, the Division of Finance shall transfer an amount equal to
8878     Medicaid growth savings from the General Fund to the Medicaid Growth Reduction and
8879     Budget Stabilization Account.
8880          (ii) If the amount transferred is reduced to prevent an operating deficit, as provided in
8881     Subsection (6), the Legislature shall include, to the extent revenue is available, an amount
8882     equal to the reduction as an appropriation from the General Fund to the account in the base
8883     budget for the second fiscal year following the fiscal year for which the reduction was made.
8884          (b) If, at the end of a fiscal year, there is not a General Fund revenue surplus, the
8885     Legislature shall include, to the extent revenue is available, an amount equal to Medicaid
8886     growth savings as an appropriation from the General Fund to the account in the base budget for
8887     the second fiscal year following the fiscal year for which the reduction was made.
8888          (c) Subsections (3)(a) and (3)(b) apply only to the fiscal year in which the department
8889     implements the proposal developed under Section [26-18-405] 26B-3-202 to reduce the
8890     long-term growth in state expenditures for the Medicaid program, and to each fiscal year after
8891     that year.
8892          (4) The Division of Finance shall calculate the amount to be transferred under
8893     Subsection (3):

8894          (a) before transferring revenue from the General Fund revenue surplus to:
8895          (i) the General Fund Budget Reserve Account under Section 63J-1-312;
8896          (ii) the Wildland Fire Suppression Fund created in Section 65A-8-204, as described in
8897     Section 63J-1-314; and
8898          (iii) the State Disaster Recovery Restricted Account under Section 63J-1-314;
8899          (b) before earmarking revenue from the General Fund revenue surplus to the Industrial
8900     Assistance Account under Section 63N-3-106; and
8901          (c) before making any other year-end contingency appropriations, year-end set-asides,
8902     or other year-end transfers required by law.
8903          (5) (a) If, at the close of any fiscal year, there appears to be insufficient money to pay
8904     additional debt service for any bonded debt authorized by the Legislature, the Division of
8905     Finance may hold back from any General Fund revenue surplus money sufficient to pay the
8906     additional debt service requirements resulting from issuance of bonded debt that was
8907     authorized by the Legislature.
8908          (b) The Division of Finance may not spend the hold back amount for debt service
8909     under Subsection (5)(a) unless and until it is appropriated by the Legislature.
8910          (c) If, after calculating the amount for transfer under Subsection (3), the remaining
8911     General Fund revenue surplus is insufficient to cover the hold back for debt service required by
8912     Subsection (5)(a), the Division of Finance shall reduce the transfer to the Medicaid Growth
8913     Reduction and Budget Stabilization Account by the amount necessary to cover the debt service
8914     hold back.
8915          (d) Notwithstanding Subsections (3) and (4), the Division of Finance shall hold back
8916     the General Fund balance for debt service authorized by this Subsection (5) before making any
8917     transfers to the Medicaid Growth Reduction and Budget Stabilization Account or any other
8918     designation or allocation of General Fund revenue surplus.
8919          (6) Notwithstanding Subsections (3) and (4), if, at the end of a fiscal year, the Division
8920     of Finance determines that an operating deficit exists and that holding back earmarks to the
8921     Industrial Assistance Account under Section 63N-3-106, transfers to the Wildland Fire
8922     Suppression Fund and State Disaster Recovery Restricted Account under Section 63J-1-314,
8923     transfers to the General Fund Budget Reserve Account under Section 63J-1-312, or earmarks
8924     and transfers to more than one of those accounts, in that order, does not eliminate the operating

8925     deficit, the Division of Finance may reduce the transfer to the Medicaid Growth Reduction and
8926     Budget Stabilization Account by the amount necessary to eliminate the operating deficit.
8927          (7) The Legislature may appropriate money from the Medicaid Growth Reduction and
8928     Budget Stabilization Account only:
8929          (a) if Medicaid program expenditures for the fiscal year for which the appropriation is
8930     made are estimated to be 108% or more of Medicaid program expenditures for the previous
8931     year; and
8932          (b) for the Medicaid program.
8933          (8) The Division of Finance shall deposit interest or other earnings derived from
8934     investment of Medicaid Growth Reduction and Budget Stabilization Account money into the
8935     General Fund.
8936          Section 98. Revisor instructions.
8937          The Legislature intends that the Office of Legislative Research and General Counsel, in
8938     preparing the Utah Code database for publication, not enroll this bill if any of the following
8939     bills do not pass:
8940          (a) S.B. 38, Health and Human Services Recodification - Administration, Licensing,
8941     and Recovery Services;
8942          (b) S.B. 39, Health and Human Services Recodification - Prevention, Supports,
8943     Substance Use and Mental Health;
8944          (c) S.B. 40, Health and Human Services Recodification - Health Care Assistance and
8945     Data; or
8946          (d) S.B. 41, Health and Human Services Recodification - Health Care Delivery and
8947     Repeals.