Representative Steven J. Lund proposes the following substitute bill:


1     
DISABILITY SERVICES AMENDMENTS

2     
2024 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Steven J. Lund

5     
Senate Sponsor: Ann Millner

6     Cosponsors:
7     Cheryl K. Acton
8     Melissa G. Ballard
9     Jennifer Dailey-Provost
Steve Eliason
Sandra Hollins
Marsha Judkins
Rosemary T. Lesser
Anthony E. Loubet
Matt MacPherson
Raymond P. Ward
10     

11     LONG TITLE
12     General Description:
13          This bill creates the Coordinated Care Services for Children with Disabilities Grant
14     Program and instructs the Department of Health and Human Services to apply for a
15     Medicaid waiver.
16     Highlighted Provisions:
17          This bill:
18          ▸     defines terms;
19          ▸     creates the Coordinated Care Services for Children with Disabilities Grant Program
20     within the Department of Health and Human Services;
21          ▸     creates research and reporting requirements;
22          ▸     provides a sunset date;
23          ▸     requires the Department of Health and Human Services to submit a Medicaid
24     waiver to provide coordinated care services to qualified enrollees who live and can

25     receive care at home; and
26          ▸     makes technical and conforming changes.
27     The following appropriation is affected by a coordination clause at the end of this bill.
28     Money Appropriated in this Bill:
29          This bill appropriates in fiscal year 2025:
30          ▸     to Department of Health and Human Services - Integrated Health Care Services -
31     Medicaid Other Services as a one-time appropriation:
32               •     from the General Fund Restricted - Medicaid Restricted Account, One-time,
33     $1,200,000
34     Other Special Clauses:
35          This bill provides a special effective date.
36          This bill provides a coordination clause.
37     Utah Code Sections Affected:
38     AMENDS:
39          63I-1-226 (Superseded 07/01/24), as last amended by Laws of Utah 2023, Chapters
40     249, 269, 270, 275, 332, 335, 420, and 495 and repealed and reenacted by Laws of
41     Utah 2023, Chapter 329
42          63I-1-226 (Effective 07/01/24), as last amended by Laws of Utah 2023, Chapters 249,
43     269, 270, 275, 310, 332, 335, 420, and 495 and repealed and reenacted by Laws of
44     Utah 2023, Chapter 329 and last amended by Coordination Clause, Laws of Utah
45     2023, Chapters 329, 332
46          63I-1-263, as last amended by Laws of Utah 2023, Chapters 33, 47, 104, 109, 139, 155,
47     212, 218, 249, 270, 448, 489, and 534
48          63J-1-602.2 (Superseded 07/01/24), as last amended by Laws of Utah 2023, Chapters
49     33, 34, 134, 139, 180, 212, 246, 330, 345, 354, and 534
50          63J-1-602.2 (Effective 07/01/24), as last amended by Laws of Utah 2023, Chapters 33,
51     34, 134, 139, 180, 212, 246, 310, 330, 345, 354, and 534
52     ENACTS:
53          26B-3-143, Utah Code Annotated 1953
54          26B-3-229, Utah Code Annotated 1953
55     


56     Be it enacted by the Legislature of the state of Utah:
57          Section 1. Section 26B-3-143 is enacted to read:
58          26B-3-143. Coordinated Care Services for Children with Disabilities Grant
59     Program.
60          (1) As used in this section:
61          (a) "Coordinated care services" means a coordinated medical and behavioral health
62     service package that is consistent with the services provided through the traditional Medicaid
63     state plan benefit and will be provided in the home of a qualified enrollee or in a clinical
64     setting.
65          (b) "Program" means a statewide program described in Subsection (2).
66          (c) "Qualified enrollee" means an individual:
67          (i) who is less than 19 years old;
68          (ii) who is not currently served under an existing home and community-based services
69     waiver; and
70          (iii) who, because of a physical, intellectual, or developmental disability, meets the
71     level of care criteria for admission to a hospital, nursing facility, or intermediate care facility
72     and can receive such care while living at home.
73          (2) (a) There is created the Coordinated Care Services for Children with Disabilities
74     Grant Program to award one or more grants for implementation of a statewide program to
75     provide qualified enrollees with coordinated care services with the goal of enabling an
76     individual to live at home and not be placed in an institutional setting.
77          (b) The number of program participants shall be capped based on funds appropriated.
78          (c) The department shall operate the Coordinated Care Services for Children with
79     Disabilities Grant Program without federal funds under Title XIX or Title XXI of the Social
80     Security Act.
81          (d) The department may make rules, in accordance with Title 63G, Chapter 3, Utah
82     Administrative Rulemaking Act, to implement the Coordinated Care Services for Children
83     with Disabilities Grant Program.
84          (3) The department and a grant recipient shall cooperate to research and evaluate:
85          (a) whether enrollment in the program contributed to a reduction in:
86          (i) the need for hospitalizations, emergency department visits, and other services

87     provided in an institutional setting, for qualified enrollees who received coordinated care
88     services through the program; and
89          (ii) the need for time away from work for parents of qualified enrollees;
90          (b) medical needs of qualified enrollees throughout the state;
91          (c) financial barriers for families of qualified enrollees in accessing medical care;
92          (d) gaps in private insurance coverage for families of children with significant
93     disabilities or complex medical needs;
94          (e) services and therapies currently not accessible through an existing home and
95     community-based services waiver that may benefit qualified enrollees; and
96          (f) satisfaction of qualified enrollees and their family members with the program.
97          (4) (a) A political subdivision, institution of higher education, or not-for-profit
98     organization may submit a proposal to the department for a grant to implement a program.
99          (b) A proposal described in Subsection (4)(a) shall:
100          (i) describe the anticipated short-term and long-term benefits of providing coordinated
101     care services to qualified enrollees;
102          (ii) provide details regarding:
103          (A) how the political subdivision, institution of higher education, or not-for-profit
104     organization plans to implement a program; and
105          (B) any plan to use funding sources in addition to a grant awarded under this section
106     for the program; and
107          (iii) provide any other information the department determines necessary to evaluate the
108     proposal.
109          (5) In evaluating a proposal under Subsection (4), the department shall consider:
110          (a) how the political subdivision, institution of higher education, or not-for-profit
111     organization will ensure effective administration of a proposed program;
112          (b) the extent to which any additional funding sources described in the proposal are
113     likely to benefit the program; and
114          (c) the sustainability of the proposal.
115          (6) Before December 31, 2027, the department shall provide a written report to the
116     Health and Human Services Interim Committee regarding:
117          (a) data gathered in relation to each program for which a grant is awarded under this

118     section;
119          (b) recommendations resulting from the research and evaluation described in
120     Subsection (3); and
121          (c) the status of the Medicaid waiver application required by Section 26B-3-229.
122          Section 2. Section 26B-3-229 is enacted to read:
123          26B-3-229. Medicaid waiver for children under 19 years old with a disability.
124          (1) As used in this section:
125          (a) "Coordinated care provider" means a political subdivision, institution of higher
126     education, or not-for-profit organization.
127          (b) "Coordinated care services" means Medicaid state plan services.
128          (c) "Existing home and community-based services waiver" means the existing home
129     and community-based services waiver in the state described in Section 26B-3-206.
130          (d) "Qualified enrollee" means an individual:
131          (i) who is younger than 19 years old;
132          (ii) who is not served under an existing home and community-based services waiver;
133          (iii) who, because of a physical, intellectual, or developmental disability, meets the
134     level of care criteria for admission to a hospital, nursing facility, or intermediate care facility
135     and can receive such care while living at home;
136          (iv) for whom the department has determined that providing care at home would cost
137     no more than it would cost to provide that care in a hospital, nursing facility, or intermediate
138     care facility; and
139          (v) who would otherwise be eligible for Medicaid if the individual was in a medical
140     institution.
141          (2) Before July 1, 2025, the department shall apply with CMS for a Medicaid waiver to
142     provide coordinated care services to qualified enrollees who live at home.
143          (3) If the waiver described in Subsection (2) is approved, the department shall contract
144     with one or more coordinated care providers to provide coordinated care services for up to 100
145     qualified enrollees.
146          (4) The department may make rules, in accordance with Title 63G, Chapter 3, Utah
147     Administrative Rulemaking Act, to implement the coordinated care services described in
148     Subsection (3).

149          Section 3. Section 63I-1-226 (Superseded 07/01/24) is amended to read:
150          63I-1-226 (Superseded 07/01/24). Repeal dates: Titles 26A through 26B.
151          (1) Subsection 26B-1-204(2)(i), related to the Primary Care Grant Committee, is
152     repealed July 1, 2025.
153          (2) Section 26B-1-315, which creates the Medicaid Expansion Fund, is repealed July 1,
154     2024.
155          (3) Section 26B-1-319, which creates the Neuro-Rehabilitation Fund, is repealed
156     January 1, 2025.
157          (4) Section 26B-1-320, which creates the Pediatric Neuro-Rehabilitation Fund, is
158     repealed January 1, 2025.
159          (5) Subsection 26B-1-324(4), the language that states "the Behavioral Health Crisis
160     Response Commission, as defined in Section 63C-18-202," is repealed December 31, 2026.
161          (6) Subsection 26B-1-329(6), related to the Behavioral Health Crisis Response
162     Commission, is repealed December 31, 2026.
163          (7) Section 26B-1-402, related to the Rare Disease Advisory Council Grant Program, is
164     repealed July 1, 2026.
165          (8) Section 26B-1-409, which creates the Utah Digital Health Service Commission, is
166     repealed July 1, 2025.
167          (9) Section 26B-1-410, which creates the Primary Care Grant Committee, is repealed
168     July 1, 2025.
169          (10) Section 26B-1-416, which creates the Utah Children's Health Insurance Program
170     Advisory Council, is repealed July 1, 2025.
171          (11) Section 26B-1-417, which creates the Brain Injury Advisory Committee, is
172     repealed July 1, 2025.
173          (12) Section 26B-1-418, which creates the Neuro-Rehabilitation Fund and Pediatric
174     Neuro-Rehabilitation Fund Advisory Committee, is repealed January 1, 2025.
175          (13) Section 26B-1-422, which creates the Early Childhood Utah Advisory Council, is
176     repealed July 1, 2029.
177          (14) Section 26B-1-428, which creates the Youth Electronic Cigarette, Marijuana, and
178     Other Drug Prevention Program, is repealed July 1, 2025.
179          (15) Section 26B-1-430, which creates the Coordinating Council for Persons with

180     Disabilities, is repealed July 1, 2027.
181          (16) Section 26B-1-431, which creates the Forensic Mental Health Coordinating
182     Council, is repealed July 1, 2023.
183          (17) Section 26B-1-432, which creates the Newborn Hearing Screening Committee, is
184     repealed July 1, 2026.
185          (18) Section 26B-1-434, regarding the Correctional Postnatal and Early Childhood
186     Advisory Board, is repealed July 1, 2026.
187          (19) Section 26B-2-407, related to drinking water quality in child care centers, is
188     repealed July 1, 2027.
189          (20) Subsection 26B-3-107(9), which addresses reimbursement for dental hygienists, is
190     repealed July 1, 2028.
191          (21) Section 26B-3-136, which creates the Children's Health Care Coverage Program,
192     is repealed July 1, 2025.
193          (22) Section 26B-3-137, related to reimbursement for the National Diabetes Prevention
194     Program, is repealed June 30, 2027.
195          (23) Section 26B-3-143, related to the Coordinated Care Services for Children with
196     Disabilities Grant Program, is repealed July 1, 2028.
197          [(23)] (24) Subsection 26B-3-213(2), the language that states "and the Behavioral
198     Health Crisis Response Commission created in Section 63C-18-202" is repealed December 31,
199     2026.
200          [(24)] (25) Sections 26B-3-302 through 26B-3-309, regarding the Drug Utilization
201     Review Board, are repealed July 1, 2027.
202          [(25)] (26) Title 26B, Chapter 3, Part 5, Inpatient Hospital Assessment, is repealed July
203     1, 2024.
204          [(26)] (27) Title 26B, Chapter 3, Part 6, Medicaid Expansion Hospital Assessment, is
205     repealed July 1, 2024.
206          [(27)] (28) Title 26B, Chapter 3, Part 7, Hospital Provider Assessment, is repealed July
207     1, 2028.
208          [(28)] (29) Section 26B-3-910, regarding alternative eligibility, is repealed July 1,
209     2028.
210          [(29)] (30) Section 26B-4-136, related to the Volunteer Emergency Medical Service

211     Personnel Health Insurance Program, is repealed July 1, 2027.
212          [(30)] (31) Section 26B-4-710, related to rural residency training programs, is repealed
213     July 1, 2025.
214          [(31)] (32) Subsections 26B-5-112(1) and (5), the language that states "In consultation
215     with the Behavioral Health Crisis Response Commission, established in Section 63C-18-202,"
216     is repealed December 31, 2026.
217          [(32)] (33) Section 26B-5-112.5 is repealed December 31, 2026.
218          [(33)] (34) Section 26B-5-114, related to the Behavioral Health Receiving Center
219     Grant Program, is repealed December 31, 2026.
220          [(34)] (35) Section 26B-5-118, related to collaborative care grant programs, is repealed
221     December 31, 2024.
222          [(35)] (36) Section 26B-5-120 is repealed December 31, 2026.
223          [(36)] (37) In relation to the Utah Assertive Community Treatment Act, on July 1,
224     2024:
225          (a) Subsection 26B-5-606(2)(a)(i), the language that states "and" is repealed; and
226          (b) Subsections 26B-5-606(2)(a)(ii), 26B-5-606(2)(b), and 26B-5-606(2)(c) are
227     repealed.
228          [(37)] (38) In relation to the Behavioral Health Crisis Response Commission, on
229     December 31, 2026:
230          (a) Subsection 26B-5-609(1)(a) is repealed;
231          (b) Subsection 26B-5-609(3)(a), the language that states "With recommendations from
232     the commission," is repealed;
233          (c) Subsection 26B-5-610(1)(b) is repealed;
234          (d) Subsection 26B-5-610(2)(b), the language that states "and in consultation with the
235     commission," is repealed; and
236          (e) Subsection 26B-5-610(4), the language that states "In consultation with the
237     commission," is repealed.
238          [(38)] (39) Subsections 26B-5-611(1)(a) and (10), in relation to the Utah Substance
239     Use and Mental Health Advisory Council, are repealed January 1, 2033.
240          [(39)] (40) Section 26B-5-612, related to integrated behavioral health care grant
241     programs, is repealed December 31, 2025.

242          [(40)] (41) Subsection 26B-7-119(5), related to reports to the Legislature on the
243     outcomes of the Hepatitis C Outreach Pilot Program, is repealed July 1, 2028.
244          [(41)] (42) Section 26B-7-224, related to reports to the Legislature on violent incidents
245     and fatalities involving substance abuse, is repealed December 31, 2027.
246          [(42)] (43) Title 26B, Chapter 8, Part 5, Utah Health Data Authority, is repealed July 1,
247     2024.
248          [(43)] (44) Section 26B-8-513, related to identifying overuse of non-evidence-based
249     health care, is repealed December 31, 2023.
250          Section 4. Section 63I-1-226 (Effective 07/01/24) is amended to read:
251          63I-1-226 (Effective 07/01/24). Repeal dates: Titles 26A through 26B.
252          (1) Subsection 26B-1-204(2)(i), related to the Primary Care Grant Committee, is
253     repealed July 1, 2025.
254          (2) Section 26B-1-315, which creates the Medicaid Expansion Fund, is repealed July 1,
255     2024.
256          (3) Section 26B-1-319, which creates the Neuro-Rehabilitation Fund, is repealed
257     January 1, 2025.
258          (4) Section 26B-1-320, which creates the Pediatric Neuro-Rehabilitation Fund, is
259     repealed January 1, 2025.
260          (5) Subsection 26B-1-324(4), the language that states "the Behavioral Health Crisis
261     Response Commission, as defined in Section 63C-18-202," is repealed December 31, 2026.
262          (6) Subsection 26B-1-329(6), related to the Behavioral Health Crisis Response
263     Commission, is repealed December 31, 2026.
264          (7) Section 26B-1-402, related to the Rare Disease Advisory Council Grant Program, is
265     repealed July 1, 2026.
266          (8) Section 26B-1-409, which creates the Utah Digital Health Service Commission, is
267     repealed July 1, 2025.
268          (9) Section 26B-1-410, which creates the Primary Care Grant Committee, is repealed
269     July 1, 2025.
270          (10) Section 26B-1-416, which creates the Utah Children's Health Insurance Program
271     Advisory Council, is repealed July 1, 2025.
272          (11) Section 26B-1-417, which creates the Brain Injury Advisory Committee, is

273     repealed July 1, 2025.
274          (12) Section 26B-1-418, which creates the Neuro-Rehabilitation Fund and Pediatric
275     Neuro-Rehabilitation Fund Advisory Committee, is repealed January 1, 2025.
276          (13) Section 26B-1-422, which creates the Early Childhood Utah Advisory Council, is
277     repealed July 1, 2029.
278          (14) Section 26B-1-428, which creates the Youth Electronic Cigarette, Marijuana, and
279     Other Drug Prevention Program, is repealed July 1, 2025.
280          (15) Section 26B-1-430, which creates the Coordinating Council for Persons with
281     Disabilities, is repealed July 1, 2027.
282          (16) Section 26B-1-431, which creates the Forensic Mental Health Coordinating
283     Council, is repealed July 1, 2023.
284          (17) Section 26B-1-432, which creates the Newborn Hearing Screening Committee, is
285     repealed July 1, 2026.
286          (18) Section 26B-1-434, regarding the Correctional Postnatal and Early Childhood
287     Advisory Board, is repealed July 1, 2026.
288          (19) Section 26B-2-407, related to drinking water quality in child care centers, is
289     repealed July 1, 2027.
290          (20) Subsection 26B-3-107(9), which addresses reimbursement for dental hygienists, is
291     repealed July 1, 2028.
292          (21) Section 26B-3-136, which creates the Children's Health Care Coverage Program,
293     is repealed July 1, 2025.
294          (22) Section 26B-3-137, related to reimbursement for the National Diabetes Prevention
295     Program, is repealed June 30, 2027.
296          (23) Section 26B-3-143, related to the Coordinated Care Services for Children with
297     Disabilities Grant Program, is repealed July 1, 2028.
298          [(23)] (24) Subsection 26B-3-213(2), the language that states "and the Behavioral
299     Health Crisis Response Commission created in Section 63C-18-202" is repealed December 31,
300     2026.
301          [(24)] (25) Sections 26B-3-302 through 26B-3-309, regarding the Drug Utilization
302     Review Board, are repealed July 1, 2027.
303          [(25)] (26) Title 26B, Chapter 3, Part 5, Inpatient Hospital Assessment, is repealed July

304     1, 2024.
305          [(26)] (27) Title 26B, Chapter 3, Part 6, Medicaid Expansion Hospital Assessment, is
306     repealed July 1, 2024.
307          [(27)] (28) Title 26B, Chapter 3, Part 7, Hospital Provider Assessment, is repealed July
308     1, 2028.
309          [(28)] (29) Section 26B-3-910, regarding alternative eligibility, is repealed July 1,
310     2028.
311          [(29)] (30) Section 26B-4-710, related to rural residency training programs, is repealed
312     July 1, 2025.
313          [(30)] (31) Subsections 26B-5-112(1) and (5), the language that states "In consultation
314     with the Behavioral Health Crisis Response Commission, established in Section 63C-18-202,"
315     is repealed December 31, 2026.
316          [(31)] (32) Section 26B-5-112.5 is repealed December 31, 2026.
317          [(32)] (33) Section 26B-5-114, related to the Behavioral Health Receiving Center
318     Grant Program, is repealed December 31, 2026.
319          [(33)] (34) Section 26B-5-118, related to collaborative care grant programs, is repealed
320     December 31, 2024.
321          [(34)] (35) Section 26B-5-120 is repealed December 31, 2026.
322          [(35)] (36) In relation to the Utah Assertive Community Treatment Act, on July 1,
323     2024:
324          (a) Subsection 26B-5-606(2)(a)(i), the language that states "and" is repealed; and
325          (b) Subsections 26B-5-606(2)(a)(ii), 26B-5-606(2)(b), and 26B-5-606(2)(c) are
326     repealed.
327          [(36)] (37) In relation to the Behavioral Health Crisis Response Commission, on
328     December 31, 2026:
329          (a) Subsection 26B-5-609(1)(a) is repealed;
330          (b) Subsection 26B-5-609(3)(a), the language that states "With recommendations from
331     the commission," is repealed;
332          (c) Subsection 26B-5-610(1)(b) is repealed;
333          (d) Subsection 26B-5-610(2)(b), the language that states "and in consultation with the
334     commission," is repealed; and

335          (e) Subsection 26B-5-610(4), the language that states "In consultation with the
336     commission," is repealed.
337          [(37)] (38) Subsections 26B-5-611(1)(a) and (10), in relation to the Utah Substance
338     Use and Mental Health Advisory Council, are repealed January 1, 2033.
339          [(38)] (39) Section 26B-5-612, related to integrated behavioral health care grant
340     programs, is repealed December 31, 2025.
341          [(39)] (40) Subsection 26B-7-119(5), related to reports to the Legislature on the
342     outcomes of the Hepatitis C Outreach Pilot Program, is repealed July 1, 2028.
343          [(40)] (41) Section 26B-7-224, related to reports to the Legislature on violent incidents
344     and fatalities involving substance abuse, is repealed December 31, 2027.
345          [(41)] (42) Title 26B, Chapter 8, Part 5, Utah Health Data Authority, is repealed July 1,
346     2024.
347          [(42)] (43) Section 26B-8-513, related to identifying overuse of non-evidence-based
348     health care, is repealed December 31, 2023.
349          Section 5. Section 63I-1-263 is amended to read:
350          63I-1-263. Repeal dates: Titles 63A to 63N.
351          (1) Subsection 63A-5b-405(5), relating to prioritizing and allocating capital
352     improvement funding, is repealed July 1, 2024.
353          (2) Section 63A-5b-1003, State Facility Energy Efficiency Fund, is repealed July 1,
354     2023.
355          (3) Sections 63A-9-301 and 63A-9-302, related to the Motor Vehicle Review
356     Committee, are repealed July 1, 2023.
357          (4) Title 63C, Chapter 4a, Constitutional and Federalism Defense Act, is repealed July
358     1, 2028.
359          (5) Title 63C, Chapter 6, Utah Seismic Safety Commission, is repealed January 1,
360     2025.
361          (6) Title 63C, Chapter 12, Snake Valley Aquifer Advisory Council, is repealed July 1,
362     2024.
363          (7) Title 63C, Chapter 17, Point of the Mountain Development Commission Act, is
364     repealed July 1, 2023.
365          (8) Title 63C, Chapter 18, Behavioral Health Crisis Response Commission, is repealed

366     December 31, 2026.
367          (9) Title 63C, Chapter 23, Education and Mental Health Coordinating Council, is
368     repealed July 1, 2026.
369          (10) Title 63C, Chapter 27, Cybersecurity Commission, is repealed July 1, 2032.
370          (11) Title 63C, Chapter 28, Ethnic Studies Commission, is repealed July 1, 2026.
371          (12) Title 63C, Chapter 29, Domestic Violence Data Task Force, is repealed December
372     31, 2024.
373          (13) Title 63C, Chapter 31, State Employee Benefits Advisory Commission, is
374     repealed on July 1, 2028.
375          (14) Section 63G-6a-805, which creates the Purchasing from Persons with Disabilities
376     Advisory Board, is repealed July 1, 2026.
377          (15) Title 63G, Chapter 21, Agreements to Provide State Services, is repealed July 1,
378     2028.
379          (16) Title 63H, Chapter 4, Heber Valley Historic Railroad Authority, is repealed July 1,
380     2024.
381          (17) Title 63H, Chapter 8, Utah Housing Corporation Act, is repealed July 1, 2026.
382          (18) Subsection 63J-1-602.2(25), related to the Utah Seismic Safety Commission, is
383     repealed January 1, 2025.
384          (19) Subsection 63J-1-602.2(47), related to the Coordinated Care Services for Children
385     with Disabilities Grant Program, is repealed July 1, 2028.
386          [(19)] (20) Section 63L-11-204, creating a canyon resource management plan to Provo
387     Canyon, is repealed July 1, 2025.
388          [(20)] (21) Title 63L, Chapter 11, Part 4, Resource Development Coordinating
389     Committee, is repealed July 1, 2027.
390          [(21)] (22) In relation to the Utah Substance Use and Mental Health Advisory Council,
391     on January 1, 2033:
392          (a) Sections 63M-7-301, 63M-7-302, 63M-7-303, 63M-7-304, and 63M-7-306 are
393     repealed;
394          (b) Section 63M-7-305, the language that states "council" is replaced with
395     "commission";
396          (c) Subsection 63M-7-305(1)(a) is repealed and replaced with:

397          "(1) "Commission" means the Commission on Criminal and Juvenile Justice."; and
398          (d) Subsection 63M-7-305(2) is repealed and replaced with:
399          "(2) The commission shall:
400          (a) provide ongoing oversight of the implementation, functions, and evaluation of the
401     Drug-Related Offenses Reform Act; and
402          (b) coordinate the implementation of Section 77-18-104 and related provisions in
403     Subsections 77-18-103(2)(c) and (d).".
404          [(22)] (23) The Crime Victim Reparations and Assistance Board, created in Section
405     63M-7-504, is repealed July 1, 2027.
406          [(23)] (24) Title 63M, Chapter 7, Part 8, Sex Offense Management Board, is repealed
407     July 1, 2026.
408          [(24)] (25) Title 63M, Chapter 11, Utah Commission on Aging, is repealed July 1,
409     2026.
410          [(25)] (26) Title 63N, Chapter 1b, Part 4, Women in the Economy Subcommittee, is
411     repealed January 1, 2025.
412          [(26)] (27) Title 63N, Chapter 2, Part 2, Enterprise Zone Act, is repealed July 1, 2028.
413          [(27)] (28) Section 63N-2-512, related to the Hotel Impact Mitigation Fund, is repealed
414     July 1, 2028.
415          [(28)] (29) Title 63N, Chapter 3, Part 9, Strategic Innovation Grant Pilot Program, is
416     repealed July 1, 2027.
417          [(29)] (30) Title 63N, Chapter 3, Part 11, Manufacturing Modernization Grant
418     Program, is repealed July 1, 2025.
419          [(30)] (31) In relation to the Rural Employment Expansion Program, on July 1, 2028:
420          (a) Title 63N, Chapter 4, Part 4, Rural Employment Expansion Program, is repealed;
421     and
422          (b) Subsection 63N-4-805(5)(b), referring to the Rural Employment Expansion
423     Program, is repealed.
424          [(31)] (32) In relation to the Board of Tourism Development, on July 1, 2025:
425          (a) Subsection 63N-2-511(1)(b), which defines "tourism board," is repealed;
426          (b) Subsections 63N-2-511(3)(a) and (5), the language that states "tourism board" is
427     repealed and replaced with "Utah Office of Tourism";

428          (c) Subsection 63N-7-101(1), which defines "board," is repealed;
429          (d) Subsection 63N-7-102(3)(c), which requires the Utah Office of Tourism to receive
430     approval from the Board of Tourism Development, is repealed; and
431          (e) Title 63N, Chapter 7, Part 2, Board of Tourism Development, is repealed.
432          [(32)] (33) Subsection 63N-8-103(3)(c), which allows the Governor's Office of
433     Economic Opportunity to issue an amount of tax credit certificates only for rural productions,
434     is repealed on July 1, 2024.
435          Section 6. Section 63J-1-602.2 (Superseded 07/01/24) is amended to read:
436          63J-1-602.2 (Superseded 07/01/24). List of nonlapsing appropriations to
437     programs.
438          Appropriations made to the following programs are nonlapsing:
439          (1) The Legislature and the Legislature's committees.
440          (2) The State Board of Education, including all appropriations to agencies, line items,
441     and programs under the jurisdiction of the State Board of Education, in accordance with
442     Section 53F-9-103.
443          (3) The Rangeland Improvement Act created in Section 4-20-101.
444          (4) The Percent-for-Art Program created in Section 9-6-404.
445          (5) The LeRay McAllister Working Farm and Ranch Fund created in Section 4-46-301.
446          (6) The Utah Lake Authority created in Section 11-65-201.
447          (7) Dedicated credits accrued to the Utah Marriage Commission as provided under
448     Subsection 17-16-21(2)(d)(ii).
449          (8) The Wildlife Land and Water Acquisition Program created in Section 23A-6-205.
450          (9) Sanctions collected as dedicated credits from Medicaid providers under Subsection
451     26B-3-108(7).
452          (10) The Emergency Medical Services Grant Program in Section 26B-4-107.
453          (11) The primary care grant program created in Section 26B-4-310.
454          (12) The Opiate Overdose Outreach Pilot Program created in Section 26B-4-512.
455          (13) The Utah Health Care Workforce Financial Assistance Program created in Section
456     26B-4-702.
457          (14) The Rural Physician Loan Repayment Program created in Section 26B-4-703.
458          (15) The Utah Medical Education Council for the:

459          (a) administration of the Utah Medical Education Program created in Section
460     26B-4-707;
461          (b) provision of medical residency grants described in Section 26B-4-711; and
462          (c) provision of the forensic psychiatric fellowship grant described in Section
463     26B-4-712.
464          (16) The Division of Services for People with Disabilities, as provided in Section
465     26B-6-402.
466          (17) Funds that the Department of Alcoholic Beverage Services retains in accordance
467     with Subsection 32B-2-301(8)(a) or (b).
468          (18) The General Assistance program administered by the Department of Workforce
469     Services, as provided in Section 35A-3-401.
470          (19) The Utah National Guard, created in Title 39A, National Guard and Militia Act.
471          (20) The Search and Rescue Financial Assistance Program, as provided in Section
472     53-2a-1102.
473          (21) The Motorcycle Rider Education Program, as provided in Section 53-3-905.
474          (22) The Utah Board of Higher Education for teacher preparation programs, as
475     provided in Section 53B-6-104.
476          (23) Innovation grants under Section 53G-10-608, except as provided in Subsection
477     53G-10-608(6).
478          (24) The Division of Fleet Operations for the purpose of upgrading underground
479     storage tanks under Section 63A-9-401.
480          (25) The Utah Seismic Safety Commission, as provided in Section 63C-6-104.
481          (26) The Division of Technology Services for technology innovation as provided under
482     Section 63A-16-903.
483          (27) The State Capitol Preservation Board created by Section 63C-9-201.
484          (28) The Office of Administrative Rules for publishing, as provided in Section
485     63G-3-402.
486          (29) The Colorado River Authority of Utah, created in Title 63M, Chapter 14,
487     Colorado River Authority of Utah Act.
488          (30) The Governor's Office of Economic Opportunity to fund the Enterprise Zone Act,
489     as provided in Title 63N, Chapter 2, Part 2, Enterprise Zone Act.

490          (31) The Governor's Office of Economic Opportunity's Rural Employment Expansion
491     Program, as described in Title 63N, Chapter 4, Part 4, Rural Employment Expansion Program.
492          (32) County correctional facility contracting program for state inmates as described in
493     Section 64-13e-103.
494          (33) Programs for the Jordan River Recreation Area as described in Section 65A-2-8.
495          (34) The Division of Human Resource Management user training program, as provided
496     in Section 63A-17-106.
497          (35) A public safety answering point's emergency telecommunications service fund, as
498     provided in Section 69-2-301.
499          (36) The Traffic Noise Abatement Program created in Section 72-6-112.
500          (37) The money appropriated from the Navajo Water Rights Negotiation Account to
501     the Division of Water Rights, created in Section 73-2-1.1, for purposes of participating in a
502     settlement of federal reserved water right claims.
503          (38) The Judicial Council for compensation for special prosecutors, as provided in
504     Section 77-10a-19.
505          (39) A state rehabilitative employment program, as provided in Section 78A-6-210.
506          (40) The Utah Geological Survey, as provided in Section 79-3-401.
507          (41) The Bonneville Shoreline Trail Program created under Section 79-5-503.
508          (42) Adoption document access as provided in Sections 78B-6-141, 78B-6-144, and
509     78B-6-144.5.
510          (43) Indigent defense as provided in Title 78B, Chapter 22, Part 4, Utah Indigent
511     Defense Commission.
512          (44) The program established by the Division of Facilities Construction and
513     Management under Section 63A-5b-703 under which state agencies receive an appropriation
514     and pay lease payments for the use and occupancy of buildings owned by the Division of
515     Facilities Construction and Management.
516          (45) The State Tax Commission for reimbursing counties for deferred property taxes in
517     accordance with Section 59-2-1802.5.
518          (46) The Veterinarian Education Loan Repayment Program created in Section 4-2-902.
519          (47) The money appropriated to the Department of Health and Human Services for the
520     Coordinated Care Services for Children with Disabilities Grant Program created in Section

521     26B-3-143.
522          Section 7. Section 63J-1-602.2 (Effective 07/01/24) is amended to read:
523          63J-1-602.2 (Effective 07/01/24). List of nonlapsing appropriations to programs.
524          Appropriations made to the following programs are nonlapsing:
525          (1) The Legislature and the Legislature's committees.
526          (2) The State Board of Education, including all appropriations to agencies, line items,
527     and programs under the jurisdiction of the State Board of Education, in accordance with
528     Section 53F-9-103.
529          (3) The Rangeland Improvement Act created in Section 4-20-101.
530          (4) The Percent-for-Art Program created in Section 9-6-404.
531          (5) The LeRay McAllister Working Farm and Ranch Fund created in Section 4-46-301.
532          (6) The Utah Lake Authority created in Section 11-65-201.
533          (7) Dedicated credits accrued to the Utah Marriage Commission as provided under
534     Subsection 17-16-21(2)(d)(ii).
535          (8) The Wildlife Land and Water Acquisition Program created in Section 23A-6-205.
536          (9) Sanctions collected as dedicated credits from Medicaid providers under Subsection
537     26B-3-108(7).
538          (10) The primary care grant program created in Section 26B-4-310.
539          (11) The Opiate Overdose Outreach Pilot Program created in Section 26B-4-512.
540          (12) The Utah Health Care Workforce Financial Assistance Program created in Section
541     26B-4-702.
542          (13) The Rural Physician Loan Repayment Program created in Section 26B-4-703.
543          (14) The Utah Medical Education Council for the:
544          (a) administration of the Utah Medical Education Program created in Section
545     26B-4-707;
546          (b) provision of medical residency grants described in Section 26B-4-711; and
547          (c) provision of the forensic psychiatric fellowship grant described in Section
548     26B-4-712.
549          (15) The Division of Services for People with Disabilities, as provided in Section
550     26B-6-402.
551          (16) Funds that the Department of Alcoholic Beverage Services retains in accordance

552     with Subsection 32B-2-301(8)(a) or (b).
553          (17) The General Assistance program administered by the Department of Workforce
554     Services, as provided in Section 35A-3-401.
555          (18) The Utah National Guard, created in Title 39A, National Guard and Militia Act.
556          (19) The Search and Rescue Financial Assistance Program, as provided in Section
557     53-2a-1102.
558          (20) The Emergency Medical Services Grant Program in Section 53-2d-207.
559          (21) The Motorcycle Rider Education Program, as provided in Section 53-3-905.
560          (22) The Utah Board of Higher Education for teacher preparation programs, as
561     provided in Section 53B-6-104.
562          (23) Innovation grants under Section 53G-10-608, except as provided in Subsection
563     53G-10-608(6).
564          (24) The Division of Fleet Operations for the purpose of upgrading underground
565     storage tanks under Section 63A-9-401.
566          (25) The Utah Seismic Safety Commission, as provided in Section 63C-6-104.
567          (26) The Division of Technology Services for technology innovation as provided under
568     Section 63A-16-903.
569          (27) The State Capitol Preservation Board created by Section 63C-9-201.
570          (28) The Office of Administrative Rules for publishing, as provided in Section
571     63G-3-402.
572          (29) The Colorado River Authority of Utah, created in Title 63M, Chapter 14,
573     Colorado River Authority of Utah Act.
574          (30) The Governor's Office of Economic Opportunity to fund the Enterprise Zone Act,
575     as provided in Title 63N, Chapter 2, Part 2, Enterprise Zone Act.
576          (31) The Governor's Office of Economic Opportunity's Rural Employment Expansion
577     Program, as described in Title 63N, Chapter 4, Part 4, Rural Employment Expansion Program.
578          (32) County correctional facility contracting program for state inmates as described in
579     Section 64-13e-103.
580          (33) Programs for the Jordan River Recreation Area as described in Section 65A-2-8.
581          (34) The Division of Human Resource Management user training program, as provided
582     in Section 63A-17-106.

583          (35) A public safety answering point's emergency telecommunications service fund, as
584     provided in Section 69-2-301.
585          (36) The Traffic Noise Abatement Program created in Section 72-6-112.
586          (37) The money appropriated from the Navajo Water Rights Negotiation Account to
587     the Division of Water Rights, created in Section 73-2-1.1, for purposes of participating in a
588     settlement of federal reserved water right claims.
589          (38) The Judicial Council for compensation for special prosecutors, as provided in
590     Section 77-10a-19.
591          (39) A state rehabilitative employment program, as provided in Section 78A-6-210.
592          (40) The Utah Geological Survey, as provided in Section 79-3-401.
593          (41) The Bonneville Shoreline Trail Program created under Section 79-5-503.
594          (42) Adoption document access as provided in Sections 78B-6-141, 78B-6-144, and
595     78B-6-144.5.
596          (43) Indigent defense as provided in Title 78B, Chapter 22, Part 4, Utah Indigent
597     Defense Commission.
598          (44) The program established by the Division of Facilities Construction and
599     Management under Section 63A-5b-703 under which state agencies receive an appropriation
600     and pay lease payments for the use and occupancy of buildings owned by the Division of
601     Facilities Construction and Management.
602          (45) The State Tax Commission for reimbursing counties for deferred property taxes in
603     accordance with Section 59-2-1802.5.
604          (46) The Veterinarian Education Loan Repayment Program created in Section 4-2-902.
605          (47) The money appropriated to the Department of Health and Human Services for the
606     Coordinated Care Services for Children with Disabilities Grant Program created in Section
607     26B-3-143.
608     The following appropriation is affected by a coordination clause at the end of this bill.
609          Section 8. FY 2025 Appropriation.
610          The following sums of money are appropriated for the fiscal year beginning July 1,
611     2024, and ending June 30, 2025. These are additions to amounts previously appropriated for
612     fiscal year 2025.
613          Subsection 8(a). Operating and Capital Budgets.

614          Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, the
615     Legislature appropriates the following sums of money from the funds or accounts indicated for
616     the use and support of the government of the state of Utah.
617     
ITEM 1
     To Department of Health and Human Services - Integrated Health Care Services
618      From General Fund Restricted - Medicaid Restricted Account,
One-time
$1,200,000
619      Schedule of Programs:
620      Medicaid Other Services$1,200,000
621     The appropriation provided by this item is contingent on the availability of $1,200,000 in
622     balances in the Medicaid Restricted Account at the close of fiscal year 2025. The Legislature
623     intends that this appropriation shall not lapse at the close of fiscal year 2025 and shall be used
624     for Coordinated Care Services for Children with Disabilities grants in fiscal year 2026.
625          Section 9. Effective date.
626          (1) Except as provided in Subsection (2), this bill takes effect on May 1, 2024.
627          (2) The actions affecting the following sections take effect on July 1, 2024:
628          (a) Section 63I-1-226 (Effective 07/01/24); and
629          (b) Section 63J-1-602.2 (Effective 07/01/24).
630          Section 10. Coordinating H.B. 324 with H.B. 51.
631          If H.B. 324, Disability Services Amendments, and H.B. 51, Health and Human Services
632     Funding Amendments, both pass and become law, the Legislature intends that on May 1, 2024,
633     the appropriation in Section 8 of H.B. 324 be amended to read:
634          "Section 8. FY 2025 Appropriation.
635          The following sums of money are appropriated for the fiscal year beginning July 1,
636     2024, and ending June 30, 2025. These are additions to amounts previously appropriated for
637     fiscal year 2025.
638          Subsection 8(a). Operating and Capital Budgets. Under the terms and conditions of
639     Title 63J, Chapter 1, Budgetary Procedures Act, the Legislature appropriates the following
640     sums of money from the funds or accounts indicated for the use and support of the government
641     of the state of Utah.
642     ITEM 1     To Department of Health and Human Services - Integrated Health Care Services
643          From General Fund Restricted - Medicaid Growth Reduction and

644           Budget Stabilization Account, One-time
$1,200,000

645               Schedule of Programs:
646               Medicaid Other Services                    $1,200,000
647          The appropriation provided by this item is contingent on the availability of $1,200,000
648     in balances in the Medicaid Growth Reduction and Budget Stabilization Account at the close of
649     fiscal year 2025, and is contingent on that $1,200,000 in available balances comprising
650     deposits described in Subsections 63J-1-315(3)(a)(ii) through (iv) and appropriations described
651     in Subsection 63J-1-315(3)(b). The Legislature intends that this appropriation shall not lapse at
652     the close of fiscal year 2025 and shall be used for Coordinated Care Services for Children with
653     Disabilities grants in fiscal year 2026.".