1     
HEALTH AND HUMAN SERVICES AMENDMENTS

2     
2024 GENERAL SESSION

3     
STATE OF UTAH

4     
Chief Sponsor: Michael S. Kennedy

5     
House Sponsor: Steve Eliason

6     

7     LONG TITLE
8     Committee Note:
9          The Health and Human Services Interim Committee recommended this bill.
10               Legislative Vote:     16 voting for     0 voting against     3 absent
11     General Description:
12          This bill clarifies and amends portions of the code effecting the Department of Health
13     and Human Services.
14     Highlighted Provisions:
15          This bill:
16          ▸     makes technical and corresponding amendments; and
17          ▸     repeals certain provisions that are no longer needed following the 2023
18     recodification.
19     Money Appropriated in this Bill:
20          None
21     Other Special Clauses:
22          This bill provides a special effective date.
23     Utah Code Sections Affected:
24     AMENDS:
25          4-41a-102, as last amended by Laws of Utah 2023, Chapters 273, 313 and 327
26          4-41a-1001, as last amended by Laws of Utah 2023, Chapter 317 and renumbered and
27     amended by Laws of Utah 2023, Chapters 273, 307 and last amended by

28     Coordination Clause, Laws of Utah 2023, Chapter 307
29          4-41a-1102, as last amended by Laws of Utah 2023, Chapter 317 and renumbered and
30     amended by Laws of Utah 2023, Chapters 273, 307 and last amended by
31     Coordination Clause, Laws of Utah 2023, Chapter 307
32          4-41a-1202, as last amended by Laws of Utah 2023, Chapter 317 and renumbered and
33     amended by Laws of Utah 2023, Chapters 273, 307 and last amended by
34     Coordination Clause, Laws of Utah 2023, Chapter 307
35          17-43-301, as last amended by Laws of Utah 2023, Chapters 15, 327
36          26B-1-202, as last amended by Laws of Utah 2023, Chapter 302
37          26B-1-204 (Superseded 07/01/24), as last amended by Laws of Utah 2023, Chapters
38     249, 305
39          26B-1-204 (Effective 07/01/24), as last amended by Laws of Utah 2023, Chapters 249,
40     305 and 310
41          26B-1-207, as last amended by Laws of Utah 2023, Chapter 272
42          26B-1-237, as renumbered and amended by Laws of Utah 2023, Chapter 305
43          26B-1-324, as last amended by Laws of Utah 2023, Chapter 270 and renumbered and
44     amended by Laws of Utah 2023, Chapter 305
45          26B-1-414, as last amended by Laws of Utah 2023, Chapter 249 and renumbered and
46     amended by Laws of Utah 2023, Chapter 305
47          26B-1-421, as last amended by Laws of Utah 2023, Chapters 273, 317 and renumbered
48     and amended by Laws of Utah 2023, Chapter 305
49          26B-1-422.1, as enacted by Laws of Utah 2023, Chapter 269 and last amended by
50     Coordination Clause, Laws of Utah 2023, Chapter 305
51          26B-1-435, as enacted by Laws of Utah 2023, Chapter 273
52          26B-1-435.1, as enacted by Laws of Utah 2023, Chapter 273
53          26B-1-502, as renumbered and amended by Laws of Utah 2023, Chapter 305
54          26B-2-101, as last amended by Laws of Utah 2023, Chapter 305
55          26B-2-103, as renumbered and amended by Laws of Utah 2023, Chapter 305
56          26B-2-104, as renumbered and amended by Laws of Utah 2023, Chapter 305
57          26B-2-120, as last amended by Laws of Utah 2023, Chapter 344 and renumbered and
58     amended by Laws of Utah 2023, Chapter 305

59          26B-2-122, as renumbered and amended by Laws of Utah 2023, Chapter 305
60          26B-2-128, as renumbered and amended by Laws of Utah 2023, Chapter 305
61          26B-2-201, as last amended by Laws of Utah 2023, Chapter 301 and renumbered and
62     amended by Laws of Utah 2023, Chapter 305
63          26B-2-202, as renumbered and amended by Laws of Utah 2023, Chapter 305
64          26B-2-204, as last amended by Laws of Utah 2023, Chapter 301 and renumbered and
65     amended by Laws of Utah 2023, Chapter 305
66          26B-2-238, as renumbered and amended by Laws of Utah 2023, Chapter 305
67          26B-2-239, as renumbered and amended by Laws of Utah 2023, Chapter 305
68          26B-2-240, as renumbered and amended by Laws of Utah 2023, Chapter 305
69          26B-2-241 (Superseded 07/01/24), as renumbered and amended by Laws of Utah
70     2023, Chapter 305
71          26B-2-241 (Effective 07/01/24), as last amended by Laws of Utah 2023, Chapter 310
72     and renumbered and amended by Laws of Utah 2023, Chapter 305
73          26B-3-114, as renumbered and amended by Laws of Utah 2023, Chapter 306
74          26B-3-212, as last amended by Laws of Utah 2023, Chapter 316 and renumbered and
75     amended by Laws of Utah 2023, Chapter 306
76          26B-4-118 (Superseded 07/01/24), as renumbered and amended by Laws of Utah
77     2023, Chapter 307
78          26B-4-136 (Superseded 07/01/24), as last amended by Laws of Utah 2023, Chapter 16
79     and renumbered and amended by Laws of Utah 2023, Chapter 307
80          26B-4-152 (Superseded 07/01/24), as renumbered and amended by Laws of Utah
81     2023, Chapter 307
82          26B-4-154 (Superseded 07/01/24), as renumbered and amended by Laws of Utah
83     2023, Chapter 307
84          26B-4-201, as last amended by Laws of Utah 2023, Chapters 273, 317 and renumbered
85     and amended by Laws of Utah 2023, Chapter 307
86          26B-4-202, as last amended by Laws of Utah 2023, Chapters 273, 317 and renumbered
87     and amended by Laws of Utah 2023, Chapter 307 and last amended by
88     Coordination Clause, Laws of Utah 2023, Chapter 307
89          26B-4-213, as last amended by Laws of Utah 2023, Chapters 273, 317 and renumbered

90     and amended by Laws of Utah 2023, Chapter 307 and last amended by Coordination Clause,
91     Laws of Utah 2023, Chapter 307
92          26B-4-214, as last amended by Laws of Utah 2023, Chapter 317 and renumbered and
93     amended by Laws of Utah 2023, Chapter 307
94          26B-4-222, as last amended by Laws of Utah 2023, Chapters 273, 281 and renumbered
95     and amended by Laws of Utah 2023, Chapter 307
96          26B-4-245, as enacted by Laws of Utah 2023, Chapter 273
97          26B-4-701, as renumbered and amended by Laws of Utah 2023, Chapter 307
98          26B-5-101, as last amended by Laws of Utah 2023, Chapter 308
99          26B-5-403, as renumbered and amended by Laws of Utah 2023, Chapter 308
100          26B-6-401, as renumbered and amended by Laws of Utah 2023, Chapter 308
101          26B-7-213, as renumbered and amended by Laws of Utah 2023, Chapter 308
102          26B-7-215, as renumbered and amended by Laws of Utah 2023, Chapter 308
103          26B-8-201, as renumbered and amended by Laws of Utah 2023, Chapter 306
104          26B-8-202, as renumbered and amended by Laws of Utah 2023, Chapter 306
105          26B-8-203, as renumbered and amended by Laws of Utah 2023, Chapter 306
106          26B-8-205, as renumbered and amended by Laws of Utah 2023, Chapter 306
107          26B-8-207, as renumbered and amended by Laws of Utah 2023, Chapter 306
108          26B-8-210, as renumbered and amended by Laws of Utah 2023, Chapter 306
109          26B-8-217, as renumbered and amended by Laws of Utah 2023, Chapter 306
110          26B-8-221, as renumbered and amended by Laws of Utah 2023, Chapter 306
111          26B-8-223, as renumbered and amended by Laws of Utah 2023, Chapter 306
112          26B-8-225, as renumbered and amended by Laws of Utah 2023, Chapter 306
113          26B-8-227, as renumbered and amended by Laws of Utah 2023, Chapter 306
114          26B-8-229, as renumbered and amended by Laws of Utah 2023, Chapter 306
115          53-2d-404 (Effective 07/01/24), as renumbered and amended by Laws of Utah 2023,
116     Chapters 307, 310
117          53-2d-503 (Effective 07/01/24), as renumbered and amended by Laws of Utah 2023,
118     Chapters 307, 310
119          53-2d-703 (Effective 07/01/24), as last amended by Laws of Utah 2023, Chapter 16
120     and renumbered and amended by Laws of Utah 2023, Chapters 307, 310

121          53-10-404, as last amended by Laws of Utah 2021, Chapter 262
122          53-10-407, as last amended by Laws of Utah 2021, Chapter 262
123          53E-10-301, as last amended by Laws of Utah 2021, Chapter 379
124          53G-8-211, as last amended by Laws of Utah 2023, Chapter 161
125          53G-8-213, as enacted by Laws of Utah 2023, Chapter 161
126          53G-10-406, as last amended by Laws of Utah 2022, Chapter 447
127          58-17b-309.7, as last amended by Laws of Utah 2023, Chapter 328
128          58-17b-620, as last amended by Laws of Utah 2023, Chapter 328
129          63B-3-102, as last amended by Laws of Utah 2014, Chapter 196
130          63B-3-301, as last amended by Laws of Utah 2023, Chapter 369
131          63B-4-102, as last amended by Laws of Utah 2014, Chapter 196
132          63B-11-702, as last amended by Laws of Utah 2003, Chapter 171
133          63I-1-226 (Superseded 07/01/24), as last amended by Laws of Utah 2023, Chapters
134     249, 269, 270, 275, 332, 335, 420, and 495 and repealed and reenacted by Laws of
135     Utah 2023, Chapter 329
136          63I-1-226 (Effective 07/01/24), as last amended by Laws of Utah 2023, Chapters 249,
137     269, 270, 275, 310, 332, 335, 420, and 495 and repealed and reenacted by Laws of
138     Utah 2023, Chapter 329 and last amended by Coordination Clause, Laws of Utah
139     2023, Chapters 329, 332
140          63M-7-208, as last amended by Laws of Utah 2023, Chapter 161
141          63M-7-401, as last amended by Laws of Utah 2021, Chapter 173
142          63M-7-601, as last amended by Laws of Utah 2023, Chapter 150
143          63M-7-702, as last amended by Laws of Utah 2023, Chapter 150
144          63M-7-802, as enacted by Laws of Utah 2023, Chapter 155
145          67-5b-101, as last amended by Laws of Utah 2016, Chapter 290
146          76-3-401.5, as enacted by Laws of Utah 2021, Chapter 37 and last amended by
147     Coordination Clause, Laws of Utah 2021, Chapter 261
148          76-5-101, as last amended by Laws of Utah 2022, Chapter 181
149          76-5-413, as last amended by Laws of Utah 2022, Chapters 181, 255
150          76-8-311.5, as renumbered and amended by Laws of Utah 2021, Chapter 261
151          77-16b-102, as last amended by Laws of Utah 2021, Chapter 262

152          77-38-3, as last amended by Laws of Utah 2023, Chapter 426
153          77-41-102 (Superseded 07/01/24), as last amended by Laws of Utah 2023, Chapter 123
154          77-41-102 (Effective 07/01/24), as last amended by Laws of Utah 2023, Chapters 123,
155     128
156          78A-6-212, as renumbered and amended by Laws of Utah 2021, Chapter 261
157          78B-7-804, as last amended by Laws of Utah 2023, Chapters 237, 426
158          78B-7-805, as last amended by Laws of Utah 2021, Chapter 159 and last amended by
159     Coordination Clause, Laws of Utah 2021, Chapter 159
160          78B-24-307, as last amended by Laws of Utah 2023, Chapter 330
161          78B-24-308, as last amended by Laws of Utah 2023, Chapter 330
162          80-2-301, as last amended by Laws of Utah 2023, Chapter 280
163          80-2-703, as renumbered and amended by Laws of Utah 2022, Chapter 334
164          80-2-1001, as last amended by Laws of Utah 2023, Chapters 309, 330
165          80-2-1002, as last amended by Laws of Utah 2023, Chapter 330
166          80-5-102, as last amended by Laws of Utah 2022, Chapter 255
167          80-5-103, as renumbered and amended by Laws of Utah 2021, Chapter 261
168          80-5-401, as last amended by Laws of Utah 2023, Chapter 93
169          80-6-102, as last amended by Laws of Utah 2022, Chapter 155
170     

171     Be it enacted by the Legislature of the state of Utah:
172          Section 1. Section 4-41a-102 is amended to read:
173          4-41a-102. Definitions.
174          As used in this chapter:
175          (1) "Adulterant" means any poisonous or deleterious substance in a quantity that may
176     be injurious to health, including:
177          (a) pesticides;
178          (b) heavy metals;
179          (c) solvents;
180          (d) microbial life;
181          (e) artificially derived cannabinoid;
182          (f) toxins; or

183          (g) foreign matter.
184          (2) "Advertise" or "advertising" means information provided by a person in any
185     medium:
186          (a) to the public; and
187          (b) that is not age restricted to an individual who is at least 21 years old.
188          [(2)] (3) "Advisory board" means the Medical Cannabis Policy Advisory Board created
189     in Section 26B-1-435.
190          [(3)] (4) (a) "Artificially derived cannabinoid" means a chemical substance that is
191     created by a chemical reaction that changes the molecular structure of any chemical substance
192     derived from the cannabis plant.
193          (b) "Artificially derived cannabinoid" does not include:
194          (i) a naturally occurring chemical substance that is separated from the cannabis plant
195     by a chemical or mechanical extraction process; or
196          (ii) a cannabinoid that is produced by decarboxylation from a naturally occurring
197     cannabinoid acid without the use of a chemical catalyst.
198          [(4)] (5) "Cannabis Research Review Board" means the Cannabis Research Review
199     Board created in Section 26B-1-420.
200          [(5)] (6) "Cannabis" means the same as that term is defined in Section 26B-4-201.
201          [(6)] (7) "Cannabis concentrate" means:
202          (a) the product of any chemical or physical process applied to naturally occurring
203     biomass that concentrates or isolates the cannabinoids contained in the biomass; and
204          (b) any amount of a natural cannabinoid or artificially derived cannabinoid in an
205     artificially derived cannabinoid's purified state.
206          [(7)] (8) "Cannabis cultivation byproduct" means any portion of a cannabis plant that is
207     not intended to be sold as a cannabis plant product.
208          [(8)] (9) "Cannabis cultivation facility" means a person that:
209          (a) possesses cannabis;
210          (b) grows or intends to grow cannabis; and
211          (c) sells or intends to sell cannabis to a cannabis cultivation facility, a cannabis
212     processing facility, or a medical cannabis research licensee.
213          [(9)] (10) "Cannabis cultivation facility agent" means an individual who:

214          holds a valid cannabis production establishment agent registration card with a cannabis
215     cultivation facility designation.
216          [(10)] (11) "Cannabis derivative product" means a product made using cannabis
217     concentrate.
218          [(11)] (12) "Cannabis plant product" means any portion of a cannabis plant intended to
219     be sold in a form that is recognizable as a portion of a cannabis plant.
220          [(12)] (13) "Cannabis processing facility" means a person that:
221          (a) acquires or intends to acquire cannabis from a cannabis production establishment;
222          (b) possesses cannabis with the intent to manufacture a cannabis product;
223          (c) manufactures or intends to manufacture a cannabis product from unprocessed
224     cannabis or a cannabis extract; and
225          (d) sells or intends to sell a cannabis product to a medical cannabis pharmacy or a
226     medical cannabis research licensee.
227          [(13)] (14) "Cannabis processing facility agent" means an individual who:
228          holds a valid cannabis production establishment agent registration card with a cannabis
229     processing facility designation.
230          [(14)] (15) "Cannabis product" means the same as that term is defined in Section
231     26B-4-201.
232          [(15)] (16) "Cannabis production establishment" means a cannabis cultivation facility,
233     a cannabis processing facility, or an independent cannabis testing laboratory.
234          [(16)] (17) "Cannabis production establishment agent" means a cannabis cultivation
235     facility agent, a cannabis processing facility agent, or an independent cannabis testing
236     laboratory agent.
237          [(17)] (18) "Cannabis production establishment agent registration card" means a
238     registration card that the department issues that:
239          (a) authorizes an individual to act as a cannabis production establishment agent; and
240          (b) designates the type of cannabis production establishment for which an individual is
241     authorized to act as an agent.
242          [(18)] (19) "Community location" means a public or private elementary or secondary
243     school, a church, a public library, a public playground, or a public park.
244          [(19)] (20) "Cultivation space" means, quantified in square feet, the horizontal area in

245     which a cannabis cultivation facility cultivates cannabis, including each level of horizontal area
246     if the cannabis cultivation facility hangs, suspends, stacks, or otherwise positions plants above
247     other plants in multiple levels.
248          [(20)] (21) "Delivery address" means:
249          (a) for a medical cannabis cardholder who is not a facility, the medical cannabis
250     cardholder's home address; or
251          (b) for a medical cannabis cardholder that is a facility, the facility's address.
252          [(21)] (22) "Department" means the Department of Agriculture and Food.
253          [(22)] (23) "Family member" means a parent, step-parent, spouse, child, sibling,
254     step-sibling, uncle, aunt, nephew, niece, first cousin, mother-in-law, father-in-law,
255     brother-in-law, sister-in-law, son-in-law, daughter-in-law, grandparent, or grandchild.
256          [(23)] (24) "Home delivery medical cannabis pharmacy" means a medical cannabis
257     pharmacy that the department authorizes, as part of the pharmacy's license, to deliver medical
258     cannabis shipments to a delivery address to fulfill electronic orders that the state central patient
259     portal facilitates.
260          [(24)] (25) (a) "Independent cannabis testing laboratory" means a person that:
261          (i) conducts a chemical or other analysis of cannabis or a cannabis product; or
262          (ii) acquires, possesses, and transports cannabis or a cannabis product with the intent to
263     conduct a chemical or other analysis of the cannabis or cannabis product.
264          (b) "Independent cannabis testing laboratory" includes a laboratory that the department
265     or a research university operates in accordance with Subsection 4-41a-201(14).
266          [(25)] (26) "Independent cannabis testing laboratory agent" means an individual who:
267          holds a valid cannabis production establishment agent registration card with an
268     independent cannabis testing laboratory designation.
269          [(26)] (27) "Inventory control system" means a system described in Section 4-41a-103.
270          [(27)] (28) "Licensing board" or "board" means the Cannabis Production Establishment
271     Licensing Advisory Board created in Section 4-41a-201.1.
272          [(28)] (29) "Medical cannabis" means the same as that term is defined in Section
273     26B-4-201.
274          [(29)] (30) "Medical cannabis card" means the same as that term is defined in Section
275     26B-4-201.

276          [(30)] (31) "Medical cannabis courier" means a courier that:
277          (a) the department licenses in accordance with Section 4-41a-1201; and
278          (b) contracts with a home delivery medical cannabis pharmacy to deliver medical
279     cannabis shipments to fulfill electronic orders that the state central patient portal facilitates.
280          [(31)] (32) "Medical cannabis courier agent" means an individual who:
281          (a) is an employee of a medical cannabis courier; and
282          (b) who holds a valid medical cannabis courier agent registration card.
283          [(32)] (33) "Medical cannabis pharmacy" means the same as that term is defined in
284     Section 26B-4-201.
285          [(33)] (34) "Medical cannabis pharmacy agent" means the same as that term is defined
286     in Section 26B-4-201.
287          [(34)] (35) "Medical cannabis research license" means a license that the department
288     issues to a research university for the purpose of obtaining and possessing medical cannabis for
289     academic research.
290          [(35)] (36) "Medical cannabis research licensee" means a research university that the
291     department licenses to obtain and possess medical cannabis for academic research, in
292     accordance with Section 4-41a-901.
293          [(36)] (37) "Medical cannabis shipment" means a shipment of medical cannabis or a
294     medical cannabis product that a home delivery medical cannabis pharmacy or a medical
295     cannabis courier delivers to a delivery address to fulfill an electronic medical cannabis order
296     that the state central patient portal facilitates.
297          [(37)] (38) "Medical cannabis treatment" means the same as that term is defined in
298     Section 26B-4-201.
299          [(38)] (39) "Medicinal dosage form" means the same as that term is defined in Section
300     26B-4-201.
301          [(39)] (40) "Pharmacy medical provider" means the same as that term is defined in
302     Section 26B-4-201.
303          [(40)] (41) "Qualified medical provider" means the same as that term is defined in
304     Section 26B-4-201.
305          [(41)] (42) "Qualified Production Enterprise Fund" means the fund created in Section
306     4-41a-104.

307          [(42)] (43) "Recommending medical provider" means the same as that term is defined
308     in Section 26B-4-201.
309          [(43)] (44) "Research university" means the same as that term is defined in Section
310     53B-7-702 and a private, nonprofit college or university in the state that:
311          (a) is accredited by the Northwest Commission on Colleges and Universities;
312          (b) grants doctoral degrees; and
313          (c) has a laboratory containing or a program researching a schedule I controlled
314     substance described in Section 58-37-4.
315          [(44)] (45) "State electronic verification system" means the system described in Section
316     26B-4-202.
317          (46) "Targeted marketing" means the promotion by a medical cannabis pharmacy of a
318     medical cannabis product, medical cannabis brand, or a medical cannabis device using any of
319     the following methods:
320          (a) electronic communication to an individual who is at least 21 years old and has
321     requested to receive promotional information from the medical cannabis pharmacy;
322          (b) an in-person marketing event that is:
323          (i) held inside a medical cannabis pharmacy; and
324          (ii) in an area where only a medical cannabis cardholder may access the event; or
325          (c) other marketing material that is physically available or digitally displayed in:
326          (i) a medical cannabis pharmacy; and
327          (ii) an area where only a medical cannabis cardholder has access.
328          [(45)] (47) "Tetrahydrocannabinol" or "THC" means the same as that term is defined in
329     Section 4-41-102.
330          [(46)] (48) "THC analog" means the same as that term is defined in Section 4-41-102.
331          [(47)] (49) "Total composite tetrahydrocannabinol" means all detectable forms of
332     tetrahydrocannabinol.
333          [(48)] (50) "Total tetrahydrocannabinol" or "total THC" means the same as that term is
334     defined in Section 4-41-102.
335          Section 2. Section 4-41a-1001 is amended to read:
336          4-41a-1001. Medical cannabis pharmacy -- License -- Eligibility.
337          (1) A person may not operate as a medical cannabis pharmacy without a license that

338     the department issues under this part.
339          (2) (a) (i) Subject to Subsections (4) and (5) and to Section 4-41a-1005, the department
340     shall issue a license to operate a medical cannabis pharmacy in accordance with Title 63G,
341     Chapter 6a, Utah Procurement Code.
342          (ii) The department may not issue a license to operate a medical cannabis pharmacy to
343     an applicant who is not eligible for a license under this section.
344          (b) An applicant is eligible for a license under this section if the applicant submits to
345     the department:
346          (i) subject to Subsection (2)(c), a proposed name and address where the applicant will
347     operate the medical cannabis pharmacy;
348          (ii) the name and address of an individual who:
349          (A) for a publicly traded company, has a financial or voting interest of 10% or greater
350     in the proposed medical cannabis pharmacy;
351          (B) for a privately held company, a financial or voting interest in the proposed medical
352     cannabis pharmacy; or
353          (C) has the power to direct or cause the management or control of a proposed medical
354     cannabis pharmacy;
355          (iii) for each application that the applicant submits to the department, a statement from
356     the applicant that the applicant will obtain and maintain:
357          (A) a performance bond in the amount of $100,000 issued by a surety authorized to
358     transact surety business in the state; or
359          (B) a liquid cash account in the amount of $100,000 with a financial institution;
360          (iv) an operating plan that:
361          (A) complies with Section 4-41a-1004;
362          (B) includes operating procedures to comply with the operating requirements for a
363     medical cannabis pharmacy described in this part and with a relevant municipal or county law
364     that is consistent with Section 4-41a-1106; and
365          (C) the department approves;
366          (v) an application fee in an amount that, subject to Subsection 4-41a-104(5), the
367     department sets in accordance with Section 63J-1-504; and
368          (vi) a description of any investigation or adverse action taken by any licensing

369     jurisdiction, government agency, law enforcement agency, or court in any state for any
370     violation or detrimental conduct in relation to any of the applicant's cannabis-related operations
371     or businesses.
372          (c) (i) A person may not locate a medical cannabis pharmacy:
373          (A) within 200 feet of a community location; or
374          (B) in or within 600 feet of a district that the relevant municipality or county has zoned
375     as primarily residential.
376          (ii) The proximity requirements described in Subsection (2)(c)(i) shall be measured
377     from the nearest entrance to the medical cannabis pharmacy establishment by following the
378     shortest route of ordinary pedestrian travel to the property boundary of the community location
379     or residential area.
380          (iii) The department may grant a waiver to reduce the proximity requirements in
381     Subsection (2)(c)(i) by up to 20% if the department determines that it is not reasonably feasible
382     for the applicant to [site] cite the proposed medical cannabis pharmacy without the waiver.
383          (iv) An applicant for a license under this section shall provide evidence of compliance
384     with the proximity requirements described in Subsection (2)(c)(i).
385          (d) The department may not issue a license to an eligible applicant that the department
386     has selected to receive a license until the selected eligible applicant complies with the bond or
387     liquid cash requirement described in Subsection (2)(b)(iii).
388          (e) If the department receives more than one application for a medical cannabis
389     pharmacy within the same city or town, the department shall consult with the local land use
390     authority before approving any of the applications pertaining to that city or town.
391          (3) If the department selects an applicant for a medical cannabis pharmacy license
392     under this section, the department shall:
393          (a) charge the applicant an initial license fee in an amount that, subject to Subsection
394     4-41a-104(5), the department sets in accordance with Section 63J-1-504;
395          (b) notify the Department of Public Safety of the license approval and the names of
396     each individual described in Subsection (2)(b)(ii); and
397          (c) charge the licensee a fee in an amount that, subject to Subsection 4-41a-104(5), the
398     department sets in accordance with Section 63J-1-504, for any change in location, ownership,
399     or company structure.

400          (4) The department may not issue a license to operate a medical cannabis pharmacy to
401     an applicant if an individual described in Subsection (2)(b)(ii):
402          (a) has been convicted under state or federal law of:
403          (i) a felony; or
404          (ii) after December 3, 2018, a misdemeanor for drug distribution;
405          (b) is younger than 21 years old; or
406          (c) after September 23, 2019, until January 1, 2023, is actively serving as a legislator.
407          (5) (a) If an applicant for a medical cannabis pharmacy license under this section holds
408     another license under this chapter, the department may not give preference to the applicant
409     based on the applicant's status as a holder of the license.
410          (b) If an applicant for a medical cannabis pharmacy license under this section holds a
411     license to operate a cannabis cultivation facility under this section, the department may give
412     consideration to the applicant's status as a holder of the license if:
413          (i) the applicant demonstrates that a decrease in costs to patients is more likely to result
414     from the applicant's vertical integration than from a more competitive marketplace; and
415          (ii) the department finds multiple other factors, in addition to the existing license, that
416     support granting the new license.
417          (6) [(a)] The department may revoke a license under this part:
418          [(i)] (a) if the medical cannabis pharmacy does not begin operations within one year
419     after the day on which the department issues an announcement of the department's intent to
420     award a license to the medical cannabis pharmacy;
421          [(ii)] (b) after the third the same violation of this chapter in any of the licensee's
422     licensed cannabis production establishments or medical cannabis pharmacies;
423          [(iii)] (c) if an individual described in Subsection (2)(b)(ii) is convicted, while the
424     license is active, under state or federal law of:
425          [(A)] (i) a felony; or
426          [(B)] (ii) after December 3, 2018, a misdemeanor for drug distribution;
427          [(iv)] (d) if the licensee fails to provide the information described in Subsection
428     (2)(b)(vi) at the time of application, or fails to supplement the information described in
429     Subsection (2)(b)(vi) with any investigation or adverse action that occurs after the submission
430     of the application within 14 calendar days after the licensee receives notice of the investigation

431     or adverse action;
432          [(v)] (e) if the medical cannabis pharmacy demonstrates a willful or reckless disregard
433     for the requirements of this chapter or the rules the department makes in accordance with this
434     chapter; or
435          [(vi)] (f) if, after a change of ownership described in Subsection (11)(c), the
436     department determines that the medical cannabis pharmacy no longer meets the minimum
437     standards for licensure and operation of the medical cannabis pharmacy described in this
438     chapter.
439          [(b) The department shall rescind a notice of an intent to issue a license under this part
440     to an applicant or revoke a license issued under this part if the associated medical cannabis
441     pharmacy does not begin operation on or before June 1, 2021.]
442          (7) (a) A person who receives a medical cannabis pharmacy license under this chapter,
443     if the municipality or county where the licensed medical cannabis pharmacy will be located
444     requires a local land use permit, shall submit to the department a copy of the licensee's
445     approved application for the land use permit within 120 days after the day on which the
446     department issues the license.
447          (b) If a licensee fails to submit to the department a copy the licensee's approved land
448     use permit application in accordance with Subsection (7)(a), the department may revoke the
449     licensee's license.
450          (8) The department shall deposit the proceeds of a fee imposed by this section into the
451     Qualified Production Enterprise Fund.
452          (9) The department shall begin accepting applications under this part on or before
453     March 1, 2020.
454          (10) (a) The department's authority to issue a license under this section is plenary and is
455     not subject to review.
456          (b) Notwithstanding Subsection (2), the decision of the department to award a license
457     to an applicant is not subject to:
458          (i) Title 63G, Chapter 6a, Part 16, Protests; or
459          (ii) Title 63G, Chapter 6a, Part 17, Procurement Appeals Board.
460          (11) (a) A medical cannabis pharmacy license is not transferrable or assignable.
461          (b) A medical cannabis pharmacy shall report in writing to the department no later than

462     10 business days before the date of any change of ownership of the medical cannabis
463     pharmacy.
464          (c) If the ownership of a medical cannabis pharmacy changes by 50% or more:
465          (i) concurrent with the report described in Subsection (11)(b), the medical cannabis
466     pharmacy shall submit a new application described in Subsection (2)(b), subject to Subsection
467     (2)(c);
468          (ii) within 30 days of the submission of the application, the department shall:
469          (A) conduct an application review; and
470          (B) award a license to the medical cannabis pharmacy for the remainder of the term of
471     the medical cannabis pharmacy's license before the ownership change if the medical cannabis
472     pharmacy meets the minimum standards for licensure and operation of the medical cannabis
473     pharmacy described in this chapter; and
474          (iii) if the department approves the license application, notwithstanding Subsection (3),
475     the medical cannabis pharmacy shall pay a license fee that the department sets in accordance
476     with Section 63J-1-504 in an amount that covers the board's cost of conducting the application
477     review.
478          Section 3. Section 4-41a-1102 is amended to read:
479          4-41a-1102. Dispensing -- Amount a medical cannabis pharmacy may dispense --
480     Reporting -- Form of cannabis or cannabis product.
481          (1) (a) A medical cannabis pharmacy may not sell a product other than:
482          (i) cannabis in a medicinal dosage form that the medical cannabis pharmacy acquired
483     from another medical cannabis pharmacy or a cannabis processing facility that is licensed
484     under Section 4-41a-201;
485          (ii) a cannabis product in a medicinal dosage form that the medical cannabis pharmacy
486     acquired from another medical cannabis pharmacy or a cannabis processing facility that is
487     licensed under Section 4-41a-201;
488          (iii) a medical cannabis device; or
489          (iv) educational material related to the medical use of cannabis.
490          (b) A medical cannabis pharmacy may only sell an item listed in Subsection (1)(a) to
491     an individual with:
492          (i) (A) a medical cannabis card; or

493          (B) a Department of Health and Human Services registration described in Subsection
494     26B-4-213(10); and
495          (ii) a corresponding government issued photo identification.
496          (c) Notwithstanding Subsection (1)(a), a medical cannabis pharmacy may not sell a
497     cannabis-based drug that the United States Food and Drug Administration has approved.
498          (d) Notwithstanding Subsection (1)(b), a medical cannabis pharmacy may not sell a
499     medical cannabis device or medical cannabis product to an individual described in Subsection
500     26B-4-213(2)(a)(i)(B) or to a minor described in Subsection 26B-4-213(2)(c) unless the
501     individual or minor has the approval of the Compassionate Use Board in accordance with
502     Subsection 26B-1-421(5).
503          (2) A medical cannabis pharmacy:
504          (a) may dispense to a medical cannabis cardholder, in any one 28-day period, up to the
505     legal dosage limit of:
506          (i) unprocessed cannabis that:
507          (A) is in a medicinal dosage form; and
508          (B) carries a label clearly displaying the amount of tetrahydrocannabinol and
509     cannabidiol in the cannabis; and
510          (ii) a cannabis product that is in a medicinal dosage form; and
511          (b) may not dispense:
512          (i) more medical cannabis than described in Subsection (2)(a); or
513          (ii) any medical cannabis to an individual whose recommending medical provider did
514     not recommend directions of use and dosing guidelines, until the individual consults with the
515     pharmacy medical provider in accordance with Subsection 26B-4-231(5) [any medical
516     cannabis].
517          (3) (a) A medical cannabis pharmacy shall:
518          (i) (A) access the state electronic verification system before dispensing cannabis or a
519     cannabis product to a medical cannabis cardholder in order to determine if the cardholder or,
520     where applicable, the associated patient has met the maximum amount of medical cannabis
521     described in Subsection (2); and
522          (B) if the verification in Subsection (3)(a)(i) indicates that the individual has met the
523     maximum amount described in Subsection (2), decline the sale, and notify the recommending

524     medical provider who made the underlying recommendation;
525          (ii) submit a record to the state electronic verification system each time the medical
526     cannabis pharmacy dispenses medical cannabis to a medical cannabis cardholder;
527          (iii) ensure that the pharmacy medical provider who is a licensed pharmacist reviews
528     each medical cannabis transaction before dispensing the medical cannabis to the cardholder in
529     accordance with pharmacy practice standards;
530          (iv) package any medical cannabis that is in a container that:
531          (A) complies with Subsection 4-41a-602(1)(b) or, if applicable, provisions related to a
532     container for unprocessed cannabis flower in the definition of "medicinal dosage form" in
533     Section 26B-4-201;
534          (B) is tamper-resistant and tamper-evident; and
535          (C) provides an opaque bag or box for the medical cannabis cardholder's use in
536     transporting the container in public;
537          (v) for a product that is a cube that is designed for ingestion through chewing or
538     holding in the mouth for slow dissolution, include a separate, off-label warning about the risks
539     of over-consumption; and
540          (vi) beginning January 1, 2024, for a cannabis product that is cannabis flower,
541     vaporizer cartridges, or concentrate, provide the product's terpene profiles collected under
542     Subsection 4-41a-602(4) at or before the point of sale.
543          (b) A medical cannabis cardholder transporting or possessing the container described
544     in Subsection (3)(a)(iv) in public shall keep the container within the opaque bag or box that the
545     medical cannabis pharmacist provides.
546          (4) (a) Except as provided in Subsection (4)(b), a medical cannabis pharmacy may not
547     sell medical cannabis in the form of a cigarette or a medical cannabis device that is
548     intentionally designed or constructed to resemble a cigarette.
549          (b) A medical cannabis pharmacy may sell a medical cannabis device that warms
550     cannabis material into a vapor without the use of a flame and that delivers cannabis to an
551     individual's respiratory system.
552          (5) (a) A medical cannabis pharmacy may not give, at no cost, a product that the
553     medical cannabis pharmacy is allowed to sell under Subsection (1)(a)(i), (ii), or (iii).
554          (b) A medical cannabis pharmacy may give, at no cost, educational material related to

555     the medical use of cannabis.
556          (6) A medical cannabis pharmacy may purchase and store medical cannabis devices
557     regardless of whether the seller has a cannabis-related license under this chapter or Title 26B,
558     Utah Health and Human Services Code.
559          Section 4. Section 4-41a-1202 is amended to read:
560          4-41a-1202. Home delivery of medical cannabis shipments -- Medical cannabis
561     couriers -- License.
562          (1) The department shall make rules, in accordance with Title 63G, Chapter 3, Utah
563     Administrative Rulemaking Act, to ensure the safety, security, and efficiency of a home
564     delivery medical cannabis pharmacy's fulfillment of electronic medical cannabis orders that the
565     state central patient portal facilitates, including rules regarding the safe and controlled delivery
566     of medical cannabis shipments.
567          (2) A person may not operate as a medical cannabis courier without a license that the
568     department issues under this section.
569          (3) (a) Subject to Subsections (5) and (6), the department shall issue a license to
570     operate as a medical cannabis courier to an applicant who is eligible for a license under this
571     section.
572          (b) An applicant is eligible for a license under this section if the applicant submits to
573     the department:
574          (i) the name and address of an individual who:
575          (A) has a financial or voting interest of 10% or greater in the proposed medical
576     cannabis courier; or
577          (B) has the power to direct or cause the management or control of a proposed cannabis
578     production establishment;
579          (ii) an operating plan that includes operating procedures to comply with the operating
580     requirements for a medical cannabis courier described in this chapter; and
581          (iii) an application fee in an amount that, subject to Subsection 4-41a-104(5), the
582     department sets in accordance with Section 63J-1-504.
583          (4) If the department determines that an applicant is eligible for a license under this
584     section, the department shall:
585          (a) charge the applicant an initial license fee in an amount that, subject to Subsection

586     4-41a-104(5), the department sets in accordance with Section 63J-1-504; and
587          (b) notify the Department of Public Safety of the license approval and the names of
588     each individual described in Subsection (3)(b)(i).
589          (5) The department may not issue a license to operate as a medical cannabis courier to
590     an applicant if an individual described in Subsection (3)(b)(i):
591          (a) has been convicted under state or federal law of:
592          (i) a felony; or
593          (ii) after September 23, 2019, a misdemeanor for drug distribution; or
594          (b) is younger than 21 years old.
595          (6) The department may revoke a license under this part if:
596          (a) the medical cannabis courier does not begin operations within one year after the day
597     on which the department issues the initial license;
598          (b) the medical cannabis courier makes the same violation of this chapter three times;
599          (c) an individual described in Subsection (3)(b)(i) is convicted, while the license is
600     active, under state or federal law of:
601          (i) a felony; or
602          (ii) after September 23, 2019, a misdemeanor for drug distribution; or
603          (d) after a change of ownership described in Subsection (15)(c), the department
604     determines that the medical cannabis courier no longer meets the minimum standards for
605     licensure and operation of the medical cannabis courier described in this chapter.
606          (7) The department shall deposit the proceeds of a fee imposed by this section in the
607     Qualified Production Enterprise Fund.
608          [(8) The department shall begin accepting applications under this section on or before
609     July 1, 2020.]
610          [(9)] (8) The department's authority to issue a license under this section is plenary and
611     is not subject to review.
612          [(10)] (9) Each applicant for a license as a medical cannabis courier shall submit, at the
613     time of application, from each individual who has a financial or voting interest of 10% or
614     greater in the applicant or who has the power to direct or cause the management or control of
615     the applicant:
616          (a) a fingerprint card in a form acceptable to the Department of Public Safety;

617          (b) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the
618     registration of the individual's fingerprints in the Federal Bureau of Investigation Next
619     Generation Identification System's Rap Back Service; and
620          (c) consent to a fingerprint background check by:
621          (i) the Bureau of Criminal Identification; and
622          (ii) the Federal Bureau of Investigation.
623          [(11)] (10) The Bureau of Criminal Identification shall:
624          (a) check the fingerprints the applicant submits under Subsection (10) against the
625     applicable state, regional, and national criminal records databases, including the Federal
626     Bureau of Investigation Next Generation Identification System;
627          (b) report the results of the background check to the department;
628          (c) maintain a separate file of fingerprints that applicants submit under Subsection (10)
629     for search by future submissions to the local and regional criminal records databases, including
630     latent prints;
631          (d) request that the fingerprints be retained in the Federal Bureau of Investigation Next
632     Generation Identification System's Rap Back Service for search by future submissions to
633     national criminal records databases, including the Next Generation Identification System and
634     latent prints; and
635          (e) establish a privacy risk mitigation strategy to ensure that the department only
636     receives notifications for an individual with whom the department maintains an authorizing
637     relationship.
638          [(12)] (11) The department shall:
639          (a) assess an individual who submits fingerprints under Subsection (10) a fee in an
640     amount that the department sets in accordance with Section 63J-1-504 for the services that the
641     Bureau of Criminal Identification or another authorized agency provides under this section; and
642          (b) remit the fee described in Subsection (12)(a) to the Bureau of Criminal
643     Identification.
644          [(13)] (12) The department shall renew a license under this section every year if, at the
645     time of renewal:
646          (a) the licensee meets the requirements of this section; and
647          (b) the licensee pays the department a license renewal fee in an amount that, subject to

648     Subsection 4-41a-104(5), the department sets in accordance with Section 63J-1-504.
649          [(14)] (13) A person applying for a medical cannabis courier license shall submit to the
650     department a proposed operating plan that complies with this section and that includes:
651          (a) a description of the physical characteristics of any proposed facilities, including a
652     floor plan and an architectural elevation, and delivery vehicles;
653          (b) a description of the credentials and experience of each officer, director, or owner of
654     the proposed medical cannabis courier;
655          (c) the medical cannabis courier's employee training standards;
656          (d) a security plan; and
657          (e) storage and delivery protocols, both short and long term, to ensure that medical
658     cannabis shipments are stored and delivered in a manner that is sanitary and preserves the
659     integrity of the cannabis.
660          [(15)] (14) (a) A medical cannabis courier license is not [transferrable] transferable or
661     assignable.
662          (b) A medical cannabis courier shall report in writing to the department no later than
663     10 business days before the date of any change of ownership of the medical cannabis courier.
664          (c) If the ownership of a medical cannabis courier changes by 50% or more:
665          (i) concurrent with the report described in Subsection (15)(b), the medical cannabis
666     courier shall submit a new application described in Subsection (3)(b);
667          (ii) within 30 days of the submission of the application, the department shall:
668          (A) conduct an application review; and
669          (B) award a license to the medical cannabis courier for the remainder of the term of the
670     medical cannabis courier's license before the ownership change if the medical cannabis courier
671     meets the minimum standards for licensure and operation of the medical cannabis courier
672     described in this chapter; and
673          (iii) if the department approves the license application, notwithstanding Subsection (4),
674     the medical cannabis courier shall pay a license fee that the department sets in accordance with
675     Section 63J-1-504 in an amount that covers the board's cost of conducting the application
676     review.
677          [(16)] (15) (a) Except as provided in Subsection(16)(b), a person may not advertise
678     regarding the transportation of medical cannabis.

679          (b) Notwithstanding Subsection (15)(a) and subject to Section 4-41a-109, a licensed
680     home delivery medical cannabis pharmacy or a licensed medical cannabis courier may
681     advertise:
682          (i) a green cross;
683          (ii) the pharmacy's or courier's name and logo; and
684          (iii) that the pharmacy or courier is licensed to transport medical cannabis shipments.
685          Section 5. Section 17-43-301 is amended to read:
686          17-43-301. Local mental health authorities -- Responsibilities.
687          (1) As used in this section:
688          (a) "Assisted outpatient treatment" means the same as that term is defined in Section
689     26B-5-301.
690          (b) "Crisis worker" means the same as that term is defined in Section 26B-5-610.
691          (c) "Local mental health crisis line" means the same as that term is defined in Section
692     26B-5-610.
693          (d) "Mental health therapist" means the same as that term is defined in Section
694     58-60-102.
695          (e) "Public funds" means the same as that term is defined in Section 17-43-303.
696          (f) "Statewide mental health crisis line" means the same as that term is defined in
697     Section 26B-5-610.
698          (2) (a) (i) In each county operating under a county executive-council form of
699     government under Section 17-52a-203, the county legislative body is the local mental health
700     authority, provided however that any contract for plan services shall be administered by the
701     county executive.
702          (ii) In each county operating under a council-manager form of government under
703     Section 17-52a-204, the county manager is the local mental health authority.
704          (iii) In each county other than a county described in Subsection (2)(a)(i) or (ii), the
705     county legislative body is the local mental health authority.
706          (b) Within legislative appropriations and county matching funds required by this
707     section, under the direction of the division, each local mental health authority shall:
708          (i) provide mental health services to individuals within the county; and
709          (ii) cooperate with efforts of the division to promote integrated programs that address

710     an individual's substance use, mental health, and physical healthcare needs, as described in
711     Section 26B-5-102.
712          (c) Within legislative appropriations and county matching funds required by this
713     section, each local mental health authority shall cooperate with the efforts of the department to
714     promote a system of care, as defined in Section [26B-1-102] 26B-5-101, for minors with or at
715     risk for complex emotional and behavioral needs, as described in Section 26B-1-202.
716          (3) (a) By executing an interlocal agreement under Title 11, Chapter 13, Interlocal
717     Cooperation Act, two or more counties may join to:
718          (i) provide mental health prevention and treatment services; or
719          (ii) create a united local health department that combines substance use treatment
720     services, mental health services, and local health department services in accordance with
721     Subsection (4).
722          (b) The legislative bodies of counties joining to provide services may establish
723     acceptable ways of apportioning the cost of mental health services.
724          (c) Each agreement for joint mental health services shall:
725          (i) (A) designate the treasurer of one of the participating counties or another person as
726     the treasurer for the combined mental health authorities and as the custodian of money
727     available for the joint services; and
728          (B) provide that the designated treasurer, or other disbursing officer authorized by the
729     treasurer, may make payments from the money available for the joint services upon audit of the
730     appropriate auditing officer or officers representing the participating counties;
731          (ii) provide for the appointment of an independent auditor or a county auditor of one of
732     the participating counties as the designated auditing officer for the combined mental health
733     authorities;
734          (iii) (A) provide for the appointment of the county or district attorney of one of the
735     participating counties as the designated legal officer for the combined mental health
736     authorities; and
737          (B) authorize the designated legal officer to request and receive the assistance of the
738     county or district attorneys of the other participating counties in defending or prosecuting
739     actions within their counties relating to the combined mental health authorities; and
740          (iv) provide for the adoption of management, clinical, financial, procurement,

741     personnel, and administrative policies as already established by one of the participating
742     counties or as approved by the legislative body of each participating county or interlocal board.
743          (d) An agreement for joint mental health services may provide for:
744          (i) joint operation of services and facilities or for operation of services and facilities
745     under contract by one participating local mental health authority for other participating local
746     mental health authorities; and
747          (ii) allocation of appointments of members of the mental health advisory council
748     between or among participating counties.
749          (4) A county governing body may elect to combine the local mental health authority
750     with the local substance abuse authority created in Part 2, Local Substance Abuse Authorities,
751     and the local health department created in Title 26A, Chapter 1, Part 1, Local Health
752     Department Act, to create a united local health department under Section 26A-1-105.5. A local
753     mental health authority that joins with a united local health department shall comply with this
754     part.
755          (5) (a) Each local mental health authority is accountable to the department and the state
756     with regard to the use of state and federal funds received from those departments for mental
757     health services, regardless of whether the services are provided by a private contract provider.
758          (b) Each local mental health authority shall comply, and require compliance by its
759     contract provider, with all directives issued by the department regarding the use and
760     expenditure of state and federal funds received from those departments for the purpose of
761     providing mental health programs and services. The department shall ensure that those
762     directives are not duplicative or conflicting, and shall consult and coordinate with local mental
763     health authorities with regard to programs and services.
764          (6) (a) Each local mental health authority shall:
765          (i) review and evaluate mental health needs and services, including mental health needs
766     and services for:
767          (A) an individual incarcerated in a county jail or other county correctional facility; and
768          (B) an individual who is a resident of the county and who is court ordered to receive
769     assisted outpatient treatment under Section 26B-5-351;
770          (ii) in accordance with Subsection (6)(b), annually prepare and submit to the division a
771     plan approved by the county legislative body for mental health funding and service delivery,

772     either directly by the local mental health authority or by contract;
773          (iii) establish and maintain, either directly or by contract, programs licensed under Title
774     26B, Chapter 2, Part 1, Human Services Programs and Facilities;
775          (iv) appoint, directly or by contract, a full-time or part-time director for mental health
776     programs and prescribe the director's duties;
777          (v) provide input and comment on new and revised rules established by the division;
778          (vi) establish and require contract providers to establish administrative, clinical,
779     personnel, financial, procurement, and management policies regarding mental health services
780     and facilities, in accordance with the rules of the division, and state and federal law;
781          (vii) establish mechanisms allowing for direct citizen input;
782          (viii) annually contract with the division to provide mental health programs and
783     services in accordance with the provisions of Title 26B, Chapter 5, Health Care - Substance
784     Use and Mental Health;
785          (ix) comply with all applicable state and federal statutes, policies, audit requirements,
786     contract requirements, and any directives resulting from those audits and contract requirements;
787          (x) provide funding equal to at least 20% of the state funds that it receives to fund
788     services described in the plan;
789          (xi) comply with the requirements and procedures of Title 11, Chapter 13, Interlocal
790     Cooperation Act, Title 17B, Chapter 1, Part 6, Fiscal Procedures for Special Districts, and Title
791     51, Chapter 2a, Accounting Reports from Political Subdivisions, Interlocal Organizations, and
792     Other Local Entities Act; and
793          (xii) take and retain physical custody of minors committed to the physical custody of
794     local mental health authorities by a judicial proceeding under Title 26B, Chapter 5, Part 4,
795     Commitment of Persons Under Age 18.
796          (b) Each plan under Subsection (6)(a)(ii) shall include services for adults, youth, and
797     children, which shall include:
798          (i) inpatient care and services;
799          (ii) residential care and services;
800          (iii) outpatient care and services;
801          (iv) 24-hour crisis care and services;
802          (v) psychotropic medication management;

803          (vi) psychosocial rehabilitation, including vocational training and skills development;
804          (vii) case management;
805          (viii) community supports, including in-home services, housing, family support
806     services, and respite services;
807          (ix) consultation and education services, including case consultation, collaboration
808     with other county service agencies, public education, and public information; and
809          (x) services to persons incarcerated in a county jail or other county correctional facility.
810          (7) (a) If a local mental health authority provides for a local mental health crisis line
811     under the plan for 24-hour crisis care and services described in Subsection (6)(b)(iv), the local
812     mental health authority shall:
813          (i) collaborate with the statewide mental health crisis line described in Section
814     26B-5-610;
815          (ii) ensure that each individual who answers calls to the local mental health crisis line:
816          (A) is a mental health therapist or a crisis worker; and
817          (B) meets the standards of care and practice established by the Division of Integrated
818     Healthcare, in accordance with Section 26B-5-610; and
819          (iii) ensure that when necessary, based on the local mental health crisis line's capacity,
820     calls are immediately routed to the statewide mental health crisis line to ensure that when an
821     individual calls the local mental health crisis line, regardless of the time, date, or number of
822     individuals trying to simultaneously access the local mental health crisis line, a mental health
823     therapist or a crisis worker answers the call without the caller first:
824          (A) waiting on hold; or
825          (B) being screened by an individual other than a mental health therapist or crisis
826     worker.
827          (b) If a local mental health authority does not provide for a local mental health crisis
828     line under the plan for 24-hour crisis care and services described in Subsection (6)(b)(iv), the
829     local mental health authority shall use the statewide mental health crisis line as a local crisis
830     line resource.
831          (8) Before disbursing any public funds, each local mental health authority shall require
832     that each entity that receives any public funds from a local mental health authority agrees in
833     writing that:

834          (a) the entity's financial records and other records relevant to the entity's performance
835     of the services provided to the mental health authority shall be subject to examination by:
836          (i) the division;
837          (ii) the local mental health authority director;
838          (iii) (A) the county treasurer and county or district attorney; or
839          (B) if two or more counties jointly provide mental health services under an agreement
840     under Subsection (3), the designated treasurer and the designated legal officer;
841          (iv) the county legislative body; and
842          (v) in a county with a county executive that is separate from the county legislative
843     body, the county executive;
844          (b) the county auditor may examine and audit the entity's financial and other records
845     relevant to the entity's performance of the services provided to the local mental health
846     authority; and
847          (c) the entity will comply with the provisions of Subsection (5)(b).
848          (9) A local mental health authority may receive property, grants, gifts, supplies,
849     materials, contributions, and any benefit derived therefrom, for mental health services. If those
850     gifts are conditioned upon their use for a specified service or program, they shall be so used.
851          (10) Public funds received for the provision of services pursuant to the local mental
852     health plan may not be used for any other purpose except those authorized in the contract
853     between the local mental health authority and the provider for the provision of plan services.
854          (11) A local mental health authority shall provide assisted outpatient treatment
855     services, as described in Section 26B-5-350, to a resident of the county who has been ordered
856     under Section 26B-5-351 to receive assisted outpatient treatment.
857          Section 6. Section 26B-1-202 is amended to read:
858          26B-1-202. Department authority and duties.
859          The department may, subject to applicable restrictions in state law and in addition to all
860     other authority and responsibility granted to the department by law:
861          (1) adopt rules, in accordance with Title 63G, Chapter 3, Utah Administrative
862     Rulemaking Act, and not inconsistent with law, as the department may consider necessary or
863     desirable for providing health and social services to the people of this state;
864          (2) establish and manage client trust accounts in the department's institutions and

865     community programs, at the request of the client or the client's legal guardian or representative,
866     or in accordance with federal law;
867          (3) purchase, as authorized or required by law, services that the department is
868     responsible to provide for legally eligible persons;
869          (4) conduct adjudicative proceedings for clients and providers in accordance with the
870     procedures of Title 63G, Chapter 4, Administrative Procedures Act;
871          (5) establish eligibility standards for the department's programs, not inconsistent with
872     state or federal law or regulations;
873          (6) take necessary steps, including legal action, to recover money or the monetary value
874     of services provided to a recipient who was not eligible;
875          (7) set and collect fees for the department's services;
876          (8) license agencies, facilities, and programs, except as otherwise allowed, prohibited,
877     or limited by law;
878          (9) acquire, manage, and dispose of any real or personal property needed or owned by
879     the department, not inconsistent with state law;
880          (10) receive gifts, grants, devises, and donations; gifts, grants, devises, donations, or
881     the proceeds thereof, may be credited to the program designated by the donor, and may be used
882     for the purposes requested by the donor, as long as the request conforms to state and federal
883     policy; all donated funds shall be considered private, nonlapsing funds and may be invested
884     under guidelines established by the state treasurer;
885          (11) accept and employ volunteer labor or services; the department is authorized to
886     reimburse volunteers for necessary expenses, when the department considers that
887     reimbursement to be appropriate;
888          (12) carry out the responsibility assigned in the workforce services plan by the State
889     Workforce Development Board;
890          (13) carry out the responsibility assigned by [Section 62A-5a-105] Section 26B-1-430
891     with respect to coordination of services for students with a disability;
892          (14) provide training and educational opportunities for the department's staff;
893          (15) collect child support payments and any other money due to the department;
894          (16) apply the provisions of Title 78B, Chapter 12, Utah Child Support Act, to parents
895     whose child lives out of the home in a department licensed or certified setting;

896          (17) establish policy and procedures, within appropriations authorized by the
897     Legislature, in cases where the Division of Child and Family Services or the [Division of
898     Juvenile Justice Services] Division of Juvenile Justice and Youth Services is given custody of a
899     minor by the juvenile court under Title 80, Utah Juvenile Code, or the department is ordered to
900     prepare an attainment plan for a minor found not competent to proceed under Section
901     80-6-403, including:
902          (a) designation of interagency teams for each juvenile court district in the state;
903          (b) delineation of assessment criteria and procedures;
904          (c) minimum requirements, and timeframes, for the development and implementation
905     of a collaborative service plan for each minor placed in department custody; and
906          (d) provisions for submittal of the plan and periodic progress reports to the court;
907          (18) carry out the responsibilities assigned to the department by statute;
908          (19) examine and audit the expenditures of any public funds provided to a local
909     substance abuse authority, a local mental health authority, a local area agency on aging, and any
910     person, agency, or organization that contracts with or receives funds from those authorities or
911     agencies. Those local authorities, area agencies, and any person or entity that contracts with or
912     receives funds from those authorities or area agencies, shall provide the department with any
913     information the department considers necessary. The department is further authorized to issue
914     directives resulting from any examination or audit to a local authority, an area agency, and
915     persons or entities that contract with or receive funds from those authorities with regard to any
916     public funds. If the department determines that it is necessary to withhold funds from a local
917     mental health authority or local substance abuse authority based on failure to comply with state
918     or federal law, policy, or contract provisions, the department may take steps necessary to
919     ensure continuity of services. For purposes of this Subsection (19) "public funds" means the
920     same as that term is defined in Section [62A-15-102] 26B-5-101;
921          (20) in accordance with Subsection 26B-2-104(1)(d), accredit one or more agencies
922     and persons to provide intercountry adoption services;
923          (21) within legislative appropriations, promote and develop a system of care and
924     stabilization services:
925          (a) in compliance with Title 63G, Chapter 6a, Utah Procurement Code; and
926          (b) that encompasses the department, department contractors, and the divisions,

927     offices, or institutions within the department, to:
928          (i) navigate services, funding resources, and relationships to the benefit of the children
929     and families whom the department serves;
930          (ii) centralize department operations, including procurement and contracting;
931          (iii) develop policies that govern business operations and that facilitate a system of care
932     approach to service delivery;
933          (iv) allocate resources that may be used for the children and families served by the
934     department or the divisions, offices, or institutions within the department, subject to the
935     restrictions in Section 63J-1-206;
936          (v) create performance-based measures for the provision of services; and
937          (vi) centralize other business operations, including data matching and sharing among
938     the department's divisions, offices, and institutions;
939          (22) ensure that any training or certification required of a public official or public
940     employee, as those terms are defined in Section 63G-22-102, complies with Title 63G, Chapter
941     22, State Training and Certification Requirements, if the training or certification is required:
942          (a) under this title;
943          (b) by the department; or
944          (c) by an agency or division within the department;
945          (23) enter into cooperative agreements with the Department of Environmental Quality
946     to delineate specific responsibilities to assure that assessment and management of risk to
947     human health from the environment are properly administered;
948          (24) consult with the Department of Environmental Quality and enter into cooperative
949     agreements, as needed, to ensure efficient use of resources and effective response to potential
950     health and safety threats from the environment, and to prevent gaps in protection from potential
951     risks from the environment to specific individuals or population groups;
952          (25) to the extent authorized under state law or required by federal law, promote and
953     protect the health and wellness of the people within the state;
954          (26) establish, maintain, and enforce rules authorized under state law or required by
955     federal law to promote and protect the public health or to prevent disease and illness;
956          (27) investigate the causes of epidemic, infectious, communicable, and other diseases
957     affecting the public health;

958          (28) provide for the detection and reporting of communicable, infectious, acute,
959     chronic, or any other disease or health hazard which the department considers to be dangerous,
960     important, or likely to affect the public health;
961          (29) collect and report information on causes of injury, sickness, death, and disability
962     and the risk factors that contribute to the causes of injury, sickness, death, and disability within
963     the state;
964          (30) collect, prepare, publish, and disseminate information to inform the public
965     concerning the health and wellness of the population, specific hazards, and risks that may affect
966     the health and wellness of the population and specific activities which may promote and protect
967     the health and wellness of the population;
968          (31) abate nuisances when necessary to eliminate sources of filth and infectious and
969     communicable diseases affecting the public health;
970          (32) make necessary sanitary and health investigations and inspections in cooperation
971     with local health departments as to any matters affecting the public health;
972          (33) establish laboratory services necessary to support public health programs and
973     medical services in the state;
974          (34) establish and enforce standards for laboratory services which are provided by any
975     laboratory in the state when the purpose of the services is to protect the public health;
976          (35) cooperate with the Labor Commission to conduct studies of occupational health
977     hazards and occupational diseases arising in and out of employment in industry, and make
978     recommendations for elimination or reduction of the hazards;
979          (36) cooperate with the local health departments, the Department of Corrections, the
980     Administrative Office of the Courts, the [Division of Juvenile Justice Services] Division of
981     Juvenile Justice and Youth Services, and the Crime Victim Reparations and Assistance Board
982     to conduct testing for HIV infection of alleged sexual offenders, convicted sexual offenders,
983     and any victims of a sexual offense;
984          (37) investigate the causes of maternal and infant mortality;
985          (38) establish, maintain, and enforce a procedure requiring the blood of adult
986     pedestrians and drivers of motor vehicles killed in highway accidents be examined for the
987     presence and concentration of alcohol, and provide the Commissioner of Public Safety with
988     monthly statistics reflecting the results of these examinations, with necessary safeguards so that

989     information derived from the examinations is not used for a purpose other than the compilation
990     of these statistics;
991          (39) establish qualifications for individuals permitted to draw blood under Subsection
992     41-6a-523(1)(a)(vi), 53-10-405(2)(a)(vi), 72-10-502(5)(a)(vi), or 77-23-213(3)(a)(vi), and to
993     issue permits to individuals the department finds qualified, which permits may be terminated or
994     revoked by the department;
995          (40) establish a uniform public health program throughout the state which includes
996     continuous service, employment of qualified employees, and a basic program of disease
997     control, vital and health statistics, sanitation, public health nursing, and other preventive health
998     programs necessary or desirable for the protection of public health;
999          (41) conduct health planning for the state;
1000          (42) monitor the costs of health care in the state and foster price competition in the
1001     health care delivery system;
1002          (43) establish methods or measures for health care providers, public health entities, and
1003     health care insurers to coordinate among themselves to verify the identity of the individuals the
1004     providers serve;
1005          (44) designate Alzheimer's disease and related dementia as a public health issue and,
1006     within budgetary limitations, implement a state plan for Alzheimer's disease and related
1007     dementia by incorporating the plan into the department's strategic planning and budgetary
1008     process;
1009          (45) coordinate with other state agencies and other organizations to implement the state
1010     plan for Alzheimer's disease and related dementia;
1011          (46) ensure that any training or certification required of a public official or public
1012     employee, as those terms are defined in Section 63G-22-102, complies with Title 63G, Chapter
1013     22, State Training and Certification Requirements, if the training or certification is required by
1014     the agency or under this [title, Title 26, Utah Health Code, or Title 62A, Utah Human Services
1015     Code] Title 26;
1016          (47) oversee public education vision screening as described in Section 53G-9-404; and
1017          (48) issue code blue alerts in accordance with Title 35A, Chapter 16, Part 7, Code Blue
1018     Alert.
1019          Section 7. Section 26B-1-204 (Superseded 07/01/24) is amended to read:

1020          26B-1-204 (Superseded 07/01/24). Creation of boards, divisions, and offices --
1021     Power to organize department.
1022          (1) The executive director shall make rules in accordance with Title 63G, Chapter 3,
1023     Utah Administrative Rulemaking Act, and not inconsistent with law for:
1024          (a) the administration and government of the department;
1025          (b) the conduct of the department's employees; and
1026          (c) the custody, use, and preservation of the records, papers, books, documents, and
1027     property of the department.
1028          (2) The following policymaking boards, councils, and committees are created within
1029     the Department of Health and Human Services:
1030          (a) Board of Aging and Adult Services;
1031          (b) Utah State Developmental Center Board;
1032          (c) Health Facility Committee;
1033          (d) State Emergency Medical Services Committee;
1034          (e) Air Ambulance Committee;
1035          (f) Health Data Committee;
1036          (g) Utah Health Care Workforce Financial Assistance Program Advisory Committee;
1037          (h) Child Care Provider Licensing Committee;
1038          (i) Primary Care Grant Committee;
1039          (j) Adult Autism Treatment Program Advisory Committee;
1040          (k) Youth Electronic Cigarette, Marijuana, and Other Drug Prevention Committee; and
1041          (l) any boards, councils, or committees that are created by statute in this title.
1042          (3) The following divisions are created within the Department of Health and Human
1043     Services:
1044          (a) relating to operations:
1045          (i) the Division of Finance and Administration;
1046          (ii) the Division of Licensing and Background Checks;
1047          (iii) the Division of Customer Experience;
1048          (iv) the Division of Data, Systems, and Evaluation; and
1049          (v) the Division of Continuous Quality and Improvement;
1050          (b) relating to healthcare administration:

1051          (i) the Division of Integrated Healthcare, which shall include responsibility for:
1052          (A) the state's medical assistance programs; and
1053          (B) behavioral health programs described in Chapter 5, Health Care - Substance Use
1054     and Mental Health;
1055          (ii) the Division of Aging and Adult Services; and
1056          (iii) the Division of Services for People with Disabilities; [and]
1057          (c) relating to community health and well-being:
1058          (i) the Division of Child and Family Services;
1059          (ii) the Division of Family Health;
1060          (iii) the Division of Population Health;
1061          (iv) the Division of Juvenile Justice and Youth Services; and
1062          (v) the Office of Recovery Services[.]; and
1063          (d) relating to clinical services, the Division of Health Access.
1064          (4) The executive director may establish offices [and bureaus] to facilitate management
1065     of the department as required by, and in accordance with this title.
1066          (5) From July 1, 2022, through June 30, 2023, the executive director may adjust the
1067     organizational structure relating to the department, including the organization of the
1068     department's divisions and offices, notwithstanding the organizational structure described in
1069     this title.
1070          Section 8. Section 26B-1-204 (Effective 07/01/24) is amended to read:
1071          26B-1-204 (Effective 07/01/24). Creation of boards, divisions, and offices -- Power
1072     to organize department.
1073          (1) The executive director shall make rules in accordance with Title 63G, Chapter 3,
1074     Utah Administrative Rulemaking Act, and not inconsistent with law for:
1075          (a) the administration and government of the department;
1076          (b) the conduct of the department's employees; and
1077          (c) the custody, use, and preservation of the records, papers, books, documents, and
1078     property of the department.
1079          (2) The following policymaking boards, councils, and committees are created within
1080     the Department of Health and Human Services:
1081          (a) Board of Aging and Adult Services;

1082          (b) Utah State Developmental Center Board;
1083          (c) Health Facility Committee;
1084          (d) Health Data Committee;
1085          (e) Utah Health Care Workforce Financial Assistance Program Advisory Committee;
1086          (f) Child Care Provider Licensing Committee;
1087          (g) Primary Care Grant Committee;
1088          (h) Adult Autism Treatment Program Advisory Committee;
1089          (i) Youth Electronic Cigarette, Marijuana, and Other Drug Prevention Committee; and
1090          (j) any boards, councils, or committees that are created by statute in this title.
1091          (3) The following divisions are created within the Department of Health and Human
1092     Services:
1093          (a) relating to operations:
1094          (i) the Division of Finance and Administration;
1095          (ii) the Division of Licensing and Background Checks;
1096          (iii) the Division of Customer Experience;
1097          (iv) the Division of Data, Systems, and Evaluation; and
1098          (v) the Division of Continuous Quality and Improvement;
1099          (b) relating to healthcare administration:
1100          (i) the Division of Integrated Healthcare, which shall include responsibility for:
1101          (A) the state's medical assistance programs; and
1102          (B) behavioral health programs described in Chapter 5, Health Care - Substance Use
1103     and Mental Health;
1104          (ii) the Division of Aging and Adult Services; and
1105          (iii) the Division of Services for People with Disabilities; [and]
1106          (c) relating to community health and well-being:
1107          (i) the Division of Child and Family Services;
1108          (ii) the Division of Family Health;
1109          (iii) the Division of Population Health;
1110          (iv) the Division of Juvenile Justice and Youth Services; and
1111          (v) the Office of Recovery Services[.]; and
1112          (d) relating to clinical services, the Division of Health Access.

1113          (4) The executive director may establish offices [and bureaus] to facilitate management
1114     of the department as required by, and in accordance with this title.
1115          (5) From July 1, 2022, through June 30, 2023, the executive director may adjust the
1116     organizational structure relating to the department, including the organization of the
1117     department's divisions and offices, notwithstanding the organizational structure described in
1118     this title.
1119          Section 9. Section 26B-1-207 is amended to read:
1120          26B-1-207. Policymaking responsibilities -- Regulations for local health
1121     departments prescribed by department -- Local standards not more stringent than
1122     federal or state standards -- Consultation with local health departments -- Committee to
1123     evaluate health policies and to review federal grants.
1124          (1) In establishing public health policy, the department shall consult with the local
1125     health departments established under Title 26A, Chapter 1, Local Health Departments.
1126          (2) (a) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
1127     the department may prescribe by administrative rule made in accordance with Title 63G,
1128     Chapter 3, Utah Administrative Rulemaking Act, reasonable requirements not inconsistent
1129     with law for a local health department as defined in Section 26A-1-102.
1130          (b) Except where specifically allowed by federal law or state statute, a local health
1131     department, as defined in Section 26A-1-102, may not establish standards or regulations that
1132     are more stringent than those established by federal law, state statute, or administrative rule
1133     adopted in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
1134          (c) Nothing in this Subsection (2), limits the ability of a local health department to
1135     make standards and regulations in accordance with Subsection 26A-1-121(1)(a) for:
1136          (i) emergency rules made in accordance with Section 63G-3-304; or
1137          (ii) items not regulated under federal law, state statute, or state administrative rule.
1138          (3) (a) As used in this Subsection (3):
1139          (i) "Committee" means the committee established under Subsection (3)(b).
1140          (ii) "Exempt application" means an application for a federal grant that meets the
1141     criteria established under Subsection (3)(c)(iii).
1142          (iii) "Expedited application" means an application for a federal grant that meets the
1143     criteria established under Subsection (3)(c)(iv).

1144          (iv) "Federal grant" means a grant from the federal government that could provide
1145     funds for local health departments to help them fulfill their duties and responsibilities.
1146          (v) "Reviewable application" means an application for a federal grant that is not an
1147     exempt application.
1148          (b) The department shall establish a committee consisting of:
1149          (i) the executive director, or the executive director's designee;
1150          (ii) two representatives of the department, appointed by the executive director; and
1151          (iii) three representatives of local health departments, appointed by all local health
1152     departments.
1153          (c) The committee shall:
1154          (i) evaluate the allocation of public health resources between the department and local
1155     health departments, including whether funds allocated by contract were allocated in accordance
1156     with the formula described in Section 26A-1-116;
1157          (ii) evaluate policies and rules that affect local health departments in accordance with
1158     Subsection (3)(g);
1159          (iii) consider department policy and rule changes proposed by the department or local
1160     health departments;
1161          (iv) establish criteria by which an application for a federal grant may be judged to
1162     determine whether it should be exempt from the requirements under Subsection (3)(d); and
1163          (v) establish criteria by which an application for a federal grant may be judged to
1164     determine whether committee review under Subsection (3)(d)(i) should be delayed until after
1165     the application is submitted because the application is required to be submitted under a
1166     timetable that makes committee review before it is submitted impracticable if the submission
1167     deadline is to be met.
1168          (d) (i) The committee shall review the goals and budget for each reviewable
1169     application:
1170          (A) before the application is submitted, except for an expedited application; and
1171          (B) for an expedited application, after the application is submitted but before funds
1172     from the federal grant for which the application was submitted are disbursed or encumbered.
1173          (ii) Funds from a federal grant under a reviewable application may not be disbursed or
1174     encumbered before the goals and budget for the federal grant are established by[: (A)] a

1175     two-thirds vote of the committee, following the committee review under Subsection (3)(d)(i)[;
1176     or].
1177          [(B) if two-thirds of the committee cannot agree on the goals and budget, the chair of
1178     the health advisory council, after consultation with the committee in a manner that the
1179     committee determines.]
1180          (e) An exempt application is exempt from the requirements of Subsection (3)(d).
1181          (f) The department may use money from a federal grant to pay administrative costs
1182     incurred in implementing this Subsection (3).
1183          (g) When evaluating a policy or rule that affects a local health department, the
1184     committee shall determine:
1185          (i) whether the department has the authority to promulgate the policy or rule;
1186          (ii) an estimate of the cost a local health department will bear to comply with the policy
1187     or rule;
1188          (iii) whether there is any funding provided to a local health department to implement
1189     the policy or rule; and
1190          (iv) whether the policy or rule is still needed.
1191          (h) Before November 1 of each year, the department shall provide a report to the
1192     Administrative Rules Review and General Oversight Committee regarding the determinations
1193     made under Subsection (3)(g).
1194          Section 10. Section 26B-1-237 is amended to read:
1195          26B-1-237. Office of Internal Audit.
1196          The [Utah] Office of Internal Audit:
1197          (1) may not be placed within [the] a division;
1198          (2) shall be placed directly under, and report directly to, the executive director of the
1199     Department of Health and Human Services; and
1200          (3) shall have full access to all records of the [division] department.
1201          Section 11. Section 26B-1-324 is amended to read:
1202          26B-1-324. Statewide Behavioral Health Crisis Response Account -- Creation --
1203     Administration -- Permitted uses -- Reporting.
1204          (1) There is created a restricted account within the General Fund known as the
1205     "Statewide Behavioral Health Crisis Response Account," consisting of:

1206          (a) money appropriated or otherwise made available by the Legislature; and
1207          (b) contributions of money, property, or equipment from federal agencies, political
1208     subdivisions of the state, or other persons.
1209          (2) (a) Subject to appropriations by the Legislature and any contributions to the account
1210     described in Subsection (1)(b), the division shall disburse funds in the account only for the
1211     purpose of support or implementation of services or enhancements of those services in order to
1212     rapidly, efficiently, and effectively deliver 988 services in the state.
1213          (b) Funds distributed from the account to county local mental health and substance
1214     abuse authorities for the provision of crisis services are not subject to the 20% county match
1215     described in Sections 17-43-201 and 17-43-301.
1216          (c) After consultation with the Behavioral Health Crisis Response Commission created
1217     in Section 63C-18-202, and local substance use authorities and local mental health authorities
1218     described in Sections 17-43-201 and 17-43-301, the division shall expend funds from the
1219     account on any of the following programs:
1220          (i) the Statewide Mental Health Crisis Line, as defined in Section 26B-5-610, including
1221     coordination with 911 emergency service, as defined in Section 69-2-102, and coordination
1222     with local substance abuse authorities as described in Section 17-43-201, and local mental
1223     health authorities, described in Section 17-43-301;
1224          (ii) mobile crisis outreach teams as defined in Section 26B-5-609, distributed in
1225     accordance with rules made by the division in accordance with Title 63G, Chapter 3, Utah
1226     Administrative Rulemaking Act;
1227          (iii) behavioral health receiving centers as defined in Section 26B-5-114;
1228          (iv) stabilization services as described in Section [26B-1-102] 26B-5-101;
1229          (v) mental health crisis services, as defined in Section 26B-5-101, provided by local
1230     substance abuse authorities as described in Section 17-43-201 and local mental health
1231     authorities described in Section 17-43-301 to provide prolonged mental health services for up
1232     to 90 days after the day on which an individual experiences a mental health crisis as defined in
1233     Section 26B-5-101;
1234          (vi) crisis intervention training for first responders, as that term is defined in Section
1235     78B-4-501;
1236          (vii) crisis worker certification training for first responders, as that term is defined in

1237     Section 78B-4-501;
1238          (viii) frontline support for the SafeUT Crisis Line; or
1239          (ix) suicide prevention gatekeeper training for first responders, as that term is defined
1240     in Section 78B-4-501.
1241          (d) If the Legislature appropriates money to the account for a purpose described in
1242     Subsection (2)(c), the division shall use the appropriation for that purpose.
1243          (3) Subject to appropriations by the Legislature and any contributions to the account
1244     described in Subsection (1)(b), the division may expend funds in the account for administrative
1245     costs that the division incurs related to administering the account.
1246          (4) The division director shall submit and make available to the public a report before
1247     December of each year to the Behavioral Health Crisis Response Commission, as defined in
1248     Section 63C-18-202, the Social Services Appropriations Subcommittee, and the Legislative
1249     Management Committee that includes:
1250          (a) the amount of each disbursement from the account;
1251          (b) the recipient of each disbursement, the goods and services received, and a
1252     description of the project funded by the disbursement;
1253          (c) any conditions placed by the division on the disbursements from the account;
1254          (d) the anticipated expenditures from the account for the next fiscal year;
1255          (e) the amount of any unexpended funds carried forward;
1256          (f) the number of Statewide Mental Health Crisis Line calls received;
1257          (g) the progress towards accomplishing the goals of providing statewide mental health
1258     crisis service; and
1259          (h) other relevant justification for ongoing support from the account.
1260          (5) Notwithstanding Subsection (2)(c), allocations made to local substance use
1261     authorities and local mental health authorities for behavioral health receiving centers or mobile
1262     crisis outreach teams before the end of fiscal year 2023 shall be maintained through fiscal year
1263     2027, subject to appropriation.
1264          (6) (a) As used in this Subsection (6):
1265          (i) "Health benefit plan" means the same as that term is defined in Section 31A-1-301.
1266          (ii) "Mental health service provider" means a behavioral health receiving center or
1267     mobile crisis outreach team.

1268          (b) The department shall coordinate with each mental health service provider that
1269     receives state funds to determine which health benefit plans, if any, have not contracted or have
1270     refused to contract with the mental health service provider at usual and customary rates for the
1271     services provided by the mental health service provider.
1272          (c) In each year that the department identifies a health benefit plan that meets the
1273     description in Subsection (6)(b), the department shall provide a report on the information
1274     gathered under Subsection (6)(b) to the Health and Human Services Interim Committee at or
1275     before the committee's October meeting.
1276          Section 12. Section 26B-1-414 is amended to read:
1277          26B-1-414. Child Care Provider Licensing Committee -- Duties.
1278          (1) (a) The Child Care [Center] Provider Licensing Committee shall be comprised of
1279     12 members appointed by the governor with the advice and consent of the Senate in accordance
1280     with this Subsection (1).
1281          (b) The governor shall appoint three members who:
1282          (i) have at least five years of experience as an owner in or director of a for profit or
1283     not-for-profit center based child care as defined in Section 26B-2-401; and
1284          (ii) hold an active license as a child care center from the department to provide center
1285     based child care as defined in Section 26B-2-401.
1286          (c) The governor shall appoint two members who hold an active license as a residential
1287     child care provider and one member who is a certified residential child care provider.
1288          (d) (i) The governor shall appoint one member to represent each of the following:
1289          (A) a parent with a child in a licensed center based child care facility;
1290          (B) a parent with a child in a residential based child care facility;
1291          (C) a child development expert from the state system of higher education;
1292          (D) except as provided in Subsection (1)(f), a pediatrician licensed in the state;
1293          (E) a health care provider; and
1294          (F) an architect licensed in the state.
1295          (ii) Except as provided in Subsection (1)(d)(i)(C), a member appointed under
1296     Subsection (1)(d)(i) may not be an employee of the state or a political subdivision of the state.
1297          (e) At least one member described in Subsection (1)(b) shall at the time of appointment
1298     reside in a county that is not a county of the first class.

1299          (f) For the appointment described in Subsection (1)(d)(i)(D), the governor may appoint
1300     a health care professional who specializes in pediatric health if:
1301          (i) the health care professional is licensed under:
1302          (A) Title 58, Chapter 31b, Nurse Practice Act, as an advanced practice nurse
1303     practitioner; or
1304          (B) Title 58, Chapter 70a, Utah Physician Assistant Act; and
1305          (ii) before appointing a health care professional under this Subsection (1)(f), the
1306     governor:
1307          (A) sends a notice to a professional physician organization in the state regarding the
1308     opening for the appointment described in Subsection (1)(d)(i)(D); and
1309          (B) receives no applications from a pediatrician who is licensed in the state for the
1310     appointment described in Subsection (1)(d)(i)(D) within 90 days after the day on which the
1311     governor sends the notice described in Subsection (1)(f)(ii)(A).
1312          (2) (a) Except as required by Subsection (2)(b), as terms of current members expire, the
1313     governor shall appoint each new member or reappointed member to a four-year term ending
1314     June 30.
1315          (b) Notwithstanding the requirements of Subsection (2)(a), the governor shall, at the
1316     time of appointment or reappointment, adjust the length of terms to ensure that the terms of
1317     members are staggered so that approximately half of the licensing committee is appointed
1318     every two years.
1319          (c) Upon the expiration of the term of a member of the licensing committee, the
1320     member shall continue to hold office until a successor is appointed and qualified.
1321          (d) A member may not serve more than two consecutive terms.
1322          (e) Members of the licensing committee shall annually select one member to serve as
1323     chair who shall establish the agenda for licensing committee meetings.
1324          (3) When a vacancy occurs in the membership for any reason, the governor, with the
1325     advice and consent of the Senate, shall appoint a replacement for the unexpired term.
1326          (4) (a) The licensing committee shall meet at least every two months.
1327          (b) The director may call additional meetings:
1328          (i) at the director's discretion;
1329          (ii) upon the request of the chair; or

1330          (iii) upon the written request of three or more members.
1331          (5) Seven members of the licensing committee constitute a quorum for the transaction
1332     of business.
1333          (6) A member appointed under Subsection (1)(b) may not vote on any action proposed
1334     by the licensing committee regarding residential child care.
1335          (7) A member appointed under Subsection (1)(c) may not vote on any action proposed
1336     by the licensing committee regarding center based child care.
1337          (8) A member of the licensing committee may not receive compensation or benefits for
1338     the member's service, but may receive per diem and travel expenses as allowed in:
1339          (a) Section 63A-3-106;
1340          (b) Section 63A-3-107; and
1341          (c) rules made by the Division of Finance in accordance with Sections 63A-3-106 and
1342     63A-3-107.
1343          (9) The licensing committee shall:
1344          (a) in concurrence with the department and in accordance with Title 63G, Chapter 3,
1345     Utah Administrative Rulemaking Act, make rules that govern center based child care and
1346     residential child care, as those terms are defined in Section 26B-2-401, as necessary to protect
1347     qualifying children's common needs for a safe and healthy environment, to provide for:
1348          (i) adequate facilities and equipment; and
1349          (ii) competent caregivers considering the age of the children and the type of program
1350     offered by the licensee
1351          (b) in concurrence with the department and in accordance with Title 63G, Chapter 3,
1352     Utah Administrative Rulemaking Act, make rules necessary to carry out the purposes of
1353     Chapter 2, Part 4, Child Care Licensing, that govern center based child care and residential
1354     child care, as those terms are defined in Section 26B-2-401, in the following areas:
1355          (i) requirements for applications, the application process, and compliance with other
1356     applicable statutes and rules;
1357          (ii) documentation, policies, and procedures that providers shall have in place in order
1358     to be licensed, in accordance with this Subsection (9);
1359          (iii) categories, classifications, and duration of initial and ongoing licenses;
1360          (iv) changes of ownership or name, changes in licensure status, and changes in

1361     operational status;
1362          (v) license expiration and renewal, contents, and posting requirements;
1363          (vi) procedures for inspections, complaint resolution, disciplinary actions, and other
1364     procedural measures to encourage and ensure compliance with statute and rule; and
1365          (vii) guidelines necessary to ensure consistency and appropriateness in the regulation
1366     and discipline of licensees;
1367          (c) advise the department on the administration of a matter affecting center based child
1368     care or residential child care, as those terms are defined in Section 26B-2-401;
1369          (d) advise and assist the department in conducting center based child care provider
1370     seminars and residential child care seminars; and
1371          (e) perform other duties as provided in Section 26B-2-402.
1372          (10) (a) The licensing committee may not enforce the rules adopted under this section.
1373          (b) the department shall enforce the rules adopted under this section in accordance with
1374     Section 26B-2-402.
1375          Section 13. Section 26B-1-421 is amended to read:
1376          26B-1-421. Compassionate Use Board.
1377          (1) The definitions in Section 26B-4-201 apply to this section.
1378          (2) (a) The department shall establish a Compassionate Use Board consisting of:
1379          (i) seven qualified medical providers that the executive director appoints and the
1380     Senate confirms:
1381          (A) who are knowledgeable about the medicinal use of cannabis;
1382          (B) who are physicians licensed under Title 58, Chapter 67, Utah Medical Practice Act,
1383     or Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; and
1384          (C) who are board certified by the American Board of Medical Specialties or an
1385     American Osteopathic Association Specialty Certifying Board in the specialty of neurology,
1386     pain medicine and pain management, medical oncology, psychiatry, infectious disease, internal
1387     medicine, pediatrics, family medicine, or gastroenterology; and
1388          (ii) as a nonvoting member and the chair of the Compassionate Use Board, the
1389     executive director or the director's designee.
1390          (b) In appointing the seven qualified medical providers described in Subsection (2)(a),
1391     the executive director shall ensure that at least two have a board certification in pediatrics.

1392          (3) (a) Of the members of the Compassionate Use Board that the executive director
1393     first appoints:
1394          (i) three shall serve an initial term of two years; and
1395          (ii) the remaining members shall serve an initial term of four years.
1396          (b) After an initial term described in Subsection (3)(a) expires:
1397          (i) each term is four years; and
1398          (ii) each board member is eligible for reappointment.
1399          (c) A member of the Compassionate Use Board may serve until a successor is
1400     appointed.
1401          (d) Four members constitute a quorum of the Compassionate Use Board.
1402          (4) A member of the Compassionate Use Board may receive:
1403          (a) notwithstanding Section 63A-3-106, compensation or benefits for the member's
1404     service; and
1405          (b) travel expenses in accordance with Section 63A-3-107 and rules made by the
1406     Division of Finance in accordance with Section 63A-3-107.
1407          (5) The Compassionate Use Board shall:
1408          (a) review and recommend for department approval a petition to the board regarding an
1409     individual described in Subsection 26B-4-213(2)(a), a minor described in Subsection
1410     26B-4-213(2)(c), or an individual who is not otherwise qualified to receive a medical cannabis
1411     card to obtain a medical cannabis card for compassionate use, for the standard or a reduced
1412     period of validity, if:
1413          (i) for an individual who is not otherwise qualified to receive a medical cannabis card,
1414     the individual's qualified medical provider is actively treating the individual for an intractable
1415     condition that:
1416          (A) substantially impairs the individual's quality of life; and
1417          (B) has not, in the qualified medical provider's professional opinion, adequately
1418     responded to conventional treatments;
1419          (ii) the qualified medical provider:
1420          (A) recommends that the individual or minor be allowed to use medical cannabis; and
1421          (B) provides a letter, relevant treatment history, and notes or copies of progress notes
1422     describing relevant treatment history including rationale for considering the use of medical

1423     cannabis; and
1424          (iii) the Compassionate Use Board determines that:
1425          (A) the recommendation of the individual's qualified medical provider is justified; and
1426          (B) based on available information, it may be in the best interests of the individual to
1427     allow the use of medical cannabis;
1428          (b) when a qualified medical provider recommends that an individual described in
1429     Subsection 26B-4-213(2)(a)(i)(B) or a minor described in Subsection 26B-4-213(2)(c) be
1430     allowed to use a medical cannabis device or medical cannabis product to vaporize a medical
1431     cannabis treatment, review and approve or deny the use of the medical cannabis device or
1432     medical cannabis product;
1433          (c) unless no petitions are pending:
1434          (i) meet to receive or review compassionate use petitions at least quarterly; and
1435          (ii) if there are more petitions than the board can receive or review during the board's
1436     regular schedule, as often as necessary;
1437          (d) except as provided in Subsection (6), complete a review of each petition and
1438     recommend to the department approval or denial of the applicant for qualification for a medical
1439     cannabis card within 90 days after the day on which the board received the petition;
1440          (e) consult with the department regarding the criteria described in Subsection (6); and
1441          (f) report, before November 1 of each year, to the Health and Human Services Interim
1442     Committee:
1443          (i) the number of compassionate use recommendations the board issued during the past
1444     year; and
1445          (ii) the types of conditions for which the board recommended compassionate use.
1446          (6) The department shall make rules, in consultation with the Compassionate Use
1447     Board and in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to
1448     establish a process and criteria for a petition to the board to automatically qualify for expedited
1449     final review and approval or denial by the department in cases where, in the determination of
1450     the department and the board:
1451          (a) time is of the essence;
1452          (b) engaging the full review process would be unreasonable in light of the petitioner's
1453     physical condition; and

1454          (c) sufficient factors are present regarding the petitioner's safety.
1455          (7) (a) (i) The department shall review:
1456          (A) any compassionate use for which the Compassionate Use Board recommends
1457     approval under Subsection (5)(d) to determine whether the board properly exercised the board's
1458     discretion under this section; and
1459          (B) any expedited petitions the department receives under the process described in
1460     Subsection (6).
1461          (ii) If the department determines that the Compassionate Use Board properly exercised
1462     the board's discretion in recommending approval under Subsection (5)(d) or that the expedited
1463     petition merits approval based on the criteria established in accordance with Subsection (6), the
1464     department shall:
1465          (A) issue the relevant medical cannabis card; and
1466          (B) provide for the renewal of the medical cannabis card in accordance with the
1467     recommendation of the qualified medical provider described in Subsection (5)(a).
1468          (b) [(i)] If the Compassionate Use Board recommends denial under Subsection (5)(d),
1469     the individual seeking to obtain a medical cannabis card may petition the department to review
1470     the board's decision.
1471          [(ii) If the department determines that the Compassionate Use Board's recommendation
1472     for denial under Subsection (5)(d) was arbitrary or capricious:]
1473          [(A) the department shall notify the Compassionate Use Board of the department's
1474     determination; and]
1475          [(B) the board shall reconsider the Compassionate Use Board's refusal to recommend
1476     approval under this section.]
1477          (c) In reviewing the Compassionate Use Board's recommendation for approval or
1478     denial under Subsection (5)(d) in accordance with this Subsection (7), the department shall
1479     presume the board properly exercised the board's discretion unless the department determines
1480     that the board's recommendation was arbitrary or capricious.
1481          (8) Any individually identifiable health information contained in a petition that the
1482     Compassionate Use Board or department receives under this section is a protected record in
1483     accordance with Title 63G, Chapter 2, Government Records Access and Management Act.
1484          (9) The Compassionate Use Board shall annually report the board's activity to the

1485     Cannabis Research Review Board and the advisory board.
1486          Section 14. Section 26B-1-422.1 is amended to read:
1487          26B-1-422.1. Reports.
1488          (1) (a) On or before August 1 of each year, the [council] Early Childhood Utah
1489     Advisory Council created in Section 26B-1-422 shall provide an annual report to the executive
1490     director, the executive director of the Department of Workforce Services, and the state
1491     superintendent.
1492          (b) The annual report shall include:
1493          (i) a statewide assessment concerning the availability of high-quality pre-kindergarten
1494     services for children from low-income households;
1495          (ii) a statewide strategic report addressing the activities mandated by the Improving
1496     Head Start for School Readiness Act of 2007, 42 U.S.C. Sec. 9837b, including:
1497          (A) identifying opportunities for and barriers to collaboration and coordination among
1498     federally-funded and state-funded child health and development, child care, and early
1499     childhood education programs and services, including collaboration and coordination among
1500     state agencies responsible for administering such programs;
1501          (B) evaluating the overall participation of children in existing federal, state, and local
1502     child care programs and early childhood health, development, family support, and education
1503     programs;
1504          (C) recommending statewide professional development and career advancement plans
1505     for early childhood educators and service providers in the state, including an analysis of the
1506     capacity and effectiveness of programs at two- and four-year public and private institutions of
1507     higher education that support the development of early childhood educators; and
1508          (D) recommending improvements to the state's early learning standards and
1509     high-quality comprehensive early learning standards; and
1510          (iii) the recommendations described in Subsection 26B-1-422(4)(e).
1511          (2) In addition to the annual report described in Subsection (1)(a), on or before August
1512     1, 2024, and at least every five years thereafter, the council shall provide to the executive
1513     director, the executive director of the Department of Workforce Services, and the state
1514     superintendent, a statewide needs assessment concerning the quality and availability of early
1515     childhood education, health, and development programs and services for children in early

1516     childhood.
1517          Section 15. Section 26B-1-435 is amended to read:
1518          26B-1-435. Medical Cannabis Policy Advisory Board creation - Membership.
1519          (1) There is created within the department the Medical Cannabis Policy Advisory
1520     Board.
1521          (2) (a) The advisory board shall consist of the following members:
1522          (i) appointed by the executive director:
1523          (A) a qualified medical provider who has at least 100 patients who have a medical
1524     cannabis patient card at the time of appointment;
1525          (B) a medical research professional;
1526          (C) a mental health specialist;
1527          (D) an individual who represents an organization that advocates for medical cannabis
1528     patients;
1529          (E) an individual who holds a medical cannabis patient card; and
1530          (F) a member of the general public who does not hold a medical cannabis card; and
1531          (ii) appointed by the commissioner of the Department of Agriculture and Food:
1532          (A) an individual who owns or operates a licensed cannabis cultivation facility, as
1533     defined in Section 4-41a-102;
1534          (B) an individual who owns or operates a licensed medical cannabis pharmacy; and
1535          (C) a law enforcement officer.
1536          (b) The commissioner of the Department of Agriculture and Food shall ensure that at
1537     least one individual appointed under Subsection (2)(a)(ii)(A) or (B) also owns or operates a
1538     licensed cannabis processing facility.
1539          (3) (a) Subject to Subsection (3)(b), a member of the advisory board shall serve for a
1540     four year term.
1541          (b) When appointing the initial membership of the advisory board, the executive
1542     director and the commissioner of the Department of Agriculture and Food shall coordinate to
1543     appoint four advisory board members to serve a term of two years to ensure that approximately
1544     half of the board is appointed every two years.
1545          (4) (a) If an advisory board member is no longer able to serve as a member, a new
1546     member shall be appointed in the same manner as the original appointment.

1547          (b) A member appointed in accordance with Subsection (4)(a) shall serve for the
1548     remainder of the unexpired term of the original appointment.
1549          (5) (a) A majority of the advisory board members constitutes a quorum.
1550          (b) The action of a majority of a quorum constitutes an action of the advisory board.
1551          (c) The advisory board shall annually designate one of the advisory board's members to
1552     serve as chair for a one-year period.
1553          (6) An advisory board member may not receive compensation or benefits for the
1554     member's service on the advisory board but may receive per diem and reimbursement for travel
1555     expenses incurred as an advisory board member in accordance with:
1556          (a) Sections 63A-3-106 and 63A-3-107; and
1557          (b) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
1558     63A-3-107.
1559          (7) The department shall:
1560          (a) provide staff support for the advisory board; and
1561          (b) assist the advisory board in conducting meetings.
1562          Section 16. Section 26B-1-435.1 is amended to read:
1563          26B-1-435.1. Medical Cannabis Policy Advisory Board duties.
1564          (1) The advisory board may recommend:
1565          (a) to the department or the Department of Agriculture and Food changes to current or
1566     proposed medical cannabis rules or statutes;
1567          (b) to the appropriate legislative committee whether the advisory board supports a
1568     change to medical cannabis statutes.
1569          (2) The advisory board shall:
1570          (a) review any draft rule that is authorized under [this chapter] Chapter 4, Part 2,
1571     Cannabinoid Research and Medical Cannabis, or Title 4, Chapter 41a, Cannabis Production
1572     Establishments and Pharmacies;
1573          (b) consult with the Department of Agriculture and Food regarding the issuance of an
1574     additional:
1575          (i) cultivation facility license under Section 4-41a-205; or
1576          (ii) pharmacy license under Section 4-41a-1005;
1577          (c) consult with the department regarding cannabis patient education;

1578          (d) consult regarding the reasonableness of any fees set by the department or the Utah
1579     Department of Agriculture and Food that pertain to the medical cannabis program; and
1580          (e) consult regarding any issue pertaining to medical cannabis when asked by the
1581     department or the Utah Department of Agriculture and Food.
1582          Section 17. Section 26B-1-502 is amended to read:
1583          26B-1-502. Initial review.
1584          (1) Within seven days after the day on which the department knows that a qualified
1585     individual has died or is an individual described in Subsection 26B-1-501(7)(h), a person
1586     designated by the department shall:
1587          (a) (i) for a death, complete a deceased client report form, created by the department; or
1588          (ii) for an individual described in Subsection 26B-1-501(7)(h), complete a near fatality
1589     client report form, created by the department; and
1590          (b) forward the completed client report form to the director of the office or division
1591     that has jurisdiction over the region or facility.
1592          (2) The director of the office or division described in Subsection (1) shall, upon receipt
1593     of a near fatality client report form or a deceased client report form, immediately provide a
1594     copy of the form to:
1595          (a) the executive director; and
1596          (b) the fatality review coordinator or the fatality review coordinator's designee.
1597          (3) Within 10 days after the day on which the fatality review coordinator or the fatality
1598     review coordinator's designee receives a copy of the near fatality client report form or the
1599     deceased client report form, the fatality review coordinator or the fatality review coordinator's
1600     designee shall request a copy of all relevant department case records regarding the individual
1601     who is the subject of the client report form.
1602          (4) Each person who receives a request for a record described in Subsection (3) shall
1603     provide a copy of the record to the fatality review coordinator or the fatality review
1604     coordinator's designee, by a secure method, within seven days after the day on which the
1605     request is made.
1606          (5) Within 30 days after the day on which the fatality review coordinator or the fatality
1607     review coordinator's designee receives the case records requested under Subsection (3), the
1608     fatality review coordinator, or the fatality review coordinator's designee, shall:

1609          (a) review the client report form, the case files, and other relevant information received
1610     by the fatality review coordinator; and
1611          (b) make a recommendation to the director of the Division of Continuous Quality and
1612     Improvement regarding whether a formal review of the death or near fatality should be
1613     conducted.
1614          (6) (a) In accordance with Subsection (6)(b), within seven days after the day on which
1615     the fatality review coordinator or the fatality review coordinator's designee makes the
1616     recommendation described in Subsection (5)(b), the director of the Division of Continuous
1617     Quality and Improvement or the director's designee shall determine whether to order that a
1618     review of the death or near fatality be conducted.
1619          (b) The director of the Division of Continuous Quality and Improvement or the
1620     director's designee shall order that a formal review of the death or near fatality be conducted if:
1621          (i) at the time of the near fatality or the death, the qualified individual is:
1622          (A) an individual described in Subsection [26B-1-501(6)(a)] 26B-1-501(7)(a) or (b),
1623     unless:
1624          (I) the near fatality or the death is due to a natural cause; or
1625          (II) the director of the Division of Continuous Quality and Improvement or the
1626     director's designee determines that the near fatality or the death was not in any way related to
1627     services that were provided by, or under the direction of, the department or a division of the
1628     department; or
1629          (B) a child in foster care or substitute care, unless the near fatality or the death is due
1630     to:
1631          (I) a natural cause; or
1632          (II) an accident;
1633          (ii) it appears, based on the information provided to the director of the Division of
1634     Continuous Quality and Improvement or the director's designee, that:
1635          (A) a provision of law, rule, policy, or procedure relating to the qualified individual or
1636     the individual's family may not have been complied with;
1637          (B) the near fatality or the fatality was not responded to properly;
1638          (C) a law, rule, policy, or procedure may need to be changed; or
1639          (D) additional training is needed;

1640          (iii) (A) the death is caused by suicide; or
1641          (B) the near fatality is caused by attempted suicide; or
1642          (iv) the director of the Division of Continuous Quality and Improvement or the
1643     director's designee determines that another reason exists to order that a review of the near
1644     fatality or the death be conducted.
1645          Section 18. Section 26B-2-101 is amended to read:
1646          26B-2-101. Definitions.
1647          As used in this part:
1648          (1) "Adoption services" means the same as that term is defined in Section 80-2-801.
1649          (2) "Adult day care" means nonresidential care and supervision:
1650          (a) for three or more adults for at least four but less than 24 hours a day; and
1651          (b) that meets the needs of functionally impaired adults through a comprehensive
1652     program that provides a variety of health, social, recreational, and related support services in a
1653     protective setting.
1654          (3) "Applicant" means a person that applies for an initial license or a license renewal
1655     under this part.
1656          (4) (a) "Associated with the licensee" means that an individual is:
1657          (i) affiliated with a licensee as an owner, director, member of the governing body,
1658     employee, agent, provider of care, department contractor, or volunteer; or
1659          (ii) applying to become affiliated with a licensee in a capacity described in Subsection
1660     (4)(a)(i).
1661          (b) "Associated with the licensee" does not include:
1662          (i) service on the following bodies, unless that service includes direct access to a child
1663     or a vulnerable adult:
1664          (A) a local mental health authority described in Section 17-43-301;
1665          (B) a local substance abuse authority described in Section 17-43-201; or
1666          (C) a board of an organization operating under a contract to provide mental health or
1667     substance use programs, or services for the local mental health authority or substance abuse
1668     authority; or
1669          (ii) a guest or visitor whose access to a child or a vulnerable adult is directly supervised
1670     at all times.

1671          (5) (a) "Boarding school" means a private school that:
1672          (i) uses a regionally accredited education program;
1673          (ii) provides a residence to the school's students:
1674          (A) for the purpose of enabling the school's students to attend classes at the school; and
1675          (B) as an ancillary service to educating the students at the school;
1676          (iii) has the primary purpose of providing the school's students with an education, as
1677     defined in Subsection (5)(b)(i); and
1678          (iv) (A) does not provide the treatment or services described in Subsection [(38)(a)]
1679     (39)(a); or
1680          (B) provides the treatment or services described in Subsection [(38)(a)] (39)(a) on a
1681     limited basis, as described in Subsection (5)(b)(ii).
1682          (b) (i) For purposes of Subsection (5)(a)(iii), "education" means a course of study for
1683     one or more grades from kindergarten through grade 12.
1684          (ii) For purposes of Subsection (5)(a)(iv)(B), a private school provides the treatment or
1685     services described in Subsection [(38)(a)] (39(a) on a limited basis if:
1686          (A) the treatment or services described in Subsection [(38)(a)] (39)(a) are provided
1687     only as an incidental service to a student; and
1688          (B) the school does not:
1689          (I) specifically solicit a student for the purpose of providing the treatment or services
1690     described in Subsection [(38)(a)] (39)(a); or
1691          (II) have a primary purpose of providing the treatment or services described in
1692     Subsection [(38)(a)] (39)(a).
1693          (c) "Boarding school" does not include a therapeutic school.
1694          (6) "Certification" means a less restrictive level of licensure issued by the department.
1695          [(6)] (7) "Child" means an individual under 18 years old.
1696          [(7)] (8) "Child placing" means receiving, accepting, or providing custody or care for
1697     any child, temporarily or permanently, for the purpose of:
1698          (a) finding a person to adopt the child;
1699          (b) placing the child in a home for adoption; or
1700          (c) foster home placement.
1701          [(8)] (9) "Child-placing agency" means a person that engages in child placing.

1702          [(9)] (10) "Client" means an individual who receives or has received services from a
1703     licensee.
1704          [(10)] (11) (a) "Congregate care program" means any of the following that provide
1705     services to a child:
1706          (i) an outdoor youth program;
1707          (ii) a residential support program;
1708          (iii) a residential treatment program; or
1709          (iv) a therapeutic school.
1710          (b) "Congregate care program" does not include a human services program that:
1711          (i) is licensed to serve adults; and
1712          (ii) is approved by the office to service a child for a limited time.
1713          [(11)] (12) "Day treatment" means specialized treatment that is provided to:
1714          (a) a client less than 24 hours a day; and
1715          (b) four or more persons who:
1716          (i) are unrelated to the owner or provider; and
1717          (ii) have emotional, psychological, developmental, physical, or behavioral
1718     dysfunctions, impairments, or chemical dependencies.
1719          [(12)] (13) "Department contractor" means an individual who:
1720          (a) provides services under a contract with the department; and
1721          (b) due to the contract with the department, has or will likely have direct access to a
1722     child or vulnerable adult.
1723          [(13)] (14) "Direct access" means that an individual has, or likely will have:
1724          (a) contact with or access to a child or vulnerable adult that provides the individual
1725     with an opportunity for personal communication or touch; or
1726          (b) an opportunity to view medical, financial, or other confidential personal identifying
1727     information of the child, the child's parents or legal guardians, or the vulnerable adult.
1728          [(14)] (15) "Directly supervised" means that an individual is being supervised under
1729     the uninterrupted visual and auditory surveillance of another individual who has a current
1730     background [screening] check approval issued by the office.
1731          [(15)] (16) "Director" means the director of the office.
1732          [(16)] (17) "Domestic violence" means the same as that term is defined in Section

1733     77-36-1.
1734          [(17)] (18) "Domestic violence treatment program" means a nonresidential program
1735     designed to provide psychological treatment and educational services to perpetrators and
1736     victims of domestic violence.
1737          [(18)] (19) "Elder adult" means a person 65 years old or older.
1738          [(19)] (20) "Foster home" means a residence that is licensed or certified by the office
1739     for the full-time substitute care of a child.
1740          [(20)] (21) "Health benefit plan" means the same as that term is defined in Section
1741     31A-22-634.
1742          [(21)] (22) "Health care provider" means the same as that term is defined in Section
1743     78B-3-403.
1744          [(22)] (23) "Health insurer" means the same as that term is defined in Section
1745     31A-22-615.5.
1746          [(23)] (24) (a) "Human services program" means:
1747          (i) a foster home;
1748          (ii) a therapeutic school;
1749          (iii) a youth program;
1750          (iv) an outdoor youth program;
1751          (v) a residential treatment program;
1752          (vi) a residential support program;
1753          (vii) a resource family home;
1754          (viii) a recovery residence; or
1755          (ix) a facility or program that provides:
1756          (A) adult day care;
1757          (B) day treatment;
1758          (C) outpatient treatment;
1759          (D) domestic violence treatment;
1760          (E) child-placing services;
1761          (F) social detoxification; or
1762          (G) any other human services that are required by contract with the department to be
1763     licensed with the department.

1764          (b) "Human services program" does not include:
1765          (i) a boarding school; or
1766          (ii) a residential, vocational and life skills program, as defined in Section 13-53-102.
1767          [(24)] (25) "Indian child" means the same as that term is defined in 25 U.S.C. Sec.
1768     1903.
1769          [(25)] (26) "Indian country" means the same as that term is defined in 18 U.S.C. Sec.
1770     1151.
1771          [(26)] (27) "Indian tribe" means the same as that term is defined in 25 U.S.C. Sec.
1772     1903.
1773          [(27)] (28) "Intermediate secure treatment" means 24-hour specialized residential
1774     treatment or care for an individual who:
1775          (a) cannot live independently or in a less restrictive environment; and
1776          (b) requires, without the individual's consent or control, the use of locked doors to care
1777     for the individual.
1778          [(28)] (29) "Licensee" means an individual or a human services program licensed by
1779     the office.
1780          [(29)] (30) "Local government" means a city, town, metro township, or county.
1781          [(30)] (31) "Minor" means child.
1782          [(31)] (32) "Office" means the Office of Licensing within the department.
1783          [(32)] (33) "Outdoor youth program" means a program that provides:
1784          (a) services to a child that has:
1785          (i) a chemical dependency; or
1786          (ii) a dysfunction or impairment that is emotional, psychological, developmental,
1787     physical, or behavioral;
1788          (b) a 24-hour outdoor group living environment; and
1789          (c) (i) regular therapy, including group, individual, or supportive family therapy; or
1790          (ii) informal therapy or similar services, including wilderness therapy, adventure
1791     therapy, or outdoor behavioral healthcare.
1792          [(33)] (34) "Outpatient treatment" means individual, family, or group therapy or
1793     counseling designed to improve and enhance social or psychological functioning for those
1794     whose physical and emotional status allows them to continue functioning in their usual living

1795     environment.
1796          [(34)] (35) "Practice group" or "group practice" means two or more health care
1797     providers legally organized as a partnership, professional corporation, or similar association,
1798     for which:
1799          (a) substantially all of the services of the health care providers who are members of the
1800     group are provided through the group and are billed in the name of the group and amounts
1801     received are treated as receipts of the group; and
1802          (b) the overhead expenses of and the income from the practice are distributed in
1803     accordance with methods previously determined by members of the group.
1804          [(35)] (36) "Private-placement child" means a child whose parent or guardian enters
1805     into a contract with a congregate care program for the child to receive services.
1806          [(36)] (37) (a) "Recovery residence" means a home, residence, or facility that meets at
1807     least two of the following requirements:
1808          (i) provides a supervised living environment for individuals recovering from a
1809     substance use disorder;
1810          (ii) provides a living environment in which more than half of the individuals in the
1811     residence are recovering from a substance use disorder;
1812          (iii) provides or arranges for residents to receive services related to the resident's
1813     recovery from a substance use disorder, either on or off site;
1814          (iv) is held out as a living environment in which individuals recovering from substance
1815     abuse disorders live together to encourage continued sobriety; or
1816          (v) (A) receives public funding; or
1817          (B) is run as a business venture, either for-profit or not-for-profit.
1818          (b) "Recovery residence" does not mean:
1819          (i) a residential treatment program;
1820          (ii) residential support program; or
1821          (iii) a home, residence, or facility, in which:
1822          (A) residents, by a majority vote of the residents, establish, implement, and enforce
1823     policies governing the living environment, including the manner in which applications for
1824     residence are approved and the manner in which residents are expelled;
1825          (B) residents equitably share rent and housing-related expenses; and

1826          (C) a landlord, owner, or operator does not receive compensation, other than fair
1827     market rental income, for establishing, implementing, or enforcing policies governing the
1828     living environment.
1829          [(37)] (38) "Regular business hours" means:
1830          (a) the hours during which services of any kind are provided to a client; or
1831          (b) the hours during which a client is present at the facility of a licensee.
1832          [(38)] (39) (a) "Residential support program" means a program that arranges for or
1833     provides the necessities of life as a protective service to individuals or families who have a
1834     disability or who are experiencing a dislocation or emergency that prevents them from
1835     providing these services for themselves or their families.
1836          (b) "Residential support program" includes a program that provides a supervised living
1837     environment for individuals with dysfunctions or impairments that are:
1838          (i) emotional;
1839          (ii) psychological;
1840          (iii) developmental; or
1841          (iv) behavioral.
1842          (c) Treatment is not a necessary component of a residential support program.
1843          (d) "Residential support program" does not include:
1844          (i) a recovery residence; or
1845          (ii) a program that provides residential services that are performed:
1846          (A) exclusively under contract with the department and provided to individuals through
1847     the Division of Services for People with Disabilities; or
1848          (B) in a facility that serves fewer than four individuals.
1849          [(39)] (40) (a) "Residential treatment" means a 24-hour group living environment for
1850     four or more individuals unrelated to the owner or provider that offers room or board and
1851     specialized treatment, behavior modification, rehabilitation, discipline, emotional growth, or
1852     habilitation services for persons with emotional, psychological, developmental, or behavioral
1853     dysfunctions, impairments, or chemical dependencies.
1854          (b) "Residential treatment" does not include a:
1855          (i) boarding school;
1856          (ii) foster home; or

1857          (iii) recovery residence.
1858          [(40)] (41) "Residential treatment program" means a program or facility that provides:
1859          (a) residential treatment; or
1860          (b) intermediate secure treatment.
1861          [(41)] (42) "Seclusion" means the involuntary confinement of an individual in a room
1862     or an area:
1863          (a) away from the individual's peers; and
1864          (b) in a manner that physically prevents the individual from leaving the room or area.
1865          [(42)] (43) "Social detoxification" means short-term residential services for persons
1866     who are experiencing or have recently experienced drug or alcohol intoxication, that are
1867     provided outside of a health care facility licensed under Part 2, Health Care Facility Licensing
1868     and Inspection, and that include:
1869          (a) room and board for persons who are unrelated to the owner or manager of the
1870     facility;
1871          (b) specialized rehabilitation to acquire sobriety; and
1872          (c) aftercare services.
1873          [(43)] (44) "Substance abuse disorder" or "substance use disorder" mean the same as
1874     "substance use disorder" is defined in Section 26B-5-501.
1875          [(44)] (45) "Substance abuse treatment program" or "substance use disorder treatment
1876     program" means a program:
1877          (a) designed to provide:
1878          (i) specialized drug or alcohol treatment;
1879          (ii) rehabilitation; or
1880          (iii) habilitation services; and
1881          (b) that provides the treatment or services described in Subsection [(44)(a)] (45)(a) to
1882     persons with:
1883          (i) a diagnosed substance use disorder; or
1884          (ii) chemical dependency disorder.
1885          [(45)] (46) "Therapeutic school" means a residential group living facility:
1886          (a) for four or more individuals that are not related to:
1887          (i) the owner of the facility; or

1888          (ii) the primary service provider of the facility;
1889          (b) that serves students who have a history of failing to function:
1890          (i) at home;
1891          (ii) in a public school; or
1892          (iii) in a nonresidential private school; and
1893          (c) that offers:
1894          (i) room and board; and
1895          (ii) an academic education integrated with:
1896          (A) specialized structure and supervision; or
1897          (B) services or treatment related to:
1898          (I) a disability;
1899          (II) emotional development;
1900          (III) behavioral development;
1901          (IV) familial development; or
1902          (V) social development.
1903          [(46)] (47) "Unrelated persons" means persons other than parents, legal guardians,
1904     grandparents, brothers, sisters, uncles, or aunts.
1905          [(47)] (48) "Vulnerable adult" means an elder adult or an adult who has a temporary or
1906     permanent mental or physical impairment that substantially affects the person's ability to:
1907          (a) provide personal protection;
1908          (b) provide necessities such as food, shelter, clothing, or mental or other health care;
1909          (c) obtain services necessary for health, safety, or welfare;
1910          (d) carry out the activities of daily living;
1911          (e) manage the adult's own resources; or
1912          (f) comprehend the nature and consequences of remaining in a situation of abuse,
1913     neglect, or exploitation.
1914          [(48)] (49) (a) "Youth program" means a program designed to provide behavioral,
1915     substance use, or mental health services to minors that:
1916          (i) serves adjudicated or nonadjudicated youth;
1917          (ii) charges a fee for the program's services;
1918          (iii) may provide host homes or other arrangements for overnight accommodation of

1919     the youth;
1920          (iv) may provide all or part of the program's services in the outdoors;
1921          (v) may limit or censor access to parents or guardians; and
1922          (vi) prohibits or restricts a minor's ability to leave the program at any time of the
1923     minor's own free will.
1924          (b) "Youth program" does not include recreational programs such as Boy Scouts, Girl
1925     Scouts, 4-H, and other such organizations.
1926          [(49)] (50) (a) "Youth transportation company" means any person that transports a
1927     child for payment to or from a congregate care program in Utah.
1928          (b) "Youth transportation company" does not include:
1929          (i) a relative of the child;
1930          (ii) a state agency; or
1931          (iii) a congregate care program's employee who transports the child from the
1932     congregate care program that employs the employee and returns the child to the same
1933     congregate care program.
1934          Section 19. Section 26B-2-103 is amended to read:
1935          26B-2-103. Division of Licensing and Background Checks.
1936          (1) There is created the [Office of Licensing] Division of Licensing and Background
1937     Checks within the department.
1938          (2) The [office] division shall be the licensing and background screening authority for
1939     the department, and is vested with all the powers, duties, and responsibilities described in:
1940          (a) this part;
1941          (b) Part 2, Health Care Facility Licensing and Inspection; [and]
1942          (c) Part 4, Child Care Licensing; and
1943          [(c)] (d) Part 6, Mammography Quality Assurance.
1944          (3) The executive director shall appoint the director of the [office] division.
1945          (4) There are created within the division the Office of Licensing and the Office of
1946     Background Processing.
1947          [(4) The director shall have a bachelor's degree from an accredited university or
1948     college, be experienced in administration, and be knowledgeable of health and human services
1949     licensing.]

1950          Section 20. Section 26B-2-104 is amended to read:
1951          26B-2-104. Division responsibilities.
1952          (1) Subject to the requirements of federal and state law, the office shall:
1953          (a) make rules in accordance with Title 63G, Chapter 3, Utah Administrative
1954     Rulemaking Act, to establish:
1955          (i) except as provided in Subsection (1)(a)(ii), basic health and safety standards for
1956     licensees, that shall be limited to:
1957          (A) fire safety;
1958          (B) food safety;
1959          (C) sanitation;
1960          (D) infectious disease control;
1961          (E) safety of the:
1962          (I) physical facility and grounds; and
1963          (II) area and community surrounding the physical facility;
1964          (F) transportation safety;
1965          (G) emergency preparedness and response;
1966          (H) the administration of medical standards and procedures, consistent with the related
1967     provisions of this title;
1968          (I) staff and client safety and protection;
1969          (J) the administration and maintenance of client and service records;
1970          (K) staff qualifications and training, including standards for permitting experience to
1971     be substituted for education, unless prohibited by law;
1972          (L) staff to client ratios;
1973          (M) access to firearms; and
1974          (N) the prevention of abuse, neglect, exploitation, harm, mistreatment, or fraud;
1975          (ii) basic health and safety standards for therapeutic schools, that shall be limited to:
1976          (A) fire safety, except that the standards are limited to those required by law or rule
1977     under Title 53, Chapter 7, Part 2, Fire Prevention and Fireworks Act;
1978          (B) food safety;
1979          (C) sanitation;
1980          (D) infectious disease control, except that the standards are limited to:

1981          (I) those required by law or rule under this title, or Title 26A, Local Health Authorities;
1982     and
1983          (II) requiring a separate room for clients who are sick;
1984          (E) safety of the physical facility and grounds, except that the standards are limited to
1985     those required by law or rule under Title 53, Chapter 7, Part 2, Fire Prevention and Fireworks
1986     Act;
1987          (F) transportation safety;
1988          (G) emergency preparedness and response;
1989          (H) access to appropriate medical care, including:
1990          (I) subject to the requirements of law, designation of a person who is authorized to
1991     dispense medication; and
1992          (II) storing, tracking, and securing medication;
1993          (I) staff and client safety and protection that permits the school to provide for the direct
1994     supervision of clients at all times;
1995          (J) the administration and maintenance of client and service records;
1996          (K) staff qualifications and training, including standards for permitting experience to
1997     be substituted for education, unless prohibited by law;
1998          (L) staff to client ratios;
1999          (M) access to firearms; and
2000          (N) the prevention of abuse, neglect, exploitation, harm, mistreatment, or fraud;
2001          (iii) procedures and standards for permitting a licensee to:
2002          (A) provide in the same facility and under the same conditions as children, residential
2003     treatment services to a person 18 years old or older who:
2004          (I) begins to reside at the licensee's residential treatment facility before the person's
2005     18th birthday;
2006          (II) has resided at the licensee's residential treatment facility continuously since the
2007     time described in Subsection (1)(a)(iii)(A)(I);
2008          (III) has not completed the course of treatment for which the person began residing at
2009     the licensee's residential treatment facility; and
2010          (IV) voluntarily consents to complete the course of treatment described in Subsection
2011     (1)(a)(iii)(A)(III); or

2012          (B) (I) provide residential treatment services to a child who is:
2013          (Aa) at least 12 years old or, as approved by the office, younger than 12 years old; and
2014          (Bb) under the custody of the department, or one of its divisions; and
2015          (II) provide, in the same facility as a child described in Subsection (1)(a)(iii)(B)(I),
2016     residential treatment services to a person who is:
2017          (Aa) at least 18 years old, but younger than 21 years old; and
2018          (Bb) under the custody of the department, or one of its divisions;
2019          (iv) minimum administration and financial requirements for licensees;
2020          (v) guidelines for variances from rules established under this Subsection (1);
2021          (vi) ethical standards, as described in Subsection 78B-6-106(3), and minimum
2022     responsibilities of a child-placing agency that provides adoption services and that is licensed
2023     under this part;
2024          (vii) what constitutes an "outpatient treatment program" for purposes of this part;
2025          (viii) a procedure requiring a licensee to provide an insurer the licensee's records
2026     related to any services or supplies billed to the insurer, and a procedure allowing the licensee
2027     and the insurer to contact the Insurance Department to resolve any disputes;
2028          (ix) a protocol for the office to investigate and process complaints about licensees;
2029          (x) a procedure for a licensee to:
2030          (A) report the use of a restraint or seclusion within one business day after the day on
2031     which the use of the restraint or seclusion occurs; and
2032          (B) report a critical incident within one business day after the day on which the
2033     incident occurs;
2034          (xi) guidelines for the policies and procedures described in Sections 26B-2-109 and
2035     26B-2-123;
2036          (xii) a procedure for the office to review and approve the policies and procedures
2037     described in Sections 26B-2-109 and 26B-2-123; and
2038          (xiii) a requirement that each human services program publicly post information that
2039     informs an individual how to submit a complaint about a human services program to the office;
2040          (b) enforce rules relating to the office;
2041          (c) issue licenses in accordance with this part;
2042          (d) if the United States Department of State executes an agreement with the office that

2043     designates the office to act as an accrediting entity in accordance with the Intercountry
2044     Adoption Act of 2000, Pub. L. No. 106-279, accredit one or more agencies and persons to
2045     provide intercountry adoption services pursuant to:
2046          (i) the Intercountry Adoption Act of 2000, Pub. L. No. 106-279; and
2047          (ii) the implementing regulations for the Intercountry Adoption Act of 2000, Pub. L.
2048     No. 106-279;
2049          (e) make rules to implement the provisions of Subsection (1)(d);
2050          (f) conduct surveys and inspections of licensees and facilities in accordance with
2051     Section 26B-2-107;
2052          (g) collect licensure fees;
2053          (h) notify licensees of the name of a person within the department to contact when
2054     filing a complaint;
2055          (i) investigate complaints regarding any licensee or human services program;
2056          (j) have access to all records, correspondence, and financial data required to be
2057     maintained by a licensee;
2058          (k) have authority to interview any client, family member of a client, employee, or
2059     officer of a licensee;
2060          (l) have authority to deny, condition, revoke, suspend, or extend any license issued by
2061     the department under this part by following the procedures and requirements of Title 63G,
2062     Chapter 4, Administrative Procedures Act;
2063          (m) electronically post notices of agency action issued to a human services program,
2064     with the exception of a foster home, on the office's website, in accordance with Title 63G,
2065     Chapter 2, Government Records Access and Management Act; and
2066          (n) upon receiving a local government's request under Section 26B-2-118, notify the
2067     local government of new human services program license applications, except for foster
2068     homes, for human services programs located within the local government's jurisdiction.
2069          (2) In establishing rules under Subsection (1)(a)(ii)(G), the office shall require a
2070     licensee to establish and comply with an emergency response plan that requires clients and staff
2071     to:
2072          (a) immediately report to law enforcement any significant criminal activity, as defined
2073     by rule, committed:

2074          (i) on the premises where the licensee operates its human services program;
2075          (ii) by or against its clients; or
2076          (iii) by or against a staff member while the staff member is on duty;
2077          (b) immediately report to emergency medical services any medical emergency, as
2078     defined by rule:
2079          (i) on the premises where the licensee operates its human services program;
2080          (ii) involving its clients; or
2081          (iii) involving a staff member while the staff member is on duty; and
2082          (c) immediately report other emergencies that occur on the premises where the licensee
2083     operates its human services program to the appropriate emergency services agency.
2084          Section 21. Section 26B-2-120 is amended to read:
2085          26B-2-120. Background check -- Direct access to children or vulnerable adults.
2086          (1) As used in this section:
2087          (a) (i) "Applicant" means[, notwithstanding Section 26B-2-101] an individual who is
2088     associated with a certification, contract, or licensee with the department under this part and has
2089     direct access, including:
2090          (A) [an individual who applies for an initial license or certification or a license or
2091     certification renewal under this part] an adoptive parent or prospective adoptive parent,
2092     including an applicant for an adoption in accordance with Section 76B-6-128;
2093          (B) [an individual who is associated with a licensee and has or will likely have direct
2094     access to a child or a vulnerable adult] a foster parent or prospective foster parent;
2095          (C) an individual who provides respite care to a foster parent or an adoptive parent on
2096     more than one occasion;
2097          [(D) a department contractor;]
2098          [(E)] (D) an individual who transports a child for a youth transportation company;
2099          [(F)] (E) an individual who provides certified peer support, as defined in Section
2100     26B-5-610;
2101          (F) an individual who provides peer support, has a disability or a family member with a
2102     disability;
2103          (I) or is in recovery from a mental illness or a substance use disorder or has other lived
2104     experience with the services provided by the department, and uses lived experience to provide

2105     support, guidance, or services to promote resiliency and recovery;
2106          (G) an individual who is identified as a mental health professional, licensed under Title
2107     58, Chapter 60, Mental Health Professional Practice Act, and engaged in the practice of mental
2108     health therapy, as defined in Section 58-60-102;
2109          (H) [a guardian submitting an application on behalf of an individual, other than the
2110     child or vulnerable adult who is receiving the service, if the individual] an individual, other
2111     than the child or vulnerable adult receiving the service, who is 12 years old or older and resides
2112     in a home, that is licensed or certified by the [office] division; or
2113          [(G) a guardian submitting an application on behalf of an individual, other than the
2114     child or vulnerable adult who is receiving the service, if the individual is 12 years old or older
2115     and is a person described in Subsection (1)(a)(i)(A), (B), (C), or (D)]
2116          (I) an individual who is 12 years old or older and is associated with a certification,
2117     contract, or licensee with the department under this part and has or will likely have direct
2118     access.
2119          (ii) "Applicant" does not include:
2120          (A) an individual who is in the custody of the Division of Child and Family Services or
2121     the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services;
2122     [or]
2123          (B) an individual who applies for employment with, or is employed by, the Department
2124     of Health and Human Services[.];
2125          (C) a parent of a person receiving services from the Division of Services for People
2126     with Disabilities, if the parent provides direct care to and resides with the person, including if
2127     the parent provides direct care to and resides with the person pursuant to a court order; or
2128          (D) an individual or a department contractor who provides services in an adults only
2129     substance use disorder program, as defined by rule adopted by the Department of Health and
2130     Human Services in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking
2131     Act, and who is not a program director or a member, as defined by Section 26B-2-105, of the
2132     program.
2133          (b) "Application" means a background [screening] check application to the office.
2134          (c) "Bureau" means the Bureau of Criminal Identification within the Department of
2135     Public Safety, created in Section 53-10-201.

2136          [(d) "Certified peer support specialist" means the same as that term is defined in
2137     Section 26B-5-610.]
2138          [(e)] (d) "Criminal finding" means a record of:
2139          (i) an arrest [or] for a criminal offense;
2140          (ii) a warrant for [an] a criminal arrest;
2141          [(ii)] (iii) charges for a criminal offense; or
2142          [(iii)] (iv) a criminal conviction.
2143          [(f)] (e) "Direct access" means that an individual has, or likely will have:
2144          (i) contact with or access to a child or vulnerable adult and will provide the child or
2145     vulnerable adult with an opportunity for personal communication or touch; or
2146          (ii) an opportunity to view medical, financial, or other confidential personal identifying
2147     information of the child, the child's parent or legal guardian, or the vulnerable adult.
2148          (f) (i) "Direct access qualified" means that the applicant has an eligible determination
2149     by the office within the license and renewal time period; and
2150          (ii) no more than 180 days have passed since the date on which the applicant's
2151     association with a certification, contract, or licensee with the department ends.
2152          (g) "Incidental care" means occasional care, not in excess of five hours per week and
2153     never overnight, for a foster child.
2154          (h) "Licensee" means an individual or a human services program licensed by the
2155     division.
2156          [(g) "Mental health professional" means an individual who:]
2157          [(i) is licensed under Title 58, Chapter 60, Mental Health Professional Practice Act;
2158     and]
2159          [(ii) engaged in the practice of mental health therapy.]
2160          [(h)] (i) "Non-criminal finding" means a record maintained in:
2161          (i) the Division of Child and Family Services' Management Information System
2162     described in Section 80-2-1001;
2163          (ii) the Division of Child and Family Services' Licensing Information System described
2164     in Section 80-2-1002;
2165          (iii) the Division of Aging and Adult Services' vulnerable adult abuse, neglect, or
2166     exploitation database described in Section 26B-6-210;

2167          (iv) juvenile court arrest, adjudication, and disposition records;
2168          [(iv)] (v) the Sex and Kidnap Offender Registry described in Title 77, Chapter 41, Sex
2169     and Kidnap Offender Registry, or a national sex offender registry; or
2170          [(v)] (vi) a state child abuse or neglect registry.
2171          (j) "Office" means the Office of Background Processing within the department.
2172          [(i) (i) "Peer support specialist" means an individual who:]
2173          [(A) has a disability or a family member with a disability, or is in recovery from a
2174     mental illness or a substance use disorder; and]
2175          [(B) uses personal experience to provide support, guidance, or services to promote
2176     resiliency and recovery.]
2177          [(ii) "Peer support specialist" includes a certified peer support specialist.]
2178          [(iii) "Peer support specialist" does not include a mental health professional.]
2179          [(j)] (k) "Personal identifying information" means:
2180          (i) current name, former names, nicknames, and aliases;
2181          (ii) date of birth;
2182          (iii) physical address and email address;
2183          (iv) telephone number;
2184          (v) driver license or other government-issued identification;
2185          (vi) social security number;
2186          (vii) only for applicants who are 18 years old or older, fingerprints, in a form specified
2187     by the office; and
2188          (viii) other information specified by the office by rule made in accordance with Title
2189     63G, Chapter 3, Utah Administrative Rulemaking Act.
2190          [(k) "Practice of mental health therapy" means the same as that term is defined in
2191     Section 58-60-102.]
2192          (2) Except as provided in Subsection (12), an applicant or a representative shall submit
2193     the following to the office:
2194          (a) personal identifying information;
2195          (b) a fee established by the office under Section 63J-1-504; [and]
2196          (c) a disclosure form, specified by the office, for consent for:
2197          (i) an initial background check upon [submission of the information described in this

2198     Subsection (2)] association of a certification, contract, or licensee with the department;
2199          (ii) ongoing monitoring of fingerprints and registries until no longer [associated with a
2200     licensee for 90 days] associated with a certification, contract, or licensee with the department
2201     for 180 days;
2202          (iii) a background check when the office determines that reasonable cause exists; and
2203          (iv) retention of personal identifying information, including fingerprints, for
2204     monitoring and notification as described in Subsections (3)(d) and (4); [and]
2205          (d) if an applicant resided outside of the United States and its territories during the five
2206     years immediately preceding the day on which the information described in Subsections (2)(a)
2207     through (c) is submitted to the office, documentation establishing whether the applicant was
2208     convicted of a crime during the time that the applicant resided outside of the United States or
2209     its territories[.]; and
2210          (e) an application showing an applicant's association with a certification, contract, or a
2211     licensee with the department, for the purpose of the office tracking the direct access qualified
2212     status of the applicant, which expires 180 days after the date on which the applicant is no
2213     longer associated with a certification, contract, or a licensee with the department.
2214          (3) The office:
2215          (a) shall perform the following duties as part of a background check of an applicant
2216     before the office grants or denies direct access qualified status to an applicant:
2217          (i) check state and regional criminal background databases for the applicant's criminal
2218     history by:
2219          (A) submitting personal identifying information to the bureau for a search; or
2220          (B) using the applicant's personal identifying information to search state and regional
2221     criminal background databases as authorized under Section 53-10-108;
2222          (ii) submit the applicant's personal identifying information and fingerprints to the
2223     bureau for a criminal history search of applicable national criminal background databases;
2224          (iii) search the Division of Child and Family Services' Licensing Information System
2225     described in Section 80-2-1002;
2226          (iv) search the Sex and Kidnap Offender Registry described in Title 77, Chapter 41,
2227     Sex and Kidnap Offender Registry, or a national sex offender registry for an applicant 18 years
2228     of age or older;

2229          [(iv)] (v) if the applicant is [applying to become] associated with a licensee for a
2230     prospective foster or adoptive parent, search the Division of Child and Family Services'
2231     Management Information System described in Section 80-2-1001 [for:];
2232          [(A) the applicant; and]
2233          [(B) any adult living in the applicant's home;]
2234          [(v) for an applicant described in Subsection (1)(a)(i)(F), search the Division of Child
2235     and Family Services' Management Information System described in Section 80-2-1001;]
2236          (vi) search the Division of Aging and Adult Services' vulnerable adult abuse, neglect,
2237     or exploitation database described in Section 26B-6-210;
2238          (vii) search the juvenile court records for substantiated findings of severe child abuse
2239     or neglect described in Section 80-3-404; and
2240          (viii) search the juvenile court arrest, adjudication, and disposition records, as provided
2241     under Section 78A-6-209;
2242          [(b) shall conduct a background check of an applicant for an initial background check
2243     upon submission of the information described in Subsection (2);]
2244          [(c)] (b) may conduct all or portions of a background check [of an applicant] in
2245     connection with determining whether an applicant is direct access qualified, as provided by
2246     rule, made by the office in accordance with Title 63G, Chapter 3, Utah Administrative
2247     Rulemaking Act:
2248          (i) for an annual renewal; or
2249          (ii) when the office determines that reasonable cause exists;
2250          [(d)] (c) may submit an applicant's personal identifying information, including
2251     fingerprints, to the bureau for checking, retaining, and monitoring of state and national criminal
2252     background databases and for notifying the office of new criminal activity associated with the
2253     applicant;
2254          [(e)] (d) shall track the status of an applicant under this section to ensure that the
2255     applicant is not required to duplicate the submission of the applicant's fingerprints if the
2256     applicant [applies for:] is associated with more than one certification, contract, or licensee with
2257     the department;
2258          [(i) more than one license;]
2259          [(ii) direct access to a child or a vulnerable adult in more than one human services

2260     program; or]
2261          [(iii) direct access to a child or a vulnerable adult under a contract with the
2262     department;]
2263          [(f)] (e) [shall track the status of each individual with direct access to a child or a
2264     vulnerable adult and notify the bureau within 90 days after the day on which the license expires
2265     or the individual's direct access to a child or a vulnerable adult ceases] shall notify the bureau
2266     when a direct access qualified individual has not been associated with a certification, contract,
2267     or licensee with the department for a period of 180 days;
2268          [(g)] (f) shall adopt measures to strictly limit access to personal identifying information
2269     solely to the individuals responsible for processing and entering the applications for
2270     background checks and to protect the security of the personal identifying information the office
2271     reviews under this Subsection (3);
2272          [(h)] (g) as necessary to comply with the federal requirement to check a state's child
2273     abuse and neglect registry regarding any [individual] applicant working in a congregate care
2274     program, shall:
2275          (i) search the Division of Child and Family Services' Licensing Information System
2276     described in Section 80-2-1002; and
2277          (ii) require the child abuse and neglect registry be checked in each state where an
2278     applicant resided at any time during the five years immediately preceding the day on which the
2279     [applicant submits the information described in Subsection (2)] application is submitted to the
2280     office; and
2281          [(i)] (h) shall make rules, in accordance with Title 63G, Chapter 3, Utah
2282     Administrative Rulemaking Act, to implement the provisions of this Subsection (3) relating to
2283     background checks.
2284          (4) (a) With the personal identifying information the office submits to the bureau under
2285     Subsection (3), the bureau shall check against state and regional criminal background databases
2286     for the applicant's criminal history.
2287          (b) With the personal identifying information and fingerprints the office submits to the
2288     bureau under Subsection (3), the bureau shall check against national criminal background
2289     databases for the applicant's criminal history.
2290          (c) Upon direction from the office, and with the personal identifying information and

2291     fingerprints the office submits to the bureau under Subsection (3)(d), the bureau shall:
2292          (i) maintain a separate file of the fingerprints for search by future submissions to the
2293     local and regional criminal records databases, including latent prints; and
2294          (ii) monitor state and regional criminal background databases and identify criminal
2295     activity associated with the applicant.
2296          (d) The bureau is authorized to submit the fingerprints to the Federal Bureau of
2297     Investigation Next Generation Identification System, to be retained in the Federal Bureau of
2298     Investigation Next Generation Identification System for the purpose of:
2299          (i) being searched by future submissions to the national criminal records databases,
2300     including the Federal Bureau of Investigation Next Generation Identification System and latent
2301     prints; and
2302          (ii) monitoring national criminal background databases and identifying criminal
2303     activity associated with the applicant.
2304          (e) The Bureau shall notify and release to the office all information of criminal activity
2305     associated with the applicant.
2306          (f) Upon notice that [an individual's direct access to a child or a vulnerable adult has
2307     ceased for 90 days] an individual who has direct access qualified status will no longer be
2308     associated with a certification, contract, or licensee with the department, the bureau shall:
2309          (i) discard and destroy any retained fingerprints; and
2310          (ii) notify the Federal Bureau of Investigation when the license has expired or an
2311     individual's direct access to a child or a vulnerable adult has ceased, so that the Federal Bureau
2312     of Investigation will discard and destroy the retained fingerprints from the Federal Bureau of
2313     Investigation Next Generation Identification System.
2314          (5) (a) Except as provided in Subsection (5)(b), [after conducting the background
2315     check described in Subsections (3) and (4),] the office shall deny [an application to an
2316     applicant who, within three years before the day on which the applicant submits information to
2317     the office under Subsection (2) for a background check, has been convicted of] direct access
2318     qualified status to an applicant who, within three years from the date that the office conducts
2319     the background check, was convicted of:
2320          (i) a felony or misdemeanor involving conduct that constitutes any of the following:
2321          (A) an offense identified as domestic violence, lewdness, voyeurism, battery, cruelty to

2322     animals, or bestiality;
2323          (B) a violation of any pornography law, including sexual exploitation of a minor or
2324     aggravated sexual exploitation of a minor;
2325          (C) sexual solicitation or prostitution;
2326          [(D) an offense included in Title 76, Chapter 5, Offenses Against the Individual, Title
2327     76, Chapter 5b, Sexual Exploitation Act, Title 76, Chapter 4, Part 4, Enticement of a Minor, or
2328     Title 76, Chapter 7, Offenses Against the Family;]
2329          (D) a violent offense committed in the presence of a child, as described in Section
2330     76-3-203.10;
2331          (E) an offense included in Title 76, Chapter 4, Part 4, Enticement of a Minor;
2332          (F) an offense included in Title 76, Chapter 5, Offenses Against the Individual;
2333          (G) an offense included in Title 76, Chapter 5b, Sexual Exploitation Act;
2334          (H) an offense included in Title 76, Chapter 7, Offenses Against the Family;
2335          (I) an offense included in Title 76, Chapter 9, Part 4, Offenses Against Privacy;
2336          (J) an offense included in Title 76, Chapter 10, Part 4, Weapons of Mass Destruction;
2337          (K) an offense included in Title 78B, Chapter 7, Protective Orders and Stalking
2338     Injunctions;
2339          [(E)] (L) aggravated arson, as described in Section 76-6-103;
2340          [(F)] (M) aggravated burglary, as described in Section 76-6-203;
2341          (N) aggravated exploitation of prostitution, as described in Section 76-10-1306;
2342          [(G)] (O) aggravated robbery, as described in Section 76-6-302;
2343          (P) endangering persons in a human services program, as described in Section
2344     26B-2-113;
2345          (Q) failure to report, as described in Section 80-2-609;
2346          [(H)] (R) identity fraud crime, as described in Section 76-6-1102;
2347          (S) leaving a child unattended in a motor vehicle, as described in Section 76-10-2202;
2348          (T) riot, as described in Section 76-9-101;
2349          [(I)] (U) sexual battery, as described in Section 76-9-702.1; or
2350          (V) threatening with or using a dangerous weapon in a fight or quarrel, as described in
2351     Section 76-10-506; or
2352          [(J) a violent offense committed in the presence of a child, as described in Section

2353     76-3-203.10; or]
2354          (ii) a felony or misdemeanor offense committed outside of the state that, if committed
2355     in the state, would constitute a violation of an offense described in Subsection (5)(a)(i).
2356          (b) (i) Subsection (5)(a) does not apply to an applicant who is seeking a position as a
2357     peer support provider[,] or a mental health professional, [or in a] if the applicant provides
2358     services in a program that serves only adults with a primary mental health diagnosis, with or
2359     without a co-occurring substance use disorder.
2360          (ii) The office shall conduct a comprehensive review of an applicant described in
2361     Subsection (5)(b)(i) in accordance with [Subsection (6)] Subsection (12).
2362          (c) The office shall deny direct access qualified status to an applicant if the office finds
2363     that a court order prohibits the applicant from having direct access to a child or vulnerable
2364     adult.
2365          (6) The office shall conduct a comprehensive review of an applicant's background
2366     check if the applicant:
2367          (a) has a felony or class A misdemeanor conviction [for an offense described in
2368     Subsection (5) with a date of conviction that is more than three years before the date on which
2369     the applicant submits the information described in Subsection (2)] that is more than three years
2370     from the date the office conducts the background check, for an offense described in Subsection
2371     (5)(a);
2372          (b) has a felony charge or conviction that is no more than 10 years from the date the
2373     office conducts the background check for an offense not described in Subsection [(5) with a
2374     date of charge or conviction that is no more than 10 years before the date on which the
2375     applicant submits the application under Subsection (2) and no criminal findings or
2376     non-criminal findings after the date of conviction] (5)(a);
2377          (c) has a felony charge or conviction that is more than 10 years from the date the office
2378     conducts the background check for an offense not described in Subsection (5)(a), with criminal
2379     or non-criminal findings after the date of the felony charge or conviction;
2380          [(c)] (d) has a class B misdemeanor or class C misdemeanor conviction [for an offense
2381     described in Subsection (5) with a date of conviction that is more than three years after, and no
2382     more than 10 years before, the date on which the applicant submits the information described
2383     in Subsection (2) and no criminal findings or non-criminal findings after the date of conviction]

2384     that is more than three years and no more than 10 years from the date the office conducts the
2385     background check for an offense described in Subsection (5)(a);
2386          (e) has a class B misdemeanor or class C misdemeanor conviction that is more than 10
2387     years from the date on which the office conducts the background check for an offense
2388     described in Subsection (5)(a), with criminal or non-criminal findings after the date of
2389     conviction;
2390          [(d)] (f) has a misdemeanor charge or conviction that is more than three years from the
2391     date on which the office conducts the background check for an offense not described in
2392     Subsection [(5) with a date of conviction that is no more than three years before the date on
2393     which the applicant submits information described in Subsection (2) and no criminal findings
2394     or non-criminal findings after the date of conviction] (5)(a);
2395          (g) has a misdemeanor charge or conviction that is more than three years from the date
2396     on which the office conducts the background check for an offense not described in Subsection
2397     (5)(a), with criminal or non-criminal findings after the date of charge or conviction;
2398          [(e)] (h) is currently subject to a plea in abeyance or diversion agreement for an offense
2399     described in Subsection [(5)] (5)(a);
2400          [(f)] (i) appears on the Sex and Kidnap Offender Registry described in Title 77,
2401     Chapter 41, Sex and Kidnap Offender Registry, or a national sex offender registry;
2402          [(g)] (j) has a record of an adjudication in juvenile court for an act that, if committed by
2403     an adult, would be a felony or misdemeanor, if the applicant is:
2404          (i) under 28 years old; or
2405          (ii) 28 years old or older and has been convicted of, has pleaded no contest to, or is
2406     currently subject to a plea in abeyance or diversion agreement for a felony or a misdemeanor
2407     offense described in Subsection [(5)] (5)(a);
2408          [(h)] (k) has a pending charge for an offense described in Subsection [(5)] (5)(a);
2409          [(i)] (l) has a listing that occurred no more than 15 years from the date on which the
2410     office conducts the background check in the Division of Child and Family Services' Licensing
2411     Information System described in Section 80-2-1002 [that occurred no more than 15 years
2412     before the date on which the applicant submits the information described in Subsection (2) and
2413     no criminal findings or non-criminal findings dated after the date of the listing];
2414          [(j)] (m) has a listing that occurred more than 15 years from the date on which the

2415     office conducts the background check in the Division of Child and Family Services' Licensing
2416     Information System described in Section 80-2-1002, with criminal or non-criminal findings
2417     after the date of the listing;
2418          (n) has a listing that occurred no more than 15 years from the date on which the office
2419     conducts the background check in the Division of Aging and Adult Services' vulnerable adult
2420     abuse, neglect, or exploitation database described in Section 26B-6-210 [that occurred no more
2421     than 15 years before the date on which the applicant submits the information described in
2422     Subsection (2) and no criminal findings or non-criminal findings dated after the date of the
2423     listing];
2424          (o) has a listing that occurred more than 15 years before the date on which the office
2425     conducts the background check in the Division of Aging and Adult Services' vulnerable adult
2426     abuse, neglect, or exploitation database described in Section 26B-6-210, with criminal or
2427     non-criminal findings after the date of the listing;
2428          [(k)] (p) has a substantiated finding that occurred no more than 15 years from the date
2429     on which the office conducts the background check of severe child abuse or neglect under
2430     Section 80-3-404 or 80-3-504 [that occurred no more than 15 years before the date on which
2431     the applicant submits the information described in Subsection (2) and no criminal findings or
2432     non-criminal findings dated after the date of the finding]; or
2433          (q) has a substantiated finding that occurred more than 15 years from the date the office
2434     conducts the background check of severe child abuse or neglect under Section 80-3-404 or
2435     80-3-504, with criminal or non-criminal findings after the date of the listing.
2436          [(l) (i) is seeking a position:]
2437          [(A) as a peer support provider;]
2438          [(B) as a mental health professional; or]
2439          [(C) in a program that serves only adults with a primary mental health diagnosis, with
2440     or without a co-occurring substance use disorder; and]
2441          [(ii) within three years before the day on which the applicant submits the information
2442     described in Subsection (2):]
2443          [(A) has a felony or misdemeanor charge or conviction;]
2444          [(B) has a listing in the Division of Child and Family Services' Licensing Information
2445     System described in Section 80-2-1002;]

2446          [(C) has a listing in the Division of Aging and Adult Services' vulnerable adult abuse,
2447     neglect, or exploitation database described in Section 26B-6-210; or]
2448          [(D) has a substantiated finding of severe child abuse or neglect under Section
2449     80-3-404 or 80-3-504;]
2450          [(m) (i) (A) is seeking a position in a congregate care program;]
2451          [(B) is seeking to become a prospective foster or adoptive parent; or]
2452          [(C) is an applicant described in Subsection (1)(a)(i)(F); and]
2453          [(ii) (A) has an infraction conviction for conduct that constitutes an offense or violation
2454     described in Subsection (5)(a)(i)(A) or (B);]
2455          [(B) has a listing in the Division of Child and Family Services' Licensing Information
2456     System described in Section 80-2-1002;]
2457          [(C) has a listing in the Division of Aging and Adult Services' vulnerable adult abuse,
2458     neglect, or exploitation database described in Section 26B-6-210;]
2459          [(D) has a substantiated finding of severe child abuse or neglect under Section
2460     80-3-404 or 80-3-504; or]
2461          [(E) has a listing on the registry check described in Subsection (13)(a) as having a
2462     substantiated or supported finding of a severe type of child abuse or neglect as defined in
2463     Section 80-1-102; or]
2464          [(n) is seeking to become a prospective foster or adoptive parent and has, or has an
2465     adult living with the applicant who has, a conviction, finding, or listing described in Subsection
2466     (6)(m)(ii).]
2467          (7) (a) The comprehensive review shall include an examination of:
2468          (i) the date of the offense or incident;
2469          (ii) the nature and seriousness of the offense or incident;
2470          (iii) the circumstances under which the offense or incident occurred;
2471          (iv) the age of the perpetrator when the offense or incident occurred;
2472          (v) whether the offense or incident was an isolated or repeated incident;
2473          (vi) whether the offense or incident directly relates to abuse of a child or vulnerable
2474     adult, including:
2475          (A) actual or threatened, nonaccidental physical, mental, or financial harm;
2476          (B) sexual abuse;

2477          (C) sexual exploitation; or
2478          (D) negligent treatment;
2479          (vii) any evidence provided by the applicant of rehabilitation, counseling, psychiatric
2480     treatment received, or additional academic or vocational schooling completed; and
2481          (viii) the applicant's risk of harm to clientele in the program or in the capacity for
2482     which the applicant is applying[.];
2483          (ix) if the background check of an applicant is being conducted for the purpose of
2484     giving direct access qualified status to an applicant seeking a position in a congregate care
2485     program or to become a prospective foster or adoptive parent, any listing in the Division of
2486     Child and Family Services' Management Information System described in Section 80-2-1002.
2487          (b) At the conclusion of the comprehensive review, the office shall deny [an
2488     application to an applicant if the office finds:] direct access qualified status to an applicant if
2489     the office finds the approval would likely create a risk of harm to a child or vulnerable adult.
2490          [(i) that approval would likely create a risk of harm to a child or a vulnerable adult; or]
2491          [(ii) an individual is prohibited from having direct access to a child or vulnerable adult
2492     by court order.]
2493          (8) The office shall [approve an application] grant direct access qualified status to an
2494     applicant who is not denied under this section.
2495          (9) (a) The office may conditionally [approve an application of] grant direct access
2496     qualified status to an applicant, for a maximum of 60 days after the day on which the office
2497     sends written notice [to the applicant under Subsection (11)], without requiring that the
2498     applicant be directly supervised, if the office:
2499          (i) is awaiting the results of the criminal history search of national criminal background
2500     databases; and
2501          (ii) would otherwise [approve an application of] grant direct access qualified status to
2502     the applicant under this section.
2503          (b) The office may conditionally [approve an application of] grant direct access
2504     qualified status to an applicant, for a maximum of one year after the day on which the office
2505     sends written notice [to the applicant under Subsection (11)], without requiring that the
2506     applicant be directly supervised if the office:
2507          (i) is awaiting the results of an out-of-state registry for providers other than foster and

2508     adoptive parents; and
2509          (ii) would otherwise [approve an application of] grant direct access qualified status to
2510     the applicant under this section.
2511          (c) Upon receiving the results of the criminal history search of a national criminal
2512     background database, the office shall [approve or deny the application of] grant or deny direct
2513     access qualified status to the applicant in accordance with this section.
2514          (10) (a) Each time an applicant is associated with a licensee, the department shall
2515     review the current status of the applicant's background check to ensure the applicant is still
2516     eligible for direct access qualified status in accordance with this section.
2517          [(a)] (b) A licensee [or department contractor] may not permit an individual to have
2518     direct access to a child or a vulnerable adult without being directly supervised unless:
2519          [(i) the individual is associated with the licensee or department contractor and the
2520     department conducts a background screening in accordance with this section;]
2521          [(ii)] (i) the individual is the parent or guardian of the child, or the guardian of the
2522     vulnerable adult;
2523          [(iii)] (ii) the individual is approved by the parent or guardian of the child, or the
2524     guardian of the vulnerable adult, to have direct access to the child or the vulnerable adult;
2525          [(iv)] (iii) the individual is only permitted to have direct access to a vulnerable adult
2526     who voluntarily invites the individual to visit; or
2527          [(v)] (iv) the individual only provides incidental care for a foster child on behalf of a
2528     foster parent who has used reasonable and prudent judgment to select the individual to provide
2529     the incidental care for the foster child.
2530          [(b)] (c) Notwithstanding any other provision of this section, an [individual for whom
2531     the office denies an application] applicant who is denied direct access qualified status may not
2532     have direct access to a child or vulnerable adult unless the office [approves a subsequent
2533     application by the individual] grants direct access qualified status to the applicant through a
2534     subsequent application in accordance with this section.
2535          [(11) (a) Within 30 days after the day on which the applicant submits the information
2536     described in Subsection (2), the office shall notify the applicant of any potentially disqualifying
2537     criminal findings or non-criminal findings.]
2538          [(b) If the notice under Subsection (11)(a) states that the applicant's application is

2539     denied, the notice shall further advise the applicant that the applicant may, under Subsection
2540     26B-2-111(2), request a hearing in the department's Office of Administrative Hearings, to
2541     challenge the office's decision.]
2542          [(c) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
2543     the office shall make rules, consistent with this part:]
2544          [(i) defining procedures for the challenge of the office's background check decision
2545     described in Subsection (11)(b); and]
2546          [(ii) expediting the process for renewal of a license under the requirements of this
2547     section and other applicable sections.]
2548          (11) If the office denies direct access qualified status to an applicant, the applicant may
2549     request a hearing in the department's Office of Administrative Hearings to challenge the
2550     office's decision.
2551          [(12) (a) An individual or a department contractor who provides services in an adults
2552     only substance use disorder program, as defined by rule made in accordance with Title 63G,
2553     Chapter 3, Utah Administrative Rulemaking Act, is exempt from this section]
2554          (12) (a) This Subsection (12) applies to an applicant associated with a certification,
2555     contract, or licensee serving adults only.
2556          [(b) The exemption described in Subsection (12)(a) does not extend to a program
2557     director or a member, as defined by Section 26B-2-105, of the program]
2558          (b) A program director or a member, as defined in Section 26B-2-105, of the licensee
2559     shall comply with this section.
2560          (c) The office shall conduct a comprehensive review for an applicant if:
2561          (i) seeking a position:
2562          (A) as a peer support provider;
2563          (B) mental health professional; or
2564          (C) in a program that serves only adults with a primary mental health diagnosis, with or
2565     without a co-occurring substance use disorder; and
2566          (ii) within three years from the date on which the office conducts the background
2567     check, the applicant has a felony or misdemeanor charge or conviction or a non-criminal
2568     finding.
2569          [(13) (a) Except as provided in Subsection (13)(b), in addition to the other

2570     requirements of this section, if the background check of an applicant is being conducted for the
2571     purpose of giving clearance status to an applicant seeking a position in a congregate care
2572     program or an applicant seeking to become a prospective foster or adoptive parent, the office
2573     shall:]
2574          (13) (a) This Subsection (13) applies to an applicant seeking a position in a congregate
2575     care program, an applicant seeking to provide a prospective foster home, an applicant seeking
2576     to provide a prospective adoptive home, and each adult living in the home of the prospective
2577     foster or prospective adoptive home.
2578          (b) As federally required, and excepting applicants seeking a position in a congregate
2579     care program, the office shall:
2580          (i) check the child abuse and neglect registry in each state where each applicant resided
2581     in the five years immediately preceding the day on which the applicant applied to be a foster or
2582     adoptive parent, to determine whether the prospective foster or adoptive parent is listed in the
2583     registry as having a substantiated or supported finding of child abuse or neglect; and
2584          (ii) check the child abuse and neglect registry in each state where each adult living in
2585     the home of the [applicant described in Subsection (13)(a)(i)] prospective foster or adoptive
2586     home resided in the five years immediately preceding the day on which the applicant applied to
2587     be a foster or adoptive parent, to determine whether the adult is listed in the registry as having a
2588     substantiated or supported finding of child abuse or neglect.
2589          [(b)] (c) The requirements described in Subsection (13)(a) do not apply to the extent
2590     that:
2591          (i) federal law or rule permits otherwise; or
2592          (ii) the requirements would prohibit the Division of Child and Family Services or a
2593     court from placing a child with:
2594          (A) a noncustodial parent under Section 80-2a-301, 80-3-302, or 80-3-303; or
2595          (B) a relative, other than a noncustodial parent, under Section 80-2a-301, 80-3-302, or
2596     80-3-303, pending completion of the background check described in [Subsection (5)]
2597     Subsections (5), (6), and (7).
2598          [(c)] (d) Notwithstanding Subsections (5) through (10), the office shall deny [a
2599     clearance to an applicant seeking a position in a congregate care program or an applicant to
2600     become a prospective foster or adoptive parent if the applicant has been convicted of] direct

2601     access qualified status if the applicant has been convicted of:
2602          (i) a felony involving conduct that constitutes any of the following:
2603          (A) child abuse, as described in Sections 76-5-109, 76-5-109.2, and 76-5-109.3;
2604          (B) commission of domestic violence in the presence of a child, as described in Section
2605     76-5-114;
2606          (C) abuse or neglect of a child with a disability, as described in Section 76-5-110;
2607          (D) endangerment of a child or vulnerable adult, as described in Section 76-5-112.5;
2608          (E) aggravated murder, as described in Section 76-5-202;
2609          (F) murder, as described in Section 76-5-203;
2610          (G) manslaughter, as described in Section 76-5-205;
2611          (H) child abuse homicide, as described in Section 76-5-208;
2612          (I) homicide by assault, as described in Section 76-5-209;
2613          (J) kidnapping, as described in Section 76-5-301;
2614          (K) child kidnapping, as described in Section 76-5-301.1;
2615          (L) aggravated kidnapping, as described in Section 76-5-302;
2616          (M) human trafficking of a child, as described in Section 76-5-308.5;
2617          (N) an offense described in Title 76, Chapter 5, Part 4, Sexual Offenses;
2618          (O) sexual exploitation of a minor, as described in Title 76, Chapter 5b, Sexual
2619     Exploitation Act;
2620          (P) aggravated exploitation of a minor, as described in Section 76-5b-201.1;
2621          (Q) aggravated arson, as described in Section 76-6-103;
2622          (R) aggravated burglary, as described in Section 76-6-203;
2623          (S) aggravated robbery, as described in Section 76-6-302;
2624          (T) lewdness involving a child, as described in Section 76-9-702.5;
2625          (U) incest, as described in Section 76-7-102; or
2626          (V) domestic violence, as described in Section 77-36-1; or
2627          (ii) an offense committed outside the state that, if committed in the state, would
2628     constitute a violation of an offense described in Subsection (13)(c)(i).
2629          [(d)] (e) Notwithstanding Subsections (5) through (10), the office shall deny [a license
2630     or license renewal to an individual seeking a position in a congregate care program or a
2631     prospective foster or adoptive parent if, within the five years immediately preceding the day on

2632     which the individual's application or license would otherwise be approved, the individual]
2633     direct access qualified status to an applicant if, within the five years before the date on which
2634     the office conducts the background check, the applicant was convicted of a felony involving
2635     conduct that constitutes a violation of any of the following:
2636          (i) aggravated assault, as described in Section 76-5-103;
2637          (ii) aggravated assault by a prisoner, as described in Section 76-5-103.5;
2638          (iii) mayhem, as described in Section 76-5-105;
2639          (iv) an offense described in Title 58, Chapter 37, Utah Controlled Substances Act;
2640          (v) an offense described in Title 58, Chapter 37a, Utah Drug Paraphernalia Act;
2641          (vi) an offense described in Title 58, Chapter 37b, Imitation Controlled Substances
2642     Act;
2643          (vii) an offense described in Title 58, Chapter 37c, Utah Controlled Substance
2644     Precursor Act; or
2645          (viii) an offense described in Title 58, Chapter 37d, Clandestine Drug Lab Act.
2646          [(e)] (f) In addition to the circumstances described in Subsection (6), the office shall
2647     conduct [the] a comprehensive review of an applicant's background check under this section if
2648     [the registry check described in Subsection (13)(a) indicates that the individual is listed in a
2649     child abuse and neglect registry of another state as having a substantiated or supported finding
2650     of a severe type of child abuse or neglect as defined in Section 80-1-102.] the applicant:
2651          (i) for an offense described in Subsection (5), has an infraction conviction entered on a
2652     date that is no more than three years before the date on which the office conducts the
2653     background check;
2654          (ii) has a listing in the Division of Child and Family Services' Licensing Information
2655     System described in Section 80-2-1002;
2656          (iii) has a listing in the Division of Aging and Adult Services' vulnerable adult, neglect,
2657     or exploitation database described in Section 26B-6-210;
2658          (iv) has a substantiated finding of severe child abuse or neglect under Section 80-3-404
2659     or 80-3-504; or
2660          (v) has a listing on the registry check described in Subsection (13)(a) as having a
2661     substantiated or supported finding of a severe type of child abuse or neglect, as defined in
2662     Section 80-1-102.

2663          [(14)] (g) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking
2664     Act, the office may make rules, consistent with this part, to:
2665          [(a)] (i) establish procedures for, and information to be examined in, the
2666     comprehensive review described in Subsections [(6) and (7)] (6), (7), and (13); and
2667          [(b)] (ii) determine whether to consider an offense or incident that occurred while an
2668     individual was in the custody of the Division of Child and Family Services or the [Division of
2669     Juvenile Justice Services] Division of Juvenile Justice and Youth Services for purposes of
2670     [approval or denial of an application for a prospective foster or adoptive parent] granting or
2671     denying direct access qualified status to an applicant.
2672          Section 22. Section 26B-2-122 is amended to read:
2673          26B-2-122. Access to vulnerable adult abuse and neglect information.
2674          (1) For purposes of this section:
2675          (a) "Direct service worker" means the same as that term is defined in Section
2676     26B-6-401.
2677          (b) "Personal care attendant" means the same as that term is defined in Section
2678     26B-6-401.
2679          (2) With respect to a licensee, a direct service worker, or a personal care attendant, the
2680     department may access the database created by Section 26B-6-210 for the purpose of:
2681          (a) (i) determining whether a person associated with a licensee, with direct access to
2682     vulnerable adults, has a supported or substantiated finding of:
2683          (A) abuse;
2684          (B) neglect; or
2685          (C) exploitation; and
2686          (ii) informing a licensee that a person associated with the licensee has a supported or
2687     substantiated finding of:
2688          (A) abuse;
2689          (B) neglect; or
2690          (C) exploitation;
2691          (b) (i) determining whether a direct service worker has a supported or substantiated
2692     finding of:
2693          (A) abuse;

2694          (B) neglect; or
2695          (C) exploitation; and
2696          (ii) informing a direct service worker or the direct service worker's employer that the
2697     direct service worker has a supported or substantiated finding of:
2698          (A) abuse;
2699          (B) neglect; or
2700          (C) exploitation; or
2701          (c) (i) determining whether a personal care attendant has a supported or substantiated
2702     finding of:
2703          (A) abuse;
2704          (B) neglect; or
2705          (C) exploitation; and
2706          (ii) informing a person described in Subsections 26B-6-401(9)(a)(i) through (iv) that a
2707     personal care attendant has a supported or substantiated finding of:
2708          (A) abuse;
2709          (B) neglect; or
2710          (C) exploitation.
2711          (3) The department shall receive and process personal identifying information under
2712     Subsection [26B-2-120(1)] 26B-2-120(2) for the purposes described in Subsection [(2)] (3).
2713          (4) The department shall adopt rules under Title 63G, Chapter 3, Utah Administrative
2714     Rulemaking Act, consistent with this part and Chapter 6, Part 2, Abuse, Neglect, or
2715     Exploitation of a Vulnerable Adult, defining the circumstances under which a person may have
2716     direct access or provide services to vulnerable adults when the person is listed in the statewide
2717     database of the Division of Aging and Adult Services created by Section 26B-6-210 as having
2718     a supported or substantiated finding of abuse, neglect, or exploitation.
2719          Section 23. Section 26B-2-128 is amended to read:
2720          26B-2-128. Numerical limit of foster children in a foster home.
2721          [(1) Except as provided in Subsection (2) or (3), no more than:]
2722          [(a) four foster children may reside in the foster home of a licensed foster parent; or]
2723          [(b) three foster children may reside in the foster home of a certified foster parent.]
2724          (1) (a) No more than four foster children may reside in the foster home of a licensed

2725     foster parent.
2726          (b) No more than three foster children may reside in the foster home of a certified
2727     foster parent.
2728          [(2) When placing a sibling group into a foster home, the limits in Subsection (1) may
2729     be exceeded if:]
2730          [(a) no other foster children reside in the foster home;]
2731          [(b) only one other foster child resides in the foster home at the time of a sibling
2732     group's placement into the foster home; or]
2733          [(c) a sibling group re-enters foster care and is placed into the foster home where the
2734     sibling group previously resided.]
2735          [(3)] (2) When placing a child into a foster home, the limits in Subsection (1) may be
2736     exceeded:
2737          (a) to place a child into a foster home where a sibling of the child currently resides; or
2738          (b) to place a child in a foster home where the child previously resided.
2739          (3) The limits under Subsection (1) may be exceeded for:
2740          (a) placement of a sibling group in a foster home with no more than one other foster
2741     child placement;
2742          (b) placement of a child or sibling group in a foster home where the child or sibling
2743     group previously resided; or
2744          (c) placement of a child in a foster home where a sibling currently resides.
2745          Section 24. Section 26B-2-201 is amended to read:
2746          26B-2-201. Definitions.
2747          As used in this part:
2748          (1) (a) "Abortion clinic" means a type I abortion clinic or a type II abortion clinic.
2749          (b) "Abortion clinic" does not mean a clinic that meets the definition of hospital under
2750     Section 76-7-301 or Section [76-71-101] 76-7a-101.
2751          (2) "Activities of daily living" means essential activities including:
2752          (a) dressing;
2753          (b) eating;
2754          (c) grooming;
2755          (d) bathing;

2756          (e) toileting;
2757          (f) ambulation;
2758          (g) transferring; and
2759          (h) self-administration of medication.
2760          (3) "Ambulatory surgical facility" means a freestanding facility, which provides
2761     surgical services to patients not requiring hospitalization.
2762          (4) "Assistance with activities of daily living" means providing of or arranging for the
2763     provision of assistance with activities of daily living.
2764          (5) (a) "Assisted living facility" means:
2765          (i) a type I assisted living facility, which is a residential facility that provides assistance
2766     with activities of daily living and social care to two or more residents who:
2767          (A) require protected living arrangements; and
2768          (B) are capable of achieving mobility sufficient to exit the facility without the
2769     assistance of another person; and
2770          (ii) a type II assisted living facility, which is a residential facility with a home-like
2771     setting that provides an array of coordinated supportive personal and health care services
2772     available 24 hours per day to residents who have been assessed under department rule to need
2773     any of these services.
2774          (b) Each resident in a type I or type II assisted living facility shall have a service plan
2775     based on the assessment, which may include:
2776          (i) specified services of intermittent nursing care;
2777          (ii) administration of medication; and
2778          (iii) support services promoting residents' independence and self-sufficiency.
2779          (6) "Birthing center" means a facility that:
2780          (a) receives maternal clients and provides care during pregnancy, delivery, and
2781     immediately after delivery; and
2782          (b) (i) is freestanding; or
2783          (ii) is not freestanding, but meets the requirements for an alongside midwifery unit
2784     described in Subsection 26B-2-228(7).
2785          (7) "Committee" means the Health Facility Committee created in Section 26B-1-204.
2786          (8) "Consumer" means any person not primarily engaged in the provision of health care

2787     to individuals or in the administration of facilities or institutions in which such care is provided
2788     and who does not hold a fiduciary position, or have a fiduciary interest in any entity involved in
2789     the provision of health care, and does not receive, either directly or through his spouse, more
2790     than 1/10 of his gross income from any entity or activity relating to health care.
2791          (9) "End stage renal disease facility" means a facility which furnishes staff-assisted
2792     kidney dialysis services, self-dialysis services, or home-dialysis services on an outpatient basis.
2793          (10) "Freestanding" means existing independently or physically separated from another
2794     health care facility by fire walls and doors and administrated by separate staff with separate
2795     records.
2796          (11) "General acute hospital" means a facility which provides diagnostic, therapeutic,
2797     and rehabilitative services to both inpatients and outpatients by or under the supervision of
2798     physicians.
2799          (12) "Governmental unit" means the state, or any county, municipality, or other
2800     political subdivision or any department, division, board, or agency of the state, a county,
2801     municipality, or other political subdivision.
2802          (13) (a) "Health care facility" means general acute hospitals, specialty hospitals, home
2803     health agencies, hospices, nursing care facilities, residential-assisted living facilities, birthing
2804     centers, ambulatory surgical facilities, small health care facilities, abortion clinics, a clinic that
2805     meets the definition of hospital under Section 76-7-301 or [76-71-201] 76-7a-101, facilities
2806     owned or operated by health maintenance organizations, end stage renal disease facilities, and
2807     any other health care facility which the committee designates by rule.
2808          (b) "Health care facility" does not include the offices of private physicians or dentists,
2809     whether for individual or group practice, except that it does include an abortion clinic.
2810          (14) "Health maintenance organization" means an organization, organized under the
2811     laws of any state which:
2812          (a) is a qualified health maintenance organization under 42 U.S.C. Sec. 300e-9; or
2813          (b) (i) provides or otherwise makes available to enrolled participants at least the
2814     following basic health care services: usual physician services, hospitalization, laboratory, x-ray,
2815     emergency, and preventive services and out-of-area coverage;
2816          (ii) is compensated, except for copayments, for the provision of the basic health
2817     services listed in Subsection (14)(b)(i) to enrolled participants by a payment which is paid on a

2818     periodic basis without regard to the date the health services are provided and which is fixed
2819     without regard to the frequency, extent, or kind of health services actually provided; and
2820          (iii) provides physicians' services primarily directly through physicians who are either
2821     employees or partners of such organizations, or through arrangements with individual
2822     physicians or one or more groups of physicians organized on a group practice or individual
2823     practice basis.
2824          (15) (a) "Home health agency" means an agency, organization, or facility or a
2825     subdivision of an agency, organization, or facility which employs two or more direct care staff
2826     persons who provide licensed nursing services, therapeutic services of physical therapy, speech
2827     therapy, occupational therapy, medical social services, or home health aide services on a
2828     visiting basis.
2829          (b) "Home health agency" does not mean an individual who provides services under
2830     the authority of a private license.
2831          (16) "Hospice" means a program of care for the terminally ill and their families which
2832     occurs in a home or in a health care facility and which provides medical, palliative,
2833     psychological, spiritual, and supportive care and treatment.
2834          (17) "Nursing care facility" means a health care facility, other than a general acute or
2835     specialty hospital, constructed, licensed, and operated to provide patient living
2836     accommodations, 24-hour staff availability, and at least two of the following patient services:
2837          (a) a selection of patient care services, under the direction and supervision of a
2838     registered nurse, ranging from continuous medical, skilled nursing, psychological, or other
2839     professional therapies to intermittent health-related or paraprofessional personal care services;
2840          (b) a structured, supportive social living environment based on a professionally
2841     designed and supervised treatment plan, oriented to the individual's habilitation or
2842     rehabilitation needs; or
2843          (c) a supervised living environment that provides support, training, or assistance with
2844     individual activities of daily living.
2845          (18) "Person" means any individual, firm, partnership, corporation, company,
2846     association, or joint stock association, and the legal successor thereof.
2847          (19) "Resident" means a person 21 years old or older who:
2848          (a) as a result of physical or mental limitations or age requires or requests services

2849     provided in an assisted living facility; and
2850          (b) does not require intensive medical or nursing services as provided in a hospital or
2851     nursing care facility.
2852          (20) "Small health care facility" means a four to 16 bed facility that provides licensed
2853     health care programs and services to residents.
2854          (21) "Specialty hospital" means a facility which provides specialized diagnostic,
2855     therapeutic, or rehabilitative services in the recognized specialty or specialties for which the
2856     hospital is licensed.
2857          (22) "Substantial compliance" means in a department survey of a licensee, the
2858     department determines there is an absence of deficiencies which would harm the physical
2859     health, mental health, safety, or welfare of patients or residents of a licensee.
2860          (23) "Type I abortion clinic" means a facility, including a physician's office, but not
2861     including a general acute or specialty hospital, that:
2862          (a) performs abortions, as defined in Section 76-7-301, during the first trimester of
2863     pregnancy; and
2864          (b) does not perform abortions, as defined in Section 76-7-301, after the first trimester
2865     of pregnancy.
2866          (24) "Type II abortion clinic" means a facility, including a physician's office, but not
2867     including a general acute or specialty hospital, that:
2868          (a) performs abortions, as defined in Section 76-7-301, after the first trimester of
2869     pregnancy; or
2870          (b) performs abortions, as defined in Section 76-7-301, during the first trimester of
2871     pregnancy and after the first trimester of pregnancy.
2872          Section 25. Section 26B-2-202 is amended to read:
2873          26B-2-202. Duties of department.
2874          (1) The department shall:
2875          (a) enforce rules established pursuant to this part;
2876          (b) authorize an agent of the department to conduct inspections of health care facilities
2877     pursuant to this part;
2878          (c) collect information authorized by the committee that may be necessary to ensure
2879     that adequate health care facilities are available to the public;

2880          (d) collect and credit fees for licenses as free revenue;
2881          (e) collect and credit fees for conducting plan reviews as dedicated credits;
2882          (f) (i) collect and credit fees for conducting [clearance] certification for direct patient
2883     access under Sections 26B-2-239 and 26B-2-240; and
2884          (ii) beginning July 1, 2012:
2885          (A) up to $105,000 of the fees collected under Subsection (1)(f)(i) are dedicated
2886     credits; and
2887          (B) the fees collected for background checks under Subsection 26B-2-240(6) and
2888     Subsection 26B-2-241(4) shall be transferred to the Department of Public Safety to reimburse
2889     the Department of Public Safety for its costs in conducting the federal background checks;
2890          (g) designate an executive secretary from within the department to assist the committee
2891     in carrying out its powers and responsibilities;
2892          (h) establish reasonable standards for criminal background checks by public and
2893     private entities;
2894          (i) recognize those public and private entities that meet the standards established
2895     pursuant to Subsection (1)(h); and
2896          (j) provide necessary administrative and staff support to the committee.
2897          (2) The department may:
2898          (a) exercise all incidental powers necessary to carry out the purposes of this part;
2899          (b) review architectural plans and specifications of proposed health care facilities or
2900     renovations of health care facilities to ensure that the plans and specifications conform to rules
2901     established by the committee; and
2902          (c) in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
2903     make rules as necessary to implement the provisions of this part.
2904          Section 26. Section 26B-2-204 is amended to read:
2905          26B-2-204. Licensing of an abortion clinic -- Rulemaking authority -- Fee --
2906     Licensing of a clinic meeting the definition of hospital.
2907          (1) (a) No abortion clinic may operate in the state on or after January 1, 2024, or the
2908     last valid date of an abortion clinic license issued under the requirements of this section,
2909     whichever date is later.
2910          (b) Notwithstanding Subsection (1)(a), a licensed abortion clinic may not perform an

2911     abortion in violation of any provision of state law.
2912          (2) The state may not issue a license for an abortion clinic after May 2, 2023.
2913          (3) For any license for an abortion clinic that is issued under this section:
2914          (a) A type I abortion clinic may not operate in the state without a license issued by the
2915     department to operate a type I abortion clinic.
2916          (b) A type II abortion clinic may not operate in the state without a license issued by the
2917     department to operate a type II abortion clinic.
2918          (c) The department shall make rules establishing minimum health, safety, sanitary, and
2919     recordkeeping requirements for:
2920          (i) a type I abortion clinic; and
2921          (ii) a type II abortion clinic.
2922          (d) To receive and maintain a license described in this section, an abortion clinic shall:
2923          (i) apply for a license on a form prescribed by the department;
2924          (ii) satisfy and maintain the minimum health, safety, sanitary, and recordkeeping
2925     requirements established [unde7r] under Subsection (3) that relate to the type of abortion clinic
2926     licensed;
2927          (iii) comply with the recordkeeping and reporting requirements of Section 76-7-313;
2928          (iv) comply with the requirements of Title 76, Chapter 7, Part 3, Abortion, and Title
2929     76, Chapter 7a, Abortion Prohibition;
2930          (v) pay the annual licensing fee; and
2931          (vi) cooperate with inspections conducted by the department.
2932          (e) The department shall, at least twice per year, inspect each abortion clinic in the state
2933     to ensure that the abortion clinic is complying with all statutory and licensing requirements
2934     relating to the abortion clinic. At least one of the inspections shall be made without providing
2935     notice to the abortion clinic.
2936          (f) The department shall charge an annual license fee, set by the department in
2937     accordance with the procedures described in Section 63J-1-504, to an abortion clinic in an
2938     amount that will pay for the cost of the licensing requirements described in this section and the
2939     cost of inspecting abortion clinics.
2940          (g) The department shall deposit the licensing fees described in this section in the
2941     General Fund as a dedicated credit to be used solely to pay for the cost of the licensing

2942     requirements described in this section and the cost of inspecting abortion clinics.
2943          (4) (a) Notwithstanding any other provision of this section, the department may license
2944     a clinic that meets the definition of hospital under Section 76-7-301 or Section 76-7a-101.
2945          (b) A clinic described in Subsection (4)(a) is not defined as an abortion clinic.
2946          Section 27. Section 26B-2-238 is amended to read:
2947          26B-2-238. Definitions for Sections 26B-2-238 through 26B-2-241.
2948          As used in this section and Sections 26B-2-239, 26B-2-240, and 26B-2-241:
2949          (1) ["Clearance"] "Certification for direct patient access" means approval by the
2950     department under Section 26B-2-239 for an individual to have direct patient access.
2951          (2) "Covered body" means a covered provider, covered contractor, or covered
2952     employer.
2953          (3) "Covered contractor" means a person that supplies covered individuals, by contract,
2954     to a covered employer or covered provider.
2955          (4) "Covered employer" means an individual who:
2956          (a) engages a covered individual to provide services in a private residence to:
2957          (i) an aged individual, as defined by department rule; or
2958          (ii) a disabled individual, as defined by department rule;
2959          (b) is not a covered provider; and
2960          (c) is not a licensed health care facility within the state.
2961          (5) "Covered individual":
2962          (a) means an individual:
2963          (i) whom a covered body engages; and
2964          (ii) who may have direct patient access;
2965          (b) includes:
2966          (i) a nursing assistant, as defined by department rule;
2967          (ii) a personal care aide, as defined by department rule;
2968          (iii) an individual licensed to engage in the practice of nursing under Title 58, Chapter
2969     31b, Nurse Practice Act;
2970          (iv) a provider of medical, therapeutic, or social services, including a provider of
2971     laboratory and radiology services;
2972          (v) an executive;

2973          (vi) administrative staff, including a manager or other administrator;
2974          (vii) dietary and food service staff;
2975          (viii) housekeeping and maintenance staff; and
2976          (ix) any other individual, as defined by department rule, who has direct patient access;
2977     and
2978          (c) does not include a student, as defined by department rule, directly supervised by a
2979     member of the staff of the covered body or the student's instructor.
2980          (6) "Covered provider" means:
2981          (a) an end stage renal disease facility;
2982          (b) a long-term care hospital;
2983          (c) a nursing care facility;
2984          (d) a small health care facility;
2985          (e) an assisted living facility;
2986          (f) a hospice;
2987          (g) a home health agency; or
2988          (h) a personal care agency.
2989          (7) "Direct patient access" means for an individual to be in a position where the
2990     individual could, in relation to a patient or resident of the covered body who engages the
2991     individual:
2992          (a) cause physical or mental harm;
2993          (b) commit theft; or
2994          (c) view medical or financial records.
2995          (8) "Engage" means to obtain one's services:
2996          (a) by employment;
2997          (b) by contract;
2998          (c) as a volunteer; or
2999          (d) by other arrangement.
3000          (9) "Long-term care hospital":
3001          (a) means a hospital that is certified to provide long-term care services under the
3002     provisions of 42 U.S.C. Sec. 1395tt; and
3003          (b) does not include a critical access hospital, designated under 42 U.S.C. Sec.

3004     1395i-4(c)(2).
3005          (10) "Patient" means an individual who receives health care services from one of the
3006     following covered providers:
3007          (a) an end stage renal disease facility;
3008          (b) a long-term care hospital;
3009          (c) a hospice;
3010          (d) a home health agency; or
3011          (e) a personal care agency.
3012          (11) "Personal care agency" means a health care facility defined by department rule.
3013          (12) "Resident" means an individual who receives health care services from one of the
3014     following covered providers:
3015          (a) a nursing care facility;
3016          (b) a small health care facility;
3017          (c) an assisted living facility; or
3018          (d) a hospice that provides living quarters as part of its services.
3019          (13) "Residential setting" means a place provided by a covered provider:
3020          (a) for residents to live as part of the services provided by the covered provider; and
3021          (b) where an individual who is not a resident also lives.
3022          (14) "Volunteer" means an individual, as defined by department rule, who provides
3023     services without pay or other compensation.
3024          Section 28. Section 26B-2-239 is amended to read:
3025          26B-2-239. Certification for direct patient access required -- Application by
3026     covered providers, covered contractors, and individuals.
3027          (1) The definitions in Section 26B-2-238 apply to this section.
3028          (2) (a) A covered provider may engage a covered individual only if the individual has
3029     [clearance] certification for direct patient access.
3030          (b) A covered contractor may supply a covered individual to a covered employer or
3031     covered provider only if the individual has [clearance] certification for direct patient access.
3032          (c) A covered employer may engage a covered individual who does not have
3033     [clearance] certification for direct patient access.
3034          (3) (a) Notwithstanding Subsections (2)(a) and (b), if a covered individual does not

3035     have [clearance] certification for direct patient access, a covered provider may engage the
3036     individual or a covered contractor may supply the individual to a covered provider or covered
3037     employer:
3038          (i) under circumstances specified by department rule; and
3039          (ii) only while an application for [clearance] certification for direct patient access for
3040     the individual is pending.
3041          (b) For purposes of Subsection (3)(a), an application is pending if the following have
3042     been submitted to the department for the individual:
3043          (i) an application for [clearance] certification for direct patient access;
3044          (ii) the personal identification information specified by the department under
3045     Subsection 26B-2-240(4)(b); and
3046          (iii) any fees established by the department under Subsection 26B-2-240(9).
3047          (4) (a) As provided in Subsection (4)(b), each covered provider and covered contractor
3048     operating in this state shall:
3049          (i) collect from each covered individual the contractor engages, and each individual the
3050     contractor intends to engage as a covered individual, the personal identification information
3051     specified by the department under Subsection 26B-2-240(4)(b); and
3052          (ii) submit to the department an application for [clearance] certification for direct
3053     patient access for the individual, including:
3054          (A) the personal identification information; and
3055          (B) any fees established by the department under Subsection 26B-2-240(9).
3056          (b) [Clearance] Certification for direct patient access granted for an individual pursuant
3057     to an application submitted by a covered provider or a covered contractor is valid [until the
3058     later of:] for 180 days after the date on which the engaged employment lapses.
3059          (i) two years after the individual is no longer engaged as a covered individual; or
3060          (ii) the covered provider's or covered contractor's next license renewal date.
3061          (5) (a) A covered provider that provides services in a residential setting shall:
3062          (i) collect the personal identification information specified by the department under
3063     Subsection 26B-2-240(4)(b) for each individual 12 years old or older, other than a resident,
3064     who resides in the residential setting; and
3065          (ii) submit to the department an application for [clearance] certification for direct

3066     patient access for the individual, including:
3067          (A) the personal identification information; and
3068          (B) any fees established by the department under Subsection 26B-2-240(9).
3069          (b) A covered provider that provides services in a residential setting may allow an
3070     individual 12 years old or older, other than a resident, to reside in the residential setting only if
3071     the individual has [clearance] certification for direct patient access.
3072          (6) (a) An individual may apply for [clearance] certification for direct patient access by
3073     submitting to the department an application, including:
3074          (i) the personal identification information specified by the department under
3075     Subsection 26B-2-240(4)(b); and
3076          (ii) any fees established by the department under Subsection 26B-2-240(9).
3077          (b) [Clearance] Certification for direct patient access granted to an individual who
3078     makes application under Subsection (6)(a) is valid for [two years] 180 days after the date the
3079     engaged employment lapses unless the department determines otherwise based on the
3080     department's ongoing review under Subsection 26B-2-240(4)(a).
3081          Section 29. Section 26B-2-240 is amended to read:
3082          26B-2-240. Department authorized to grant, deny, or revoke certification for
3083     direct patient access -- Department may limit direct patient access -- Certification for
3084     direct patient access.
3085          (1) The definitions in Section 26B-2-238 apply to this section.
3086          (2) (a) As provided in this section, the department may grant, deny, or revoke
3087     [clearance] certification for direct patient access for an individual, including a covered
3088     individual.
3089          (b) The department may limit the circumstances under which a covered individual
3090     granted [clearance] certification for direct patient access may have direct patient access, based
3091     on the relationship factors under Subsection (4) and other mitigating factors related to patient
3092     and resident protection.
3093          (c) The department shall determine whether to grant [clearance] certification for direct
3094     patient access for each applicant for whom it receives:
3095          (i) the personal identification information specified by the department under
3096     Subsection (4)(b); and

3097          (ii) any fees established by the department under Subsection (9).
3098          (d) The department shall establish a procedure for obtaining and evaluating relevant
3099     information concerning covered individuals, including fingerprinting the applicant and
3100     submitting the prints to the Criminal Investigations and Technical Services Division of the
3101     Department of Public Safety for checking against applicable state, regional, and national
3102     criminal records files.
3103          (3) The department may review the following sources to determine whether an
3104     individual should be granted or retain [clearance] certification for direct patient access, which
3105     may include:
3106          (a) Department of Public Safety arrest, conviction, and disposition records described in
3107     Title 53, Chapter 10, Criminal Investigations and Technical Services Act, including
3108     information in state, regional, and national records files;
3109          (b) juvenile court arrest, adjudication, and disposition records, as allowed under
3110     Section 78A-6-209;
3111          (c) federal criminal background databases available to the state;
3112          (d) the Division of Child and Family Services Licensing Information System described
3113     in Section 80-2-1002;
3114          (e) child abuse or neglect findings described in Section 80-3-404;
3115          (f) the Division of Aging and Adult Services vulnerable adult abuse, neglect, or
3116     exploitation database described in Section 26B-6-210;
3117          (g) registries of nurse aids described in 42 C.F.R. Sec. 483.156;
3118          (h) licensing and certification records of individuals licensed or certified by the
3119     Division of Professional Licensing under Title 58, Occupations and Professions; and
3120          (i) the List of Excluded Individuals and Entities database maintained by the United
3121     States Department of Health and Human Services' Office of Inspector General.
3122          (4) The department shall adopt rules that:
3123          (a) specify the criteria the department will use to determine whether an individual is
3124     granted or retains [clearance] certification for direct patient access:
3125          (i) based on an initial evaluation and ongoing review of information under Subsection
3126     (3); and
3127          (ii) including consideration of the relationship the following may have to patient and

3128     resident protection:
3129          (A) warrants for arrest;
3130          (B) arrests;
3131          (C) convictions, including pleas in abeyance;
3132          (D) pending diversion agreements;
3133          (E) adjudications by a juvenile court under Section 80-6-701 if the individual is over
3134     28 years old and has been convicted, has pleaded no contest, or is subject to a plea in abeyance
3135     or diversion agreement for a felony or misdemeanor, or the individual is under 28 years old;
3136     and
3137          (F) any other findings under Subsection (3); and
3138          (b) specify the personal identification information that must be submitted by an
3139     individual or covered body with an application for [clearance] certification for direct patient
3140     access, including:
3141          (i) the applicant's Social Security number; and
3142          (ii) fingerprints.
3143          (5) For purposes of Subsection (4)(a), the department shall classify a crime committed
3144     in another state according to the closest matching crime under Utah law, regardless of how the
3145     crime is classified in the state where the crime was committed.
3146          (6) The Department of Public Safety, the Administrative Office of the Courts, the
3147     Division of Professional Licensing, and any other state agency or political subdivision of the
3148     state:
3149          (a) shall allow the department to review the information the department may review
3150     under Subsection (3); and
3151          (b) except for the Department of Public Safety, may not charge the department for
3152     access to the information.
3153          (7) The department shall adopt measures to protect the security of the information it
3154     reviews under Subsection (3) and strictly limit access to the information to department
3155     employees responsible for processing an application for [clearance] certification for direct
3156     patient access.
3157          (8) The department may disclose personal identification information specified under
3158     Subsection (4)(b) to other divisions and offices within the department to verify that the subject

3159     of the information is not identified as a perpetrator or offender in the information sources
3160     described in Subsections (3)(d) through (f).
3161          (9) The department may establish fees, in accordance with Section 63J-1-504, for an
3162     application for [clearance] certification for direct patient access, which may include:
3163          (a) the cost of obtaining and reviewing information under Subsection (3);
3164          (b) a portion of the cost of creating and maintaining the Direct Access Clearance
3165     System database under Section 26B-2-241; and
3166          (c) other department costs related to the processing of the application and the ongoing
3167     review of information pursuant to Subsection (4)(a) to determine whether [clearance]
3168     certification for direct patient access should be retained.
3169          Section 30. Section 26B-2-241 (Superseded 07/01/24) is amended to read:
3170          26B-2-241 (Superseded 07/01/24). Direct Access Clearance System database --
3171     Contents and use -- Department of Public Safety retention of information and notification
3172     -- No civil liability for providing information.
3173          (1) The definitions in Section 26B-2-238 apply to this section.
3174          (2) The department shall create and maintain a Direct Access Clearance System
3175     database, which:
3176          (a) includes the names of individuals for whom the department has received[: (i)] an
3177     application for [clearance] certification for direct patient access under this part; [or]
3178          [(ii) an application for background clearance under Section 26B-4-124;] and
3179          (b) indicates whether an application is pending and whether [clearance] certification
3180     for direct patient access has been granted and retained for[: (i)] an applicant under this part[;
3181     and].
3182          [(ii) an applicant for background clearance under Section 26B-4-124.]
3183          (3) (a) The department shall allow covered providers and covered contractors to access
3184     the database electronically.
3185          (b) Data accessible to a covered provider or covered contractor is limited to the
3186     information under Subsections (2)(a)(i) and (2)(b)(i) for:
3187          (i) covered individuals engaged by the covered provider or covered contractor; and
3188          (ii) individuals:
3189          (A) whom the covered provider or covered contractor could engage as covered

3190     individuals; and
3191          (B) who have provided the covered provider or covered contractor with sufficient
3192     personal identification information to uniquely identify the individual in the database.
3193          (c) (i) The department may establish fees, in accordance with Section 63J-1-504, for
3194     use of the database by a covered contractor.
3195          (ii) The fees may include, in addition to any fees established by the department under
3196     Subsection 26B-2-240(9), an initial set-up fee, an ongoing access fee, and a per-use fee.
3197          (4) The Criminal Investigations and Technical Services Division within the
3198     Department of Public Safety shall:
3199          (a) retain, separate from other division records, personal information, including any
3200     fingerprints, sent to the division by the department pursuant to Subsection 26B-2-240(3)(a);
3201     and
3202          (b) notify the department upon receiving notice that an individual for whom personal
3203     information has been retained is the subject of:
3204          (i) a warrant for arrest;
3205          (ii) an arrest;
3206          (iii) a conviction, including a plea in abeyance; or
3207          (iv) a pending diversion agreement.
3208          (5) A covered body is not civilly liable for submitting to the department information
3209     required under this section, Section 26B-2-239, or Section 26B-2-240, or refusing to employ an
3210     individual who does not have clearance to have direct patient access under Section 26B-2-240.
3211          Section 31. Section 26B-2-241 (Effective 07/01/24) is amended to read:
3212          26B-2-241 (Effective 07/01/24). Direct Access Clearance System database --
3213     Contents and use -- Department of Public Safety retention of information and notification
3214     -- No civil liability for providing information.
3215          (1) The definitions in Section 26B-2-238 apply to this section.
3216          (2) The department shall create and maintain a Direct Access Clearance System
3217     database, which:
3218          (a) includes the names of individuals for whom[: (i)] the department has received an
3219     application for [clearance] certification for direct patient access under this part; [or] and
3220          [(ii) the Bureau of Emergency Medical Services has received an application for

3221     background clearance under Section 53-2d-410; and]
3222          (b) indicates whether an application is pending and whether clearance has been granted
3223     and retained for[: (i)] an applicant under this part[; and].
3224          [(ii) an applicant for background clearance under Section 53-2d-410.]
3225          (3) (a) The department shall allow covered providers and covered contractors to access
3226     the database electronically.
3227          (b) Data accessible to a covered provider or covered contractor is limited to the
3228     information under Subsections (2)(a)(i) and (2)(b)(i) for:
3229          (i) covered individuals engaged by the covered provider or covered contractor; and
3230          (ii) individuals:
3231          (A) whom the covered provider or covered contractor could engage as covered
3232     individuals; and
3233          (B) who have provided the covered provider or covered contractor with sufficient
3234     personal identification information to uniquely identify the individual in the database.
3235          (c) (i) The department may establish fees, in accordance with Section 63J-1-504, for
3236     use of the database by a covered contractor.
3237          (ii) The fees may include, in addition to any fees established by the department under
3238     Subsection 26B-2-240(9), an initial set-up fee, an ongoing access fee, and a per-use fee.
3239          (4) The Criminal Investigations and Technical Services Division within the
3240     Department of Public Safety shall:
3241          (a) retain, separate from other division records, personal information, including any
3242     fingerprints, sent to the division by the department pursuant to Subsection 26B-2-240(3)(a);
3243     and
3244          (b) notify the department upon receiving notice that an individual for whom personal
3245     information has been retained is the subject of:
3246          (i) a warrant for arrest;
3247          (ii) an arrest;
3248          (iii) a conviction, including a plea in abeyance; or
3249          (iv) a pending diversion agreement.
3250          (5) A covered body is not civilly liable for submitting to the department information
3251     required under this section, Section 26B-2-239, or Section 26B-2-240, or refusing to employ an

3252     individual who does not have [clearance] certification for direct patient access to have direct
3253     patient access under Section 26B-2-240.
3254          Section 32. Section 26B-3-114 is amended to read:
3255          26B-3-114. Department standards for eligibility under Medicaid -- Funds for
3256     abortions.
3257          (1) (a) The department may develop standards and administer policies relating to
3258     eligibility under the Medicaid program [as long as they are consistent] if the standards and
3259     policies comply with Subsection [26B-4-704(8)] 26B-3-108.
3260          (b) An applicant receiving Medicaid assistance may be limited to particular types of
3261     care or services or to payment of part or all costs of care determined to be medically necessary.
3262          (2) The department may not provide any funds for medical, hospital, or other medical
3263     expenditures or medical services to otherwise eligible persons where the purpose of the
3264     assistance is to perform an abortion, unless the life of the mother would be endangered if an
3265     abortion were not performed.
3266          (3) Any employee of the department who authorizes payment for an abortion contrary
3267     to the provisions of this section is guilty of a class B misdemeanor and subject to forfeiture of
3268     office.
3269          (4) Any person or organization that, under the guise of other medical treatment,
3270     provides an abortion under auspices of the Medicaid program is guilty of a third degree felony
3271     and subject to forfeiture of license to practice medicine or authority to provide medical services
3272     and treatment.
3273          Section 33. Section 26B-3-212 is amended to read:
3274          26B-3-212. Limited family planning services for low-income individuals.
3275          (1) As used in this section:
3276          (a) (i) "Family planning services" means family planning services that are provided
3277     under the state Medicaid program, including:
3278          (A) sexual health education and family planning counseling; and
3279          (B) other medical diagnosis, treatment, or preventative care routinely provided as part
3280     of a family planning service visit.
3281          (ii) "Family planning services" do not include an abortion, as that term is defined in
3282     Section 76-7-301 or 76-7a-101.

3283          (b) "Low-income individual" means an individual who:
3284          (i) has an income level that is equal to or below 185% of the federal poverty level; and
3285          (ii) does not qualify for full coverage under the Medicaid program.
3286          (2) Before January 1, 2024, the division shall apply for a Medicaid waiver or a state
3287     plan amendment with CMS to:
3288          (a) offer a program that provides family planning services to low-income individuals;
3289     and
3290          (b) receive a federal match rate of 90% of state expenditures for family planning
3291     services provided under the waiver or state plan amendment.
3292          Section 34. Section 26B-4-118 (Superseded 07/01/24) is amended to read:
3293          26B-4-118 (Superseded 07/01/24). Permits for emergency medical service vehicles
3294     and nonemergency secured behavioral health transport vehicles.
3295          (1) (a) To ensure that emergency medical service vehicles and nonemergency secured
3296     behavioral health transport vehicles are adequately staffed, safe, maintained, properly
3297     equipped, and safely operated, the committee shall establish permit requirements at levels it
3298     considers appropriate in the following categories:
3299          (i) ambulance;
3300          (ii) emergency medical response vehicle; and
3301          (iii) nonemergency secured behavioral health transport vehicle.
3302          (b) The permit requirements under Subsections (1)(a)(i) and (ii) shall include a
3303     requirement that [beginning on or after January 31, 2014,] every operator of an ambulance or
3304     emergency medical response vehicle annually provide proof of the successful completion of an
3305     emergency vehicle operator's course approved by the department for all ambulances and
3306     emergency medical response vehicle operators.
3307          (2) The department shall, based on the requirements established in Subsection (1),
3308     issue permits to emergency medical service vehicles and nonemergency secured behavioral
3309     health transport vehicles.
3310          Section 35. Section 26B-4-136 (Superseded 07/01/24) is amended to read:
3311          26B-4-136 (Superseded 07/01/24). Volunteer Emergency Medical Service
3312     Personnel Health Insurance Program -- Creation -- Administration -- Eligibility --
3313     Benefits -- Rulemaking -- Advisory board.

3314          (1) As used in this section:
3315          (a) "Health benefit plan" means the same as that term is defined in Section 31A-1-301.
3316          (b) "Local government entity" means a political subdivision that:
3317          (i) is licensed as a ground ambulance provider under Sections 26B-4-150 through
3318     26B-4-170; and
3319          (ii) [as of January 1, 2022,] does not offer health insurance benefits to volunteer
3320     emergency medical service personnel.
3321          (c) "PEHP" means the Public Employees' Benefit and Insurance Program created in
3322     Section 49-20-103.
3323          (d) "Political subdivision" means a county, a municipality, a limited purpose
3324     government entity described in Title 17B, Limited Purpose Local Government Entities -
3325     Special Districts, or Title 17D, Limited Purpose Local Government Entities - Other Entities, or
3326     an entity created by an interlocal agreement under Title 11, Chapter 13, Interlocal Cooperation
3327     Act.
3328          (e) "Qualifying association" means an association that represents two or more political
3329     subdivisions in the state.
3330          (2) The Volunteer Emergency Medical Service Personnel Health Insurance Program
3331     shall promote recruitment and retention of volunteer emergency medical service personnel by
3332     making health insurance available to volunteer emergency medical service personnel.
3333          (3) The department shall contract with a qualifying association to create, implement,
3334     and administer the Volunteer Emergency Medical Service Personnel Health Insurance Program
3335     described in this section.
3336          (4) Participation in the program is limited to emergency medical service personnel
3337     who:
3338          (a) are licensed under Section 26B-4-116 and are able to perform all necessary
3339     functions associated with the license;
3340          (b) provide emergency medical services under the direction of a local governmental
3341     entity:
3342          (i) by responding to 20% of calls for emergency medical services in a rolling
3343     twelve-month period;
3344          (ii) within a county of the third, fourth, fifth, or sixth class; and

3345          (iii) as a volunteer under the Fair Labor Standards Act, in accordance with 29 C.F.R.
3346     Sec. 553.106;
3347          (c) are not eligible for a health benefit plan through an employer or a spouse's
3348     employer;
3349          (d) are not eligible for medical coverage under a government sponsored healthcare
3350     program; and
3351          (e) reside in the state.
3352          (5) (a) A participant in the program is eligible to participate in PEHP in accordance
3353     with Subsection (5)(b) and Subsection 49-20-201(3).
3354          (b) Benefits available to program participants under PEHP are limited to health
3355     insurance that:
3356          (i) covers the program participant and the program participant's eligible dependents on
3357     a July 1 plan year;
3358          (ii) accepts enrollment during an open enrollment period or for a special enrollment
3359     event, including the initial eligibility of a program participant;
3360          (iii) if the program participant is no longer eligible for benefits, terminates on the last
3361     day of the last month for which the individual is a participant in the Volunteer Emergency
3362     Medical Service Personnel Health Insurance Program; and
3363          (iv) is not subject to continuation rights under state or federal law.
3364          (6) (a) The department may make rules in accordance with Title 63G, Chapter 3, Utah
3365     Administrative Rulemaking Act, to define additional criteria regarding benefit design and
3366     eligibility for the program.
3367          (b) The department shall convene an advisory board:
3368          (i) to advise the department on making rules under Subsection (6)(a); and
3369          (ii) that includes representation from at least the following entities:
3370          (A) the qualifying association that receives the contract under Subsection (3); and
3371          (B) PEHP.
3372          (7) For purposes of this section, the qualifying association that receives the contract
3373     under Subsection (3) shall be considered the public agency for whom the program participant is
3374     volunteering under 29 C.F.R. Sec. 553.101.
3375          Section 36. Section 26B-4-152 (Superseded 07/01/24) is amended to read:

3376          26B-4-152 (Superseded 07/01/24). Establishment of maximum rates.
3377          (1) The department shall, after receiving recommendations under Subsection (2),
3378     establish maximum rates for ground ambulance providers and paramedic providers that are just
3379     and reasonable.
3380          (2) The committee may make recommendations to the department on the maximum
3381     rates that should be set under Subsection (1).
3382          (3) (a) [The department shall prohibit ground] Ground ambulance providers and
3383     paramedic providers [from charging] may not charge fees for transporting a patient when the
3384     provider does not transport the patient.
3385          (b) The provisions of Subsection (3)(a) do not apply to ambulance providers or
3386     paramedic providers in a geographic service area which contains a town as defined in
3387     Subsection 10-2-301(2)(f).
3388          Section 37. Section 26B-4-154 (Superseded 07/01/24) is amended to read:
3389          26B-4-154 (Superseded 07/01/24). Ground ambulance and paramedic licenses --
3390     Agency notice of approval.
3391          (1) [Beginning January 1, 2004, if] If the department determines that the application
3392     meets the minimum requirements for licensure under Section 26B-4-153, the department shall
3393     issue a notice of the approved application to the applicant.
3394          (2) A current license holder responding to a request for proposal under Section
3395     26B-4-156 is considered an approved applicant for purposes of Section 26B-4-156 if the
3396     current license holder, prior to responding to the request for proposal, submits the following to
3397     the department:
3398          (a) the information described in Subsections 26B-4-153(4)(a)(i) through (iii); and
3399          (b) (i) if the license holder is a private entity, a financial statement, a pro forma budget
3400     and necessary letters of credit demonstrating a financial ability to expand service to a new
3401     service area; or
3402          (ii) if the license holder is a governmental entity, a letter from the governmental entity's
3403     governing body demonstrating the governing body's willingness to financially support the
3404     application.
3405          Section 38. Section 26B-4-201 is amended to read:
3406          26B-4-201. Definitions.

3407          As used in this part:
3408          (1) "Active tetrahydrocannabinol" means THC, any THC analog, and
3409     tetrahydrocannabinolic acid.
3410          (2) "Advertise" [or "advertising"] means information provided by a [medical cannabis
3411     pharmacy] person in any medium:
3412          (a) to the public; and
3413          (b) that is not age restricted to an individual who is at least 21 years old.
3414          (3) "Advisory board" means the Medical Cannabis Policy Advisory Board created in
3415     Section 26B-1-435.
3416          (4) " Cannabis Research Review Board" means the Cannabis Research Review Board
3417     created in Section 26B-1-420.
3418          (5) "Cannabis" means marijuana.
3419          [(6) "Cannabis cultivation facility" means the same as that term is defined in Section
3420     4-41a-102.]
3421          [(7)] (6) "Cannabis processing facility" means the same as that term is defined in
3422     Section 4-41a-102.
3423          [(8)] (7) "Cannabis product" means a product that:
3424          (a) is intended for human use; and
3425          (b) contains cannabis or any tetrahydrocannabinol or THC analog in a total
3426     concentration of 0.3% or greater on a dry weight basis.
3427          [(9)] (8) "Cannabis production establishment" means the same as that term is defined
3428     in Section 4-41a-102.
3429          [(10)] (9) "Cannabis production establishment agent" means the same as that term is
3430     defined in Section 4-41a-102.
3431          [(11)] (10) "Cannabis production establishment agent registration card" means the
3432     same as that term is defined in Section 4-41a-102.
3433          [(12) "Community location" means a public or private elementary or secondary school,
3434     a church, a public library, a public playground, or a public park.]
3435          [(13)] (11) "Conditional medical cannabis card" means an electronic medical cannabis
3436     card that the department issues in accordance with Subsection 26B-4-213(1)(b) to allow an
3437     applicant for a medical cannabis card to access medical cannabis during the department's

3438     review of the application.
3439          [(14)] (12) "Controlled substance database" means the controlled substance database
3440     created in Section 58-37f-201.
3441          [(15)] (13) "Delivery address" means:
3442          (a) for a medical cannabis cardholder who is not a facility, the medical cannabis
3443     cardholder's home address; or
3444          (b) for a medical cannabis cardholder that is a facility, the facility's address.
3445          [(16)] (14) "Department" means the Department of Health and Human Services.
3446          [(17)] (15) "Designated caregiver" means:
3447          (a) an individual:
3448          (i) whom an individual with a medical cannabis patient card or a medical cannabis
3449     guardian card designates as the patient's caregiver; and
3450          (ii) who registers with the department under Section 26B-4-214; or
3451          (b) (i) a facility that an individual designates as a designated caregiver in accordance
3452     with Subsection 26B-4-214(1)(b); or
3453          (ii) an assigned employee of the facility described in Subsection 26B-4-214(1)(b)(ii).
3454          [(18)] (16) "Directions of use" means recommended routes of administration for a
3455     medical cannabis treatment and suggested usage guidelines.
3456          [(19)] (17) "Dosing guidelines" means a quantity range and frequency of administration
3457     for a recommended treatment of medical cannabis.
3458          [(20) "Financial institution" means a bank, trust company, savings institution, or credit
3459     union, chartered and supervised under state or federal law.]
3460          [(21)] (18) "Government issued photo identification" means any of the following forms
3461     of identification:
3462          (a) a valid state-issued driver license or identification card;
3463          (b) a valid United States federal-issued photo identification, including:
3464          (i) a United States passport;
3465          (ii) a United States passport card;
3466          (iii) a United States military identification card; or
3467          (iv) a permanent resident card or alien registration receipt card; or
3468          (c) a foreign passport.

3469          [(22)] (19) "Home delivery medical cannabis pharmacy" means a medical cannabis
3470     pharmacy that the department authorizes, as part of the pharmacy's license, to deliver medical
3471     cannabis shipments to a delivery address to fulfill electronic orders that the state central patient
3472     portal facilitates.
3473          [(23)] (20) "Inventory control system" means the system described in Section
3474     4-41a-103.
3475          [(24)] (21) "Legal dosage limit" means an amount that:
3476          (a) is sufficient to provide 30 days of treatment based on the dosing guidelines that the
3477     relevant recommending medical provider or the state central patient portal or pharmacy
3478     medical provider, in accordance with Subsection 26B-4-230(5), recommends; and
3479          (b) may not exceed:
3480          (i) for unprocessed cannabis in a medicinal dosage form, 113 grams by weight; and
3481          (ii) for a cannabis product in a medicinal dosage form, a quantity that contains, in total,
3482     greater than 20 grams of active tetrahydrocannabinol.
3483          [(25)] (22) "Legal use termination date" means a date on the label of a container of
3484     unprocessed cannabis flower:
3485          (a) that is 60 days after the date of purchase of the cannabis; and
3486          (b) after which, the cannabis is no longer in a medicinal dosage form outside of the
3487     primary residence of the relevant medical cannabis patient cardholder.
3488          [(26)] (23) "Limited medical provider" means an individual who:
3489          (a) meets the recommending qualifications; and
3490          (b) has no more than 15 patients with a valid medical cannabis patient card [or
3491     provisional patient card] as a result of the individual's recommendation, in accordance with
3492     Subsection 26B-4-204(1)(b).
3493          [(27)] (24) "Marijuana" means the same as that term is defined in Section 58-37-2.
3494          [(28)] (25) "Medical cannabis" means cannabis in a medicinal dosage form or a
3495     cannabis product in a medicinal dosage form.
3496          [(29)] (26) "Medical cannabis card" means a medical cannabis patient card, a medical
3497     cannabis guardian card, a medical cannabis caregiver card, or a conditional medical cannabis
3498     card.
3499          [(30)] (27) "Medical cannabis cardholder" means:

3500          (a) a holder of a medical cannabis card; or
3501          (b) a facility or assigned employee, described in Subsection(17)(b), only:
3502          (i) within the scope of the facility's or assigned employee's performance of the role of a
3503     medical cannabis patient cardholder's caregiver designation under Subsection 26B-4-214(1)(b);
3504     and
3505          (ii) while in possession of documentation that establishes:
3506          (A) a caregiver designation described in Subsection 26B-4-214(1)(b);
3507          (B) the identity of the individual presenting the documentation; and
3508          (C) the relation of the individual presenting the documentation to the caregiver
3509     designation.
3510          [(31)] (28) "Medical cannabis caregiver card" means an electronic document that a
3511     cardholder may print or store on an electronic device or a physical card or document that:
3512          (a) the department issues to an individual whom a medical cannabis patient cardholder
3513     or a medical cannabis guardian cardholder designates as a designated caregiver; and
3514          (b) is connected to the electronic verification system.
3515          [(32)] (29) "Medical cannabis courier" means the same as that term is defined in
3516     Section 4-41a-102.
3517          [(33) "Medical cannabis courier agent" means the same as that term is defined in
3518     Section 4-41a-102.]
3519          [(34)] (30) (a) "Medical cannabis device" means a device that an individual uses to
3520     ingest or inhale cannabis in a medicinal dosage form or a cannabis product in a medicinal
3521     dosage form.
3522          (b) "Medical cannabis device" does not include a device that:
3523          (i) facilitates cannabis combustion; or
3524          (ii) an individual uses to ingest substances other than cannabis.
3525          [(35)] (31) "Medical cannabis guardian card" means an electronic document that a
3526     cardholder may print or store on an electronic device or a physical card or document that:
3527          (a) the department issues to the parent or legal guardian of a minor with a qualifying
3528     condition; and
3529          (b) is connected to the electronic verification system.
3530          [(36)] (32) "Medical cannabis patient card" means an electronic document that a

3531     cardholder may print or store on an electronic device or a physical card or document that:
3532          (a) the department issues to an individual with a qualifying condition; and
3533          (b) is connected to the electronic verification system.
3534          [(37)] (33) "Medical cannabis pharmacy" means a person that:
3535          (a) (i) acquires or intends to acquire medical cannabis or a cannabis product in a
3536     medicinal dosage form from a cannabis processing facility or another medical cannabis
3537     pharmacy or a medical cannabis device; or
3538          (ii) possesses medical cannabis or a medical cannabis device; and
3539          (b) sells or intends to sell medical cannabis or a medical cannabis device to a medical
3540     cannabis cardholder.
3541          [(38)] (34) "Medical cannabis pharmacy agent" means an individual who holds a valid
3542     medical cannabis pharmacy agent registration card issued by the department.
3543          [(39)] (35) "Medical cannabis pharmacy agent registration card" means a registration
3544     card issued by the department that authorizes an individual to act as a medical cannabis
3545     pharmacy agent.
3546          [(40)] (36) "Medical cannabis shipment" means the same as that term is defined in
3547     Section 4-41a-102.
3548          [(41)] (37) "Medical cannabis treatment" means cannabis in a medicinal dosage form, a
3549     cannabis product in a medicinal dosage form, or a medical cannabis device.
3550          [(42)] (38) (a) "Medicinal dosage form" means:
3551          (i) for processed medical cannabis or a medical cannabis product, the following with a
3552     specific and consistent cannabinoid content:
3553          (A) a tablet;
3554          (B) a capsule;
3555          (C) a concentrated liquid or viscous oil;
3556          (D) a liquid suspension that[, after December 1, 2022,] does not exceed 30 [ml]
3557     milliliters;
3558          (E) a topical preparation;
3559          (F) a transdermal preparation;
3560          (G) a sublingual preparation;
3561          (H) a gelatinous cube, gelatinous rectangular cuboid, or lozenge in a cube or

3562     rectangular cuboid shape;
3563          (I) a resin or wax; or
3564          (J) an aerosol; or
3565          (ii) for unprocessed cannabis flower, a container described in Section 4-41a-602 that:
3566          (A) contains cannabis [flowers] flower in a quantity that varies by no more than 10%
3567     from the stated weight at the time of packaging;
3568          (B) at any time the medical cannabis cardholder transports or possesses the container in
3569     public, is contained within an opaque bag or box that the medical cannabis pharmacy provides;
3570     and
3571          (C) is labeled with the container's content and weight, the date of purchase, the legal
3572     use termination date, and [after December 31, 2020,] a barcode that provides information
3573     connected to an inventory control system .
3574          (b) "Medicinal dosage form" includes a portion of unprocessed cannabis flower that:
3575          (i) the medical cannabis cardholder has recently removed from the container described
3576     in Subsection (42)(a)(ii) for use; and
3577          (ii) does not exceed the quantity described in Subsection (42)(a)(ii).
3578          (c) "Medicinal dosage form" does not include:
3579          (i) any unprocessed cannabis flower outside of the container described in Subsection
3580     (42)(a)(ii), except as provided in Subsection (42)(b);
3581          (ii) any unprocessed cannabis flower in a container described in Subsection (42)(a)(ii)
3582     after the legal use termination date;
3583          (iii) a process of vaporizing and inhaling concentrated cannabis by placing the cannabis
3584     on a nail or other metal object that is heated by a flame, including a blowtorch;
3585          (iv) a liquid suspension that is branded as a beverage; or
3586          (v) a substance described in Subsection (42)(a)(i) or (ii) if the substance is not
3587     measured in grams, milligrams, or milliliters.
3588          [(43)] (39) "Nonresident patient" means an individual who:
3589          (a) is not a resident of Utah or has been a resident of Utah for less than 45 days;
3590          (b) has a currently valid medical cannabis card or the equivalent of a medical cannabis
3591     card under the laws of another state, district, territory, commonwealth, or insular possession of
3592     the United States; and

3593          (c) has been diagnosed with a qualifying condition as described in Section 26B-4-203.
3594          [(44) "Payment provider" means an entity that contracts with a cannabis production
3595     establishment or medical cannabis pharmacy to facilitate transfers of funds between the
3596     establishment or pharmacy and other businesses or individuals.]
3597          [(45)] (40) "Pharmacy medical provider" means the medical provider required to be on
3598     site at a medical cannabis pharmacy under Section 26B-4-219.
3599          [(46)] (41) "Provisional patient card" means a card that:
3600          (a) the department issues to a minor with a qualifying condition for whom:
3601          (i) a recommending medical provider has recommended a medical cannabis treatment;
3602     and
3603          (ii) the department issues a medical cannabis guardian card to the minor's parent or
3604     legal guardian; and
3605          (b) is connected to the electronic verification system.
3606          [(47)] (42) "Qualified medical provider" means an individual:
3607          (a) who meets the recommending qualifications; and
3608          (b) whom the department registers to recommend treatment with cannabis in a
3609     medicinal dosage form under Section 26B-4-204.
3610          [(48)] (43) "Qualified Patient Enterprise Fund" means the enterprise fund created in
3611     Section 26B-1-310.
3612          [(49)] (44) "Qualifying condition" means a condition described in Section 26B-4-203.
3613          [(50)] (45) "Recommend" or "recommendation" means, for a recommending medical
3614     provider, the act of suggesting the use of medical cannabis treatment, which:
3615          (a) certifies the patient's eligibility for a medical cannabis card; and
3616          (b) may include, at the recommending medical provider's discretion, directions of use,
3617     with or without dosing guidelines.
3618          [(51)] (46) "Recommending medical provider" means a qualified medical provider or a
3619     limited medical provider.
3620          [(52)] (47) "Recommending qualifications" means that an individual:
3621          (a) (i) has the authority to write a prescription;
3622          (ii) is licensed to prescribe a controlled substance under Title 58, Chapter 37, Utah
3623     Controlled Substances Act; and

3624          (iii) possesses the authority, in accordance with the individual's scope of practice, to
3625     prescribe a Schedule II controlled substance; and
3626          (b) is licensed as:
3627          (i) a podiatrist under Title 58, Chapter 5a, Podiatric Physician Licensing Act;
3628          (ii) an advanced practice registered nurse under Title 58, Chapter 31b, Nurse Practice
3629     Act;
3630          (iii) a physician under Title 58, Chapter 67, Utah Medical Practice Act, or Title 58,
3631     Chapter 68, Utah Osteopathic Medical Practice Act; or
3632          (iv) a physician assistant under Title 58, Chapter 70a, Utah Physician Assistant Act.
3633          [(53)] (48) "State central patient portal" means the website the department creates, in
3634     accordance with Section 26B-4-236, to facilitate patient safety, education, and an electronic
3635     medical cannabis order.
3636          [(54)] (49) "State electronic verification system" means the system described in Section
3637     26B-4-202.
3638          [(55) "Targeted marketing" means the promotion by a medical cannabis pharmacy of a
3639     medical cannabis product, medical cannabis brand, or a medical cannabis device using any of
3640     the following methods:]
3641          [(a) electronic communication to an individual who is at least 21 years old and has
3642     requested to receive promotional information from the medical cannabis pharmacy;]
3643          [(b) an in-person marketing event that is:]
3644          [(i) held inside a medical cannabis pharmacy; and]
3645          [(ii) in an area where only a medical cannabis cardholder may access the event; or]
3646          [(c) other marketing material that is physically available or digitally displayed in:]
3647          [(i) a medical cannabis pharmacy; and]
3648          [(ii) an area where only a medical cannabis cardholder has access.]
3649          [(56)] (50) "Tetrahydrocannabinol" or "THC" means a substance derived from
3650     cannabis or a synthetic equivalent as described in Subsection 58-37-4(2)(a)(iii)(AA).
3651          [(57)] (51) "THC analog" means the same as that term is defined in Section 4-41-102.
3652          Section 39. Section 26B-4-202 is amended to read:
3653          26B-4-202. Electronic verification system.
3654          (1) The Department of Agriculture and Food, the department, the Department of Public

3655     Safety, and the Division of Technology Services shall:
3656          (a) enter into a memorandum of understanding in order to determine the function and
3657     operation of the state electronic verification system in accordance with Subsection (2);
3658          (b) coordinate with the Division of Purchasing, under Title 63G, Chapter 6a, Utah
3659     Procurement Code, to develop a request for proposals for a third-party provider to develop and
3660     maintain the state electronic verification system in coordination with the Division of
3661     Technology Services; and
3662          (c) select a third-party provider who:
3663          (i) meets the requirements contained in the request for proposals issued under
3664     Subsection (1)(b); and
3665          (ii) may not have any commercial or ownership interest in a cannabis production
3666     establishment or a medical cannabis pharmacy.
3667          (2) The Department of Agriculture and Food, the department, the Department of Public
3668     Safety, and the Division of Technology Services shall ensure that the state electronic
3669     verification system described in Subsection (1):
3670          (a) allows an individual to apply for a medical cannabis patient card or, if applicable, a
3671     medical cannabis guardian card, provided that the card may not become active until:
3672          (i) the relevant qualified medical provider completes the associated medical cannabis
3673     recommendation; or
3674          (ii) for a medical cannabis card related to a limited medical provider's
3675     recommendation, the medical cannabis pharmacy completes the recording described in
3676     Subsection (2)(d);
3677          (b) allows an individual to apply to renew a medical cannabis patient card or a medical
3678     cannabis guardian card in accordance with Section 26B-4-213;
3679          (c) allows a qualified medical provider, or an employee described in Subsection (3)
3680     acting on behalf of the qualified medical provider, to:
3681          (i) access dispensing and card status information regarding a patient:
3682          (A) with whom the qualified medical provider has a provider-patient relationship; and
3683          (B) for whom the qualified medical provider has recommended or is considering
3684     recommending a medical cannabis card;
3685          (ii) electronically [recommendtreatment] recommend treatment with cannabis in a

3686     medicinal dosage form or a cannabis product in a medicinal dosage form and optionally
3687     recommend dosing guidelines;
3688          (iii) electronically renew a recommendation to a medical cannabis patient cardholder or
3689     medical cannabis guardian cardholder:
3690          (A) using telehealth services, for the qualified medical provider who originally
3691     recommended a medical cannabis treatment during a face-to-face visit with the patient; or
3692          (B) during a face-to-face visit with the patient, for a qualified medical provider who
3693     did not originally recommend the medical cannabis treatment during a face-to-face visit
3694          (iv) submit an initial application, renewal application, or application payment on behalf
3695     of an individual applying for any of the following:
3696          (A) a medical cannabis patient card;
3697          (B) a medical cannabis guardian card; or
3698          (C) a medical cannabis caregiver card;
3699          (d) allows a medical cannabis pharmacy medical provider or medical cannabis
3700     pharmacy agent, in accordance with Subsection 4-41a-1101(10)(a), to:
3701          (i) access the electronic verification system to review the history within the system of a
3702     patient with whom the provider or agent is interacting, limited to read-only access for medical
3703     cannabis pharmacy agents unless the medical cannabis pharmacy's pharmacist in charge
3704     authorizes add and edit access;
3705          (ii) record a patient's recommendation from a limited medical provider, including any
3706     directions of use, dosing guidelines, or caregiver indications from the limited medical provider;
3707          (iii) record a limited medical provider's renewal of the provider's previous
3708     recommendation; and
3709          (iv) submit an initial application, renewal application, or application payment on behalf
3710     of an individual applying for any of the following:
3711          (A) a medical cannabis patient card;
3712          (B) a medical cannabis guardian card; or
3713          (C) a medical cannabis caregiver card;
3714          (e) connects with:
3715          (i) an inventory control system that a medical cannabis pharmacy uses to track in real
3716     time and archive purchases of any cannabis in a medicinal dosage form, cannabis product in a

3717     medicinal dosage form, or a medical cannabis device, including:
3718          (A) the time and date of each purchase;
3719          (B) the quantity and type of cannabis, cannabis product, or medical cannabis device
3720     purchased;
3721          (C) any cannabis production establishment, any medical cannabis pharmacy, or any
3722     medical cannabis courier associated with the cannabis, cannabis product, or medical cannabis
3723     device; and
3724          (D) the personally identifiable information of the medical cannabis cardholder who
3725     made the purchase; and
3726          (ii) any commercially available inventory control system that a cannabis production
3727     establishment utilizes in accordance with Section 4-41a-103 to use data that the Department of
3728     Agriculture and Food requires by rule, in accordance with Title 63G, Chapter 3, Utah
3729     Administrative Rulemaking Act, from the inventory tracking system that a licensee uses to
3730     track and confirm compliance;
3731          (f) provides access to:
3732          (i) the department to the extent necessary to carry out the department's functions and
3733     responsibilities under this part;
3734          (ii) the Department of Agriculture and Food to the extent necessary to carry out the
3735     functions and responsibilities of the Department of Agriculture and Food under Title 4, Chapter
3736     41a, Cannabis Production Establishments and Pharmacies; and
3737          (iii) the Division of Professional Licensing to the extent necessary to carry out the
3738     functions and responsibilities related to the participation of the following in the
3739     recommendation and dispensing of medical cannabis:
3740          (A) a podiatrist licensed under Title 58, Chapter 5a, Podiatric Physician Licensing Act;
3741          (B) a pharmacist licensed under Title 58, Chapter 17b, Pharmacy Practice Act;
3742          (C) an advanced practice registered nurse licensed under Title 58, Chapter 31b, Nurse
3743     Practice Act;
3744          (D) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or
3745     Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or
3746          (E) a physician assistant licensed under Title 58, Chapter 70a, Utah Physician Assistant
3747     Act;

3748          (g) provides access to and interaction with the state central patient portal;
3749          (h) communicates dispensing information from a record that a medical cannabis
3750     pharmacy submits to the state electronic verification system under Subsection
3751     4-41a-1102(3)(a)(ii) to the controlled substance database;
3752          (i) provides access to state or local law enforcement:
3753          (i) during a law enforcement encounter, without a warrant, using the individual's driver
3754     license or state ID, only for the purpose of determining if the individual subject to the law
3755     enforcement encounter has a valid medical cannabis card; or
3756          (ii) after obtaining a warrant; and
3757          (j) creates a record each time a person accesses the system that identifies the person
3758     who accesses the system and the individual whose records the person accesses.
3759          (3) (a) An employee of a qualified medical provider may access the electronic
3760     verification system for a purpose described in Subsection (2)(c) on behalf of the qualified
3761     medical provider if:
3762          (i) the qualified medical provider has designated the employee as an individual
3763     authorized to access the electronic verification system on behalf of the qualified medical
3764     provider;
3765          (ii) the qualified medical provider provides written notice to the department of the
3766     employee's identity and the designation described in Subsection (3)(a)(i); and
3767          (iii) the department grants to the employee access to the electronic verification system.
3768          (b) An employee of a business that employs a qualified medical provider may access
3769     the electronic verification system for a purpose described in Subsection (2)(c) on behalf of the
3770     qualified medical provider if:
3771          (i) the qualified medical provider has designated the employee as an individual
3772     authorized to access the electronic verification system on behalf of the qualified medical
3773     provider;
3774          (ii) the qualified medical provider and the employing business jointly provide written
3775     notice to the department of the employee's identity and the designation described in Subsection
3776     (3)(b)(i); and
3777          (iii) the department grants to the employee access to the electronic verification system.
3778          (4) (a) As used in this Subsection (4), "prescribing provider" means:

3779          (i) a podiatrist licensed under Title 58, Chapter 5a, Podiatric Physician Licensing Act;
3780          (ii) an advanced practice registered nurse licensed under Title 58, Chapter 31b, Nurse
3781     Practice Act;
3782          (iii) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or
3783     Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or
3784          (iv) a physician assistant licensed under Title 58, Chapter 70a, Utah Physician
3785     Assistant Act.
3786          (b) A prescribing provider may access information in the electronic verification system
3787     regarding a patient the prescribing provider treats.
3788          (5) The department may release limited data that the system collects for the purpose of:
3789          (a) conducting medical and other department approved research;
3790          (b) providing the report required by Section 26B-4-222; and
3791          (c) other official department purposes.
3792          (6) The department shall make rules, in accordance with Title 63G, Chapter 3, Utah
3793     Administrative Rulemaking Act, to establish:
3794          (a) the limitations on access to the data in the state electronic verification system as
3795     described in this section; and
3796          (b) standards and procedures to ensure accurate identification of an individual
3797     requesting information or receiving information in this section.
3798          (7) (a) Any person who knowingly and intentionally releases any information in the
3799     state electronic verification system in violation of this section is guilty of a third degree felony.
3800          (b) Any person who negligently or recklessly releases any information in the state
3801     electronic verification system in violation of this section is guilty of a class C misdemeanor.
3802          (8) (a) Any person who obtains or attempts to obtain information from the state
3803     electronic verification system by misrepresentation or fraud is guilty of a third degree felony.
3804          (b) Any person who obtains or attempts to obtain information from the state electronic
3805     verification system for a purpose other than a purpose this part authorizes is guilty of a third
3806     degree felony.
3807          (9) (a) Except as provided in Subsection (9)(e), a person may not knowingly and
3808     intentionally use, release, publish, or otherwise make available to any other person information
3809     obtained from the state electronic verification system for any purpose other than a purpose

3810     specified in this section.
3811          (b) Each separate violation of this Subsection (9) is:
3812          (i) a third degree felony; and
3813          (ii) subject to a civil penalty not to exceed $5,000.
3814          (c) The department shall determine a civil violation of this Subsection (9) in
3815     accordance with Title 63G, Chapter 4, Administrative Procedures Act.
3816          (d) Civil penalties assessed under this Subsection (9) shall be deposited into the
3817     General Fund.
3818          (e) This Subsection (9) does not prohibit a person who obtains information from the
3819     state electronic verification system under Subsection (2)(a), (c), or (f) from:
3820          (i) including the information in the person's medical chart or file for access by a person
3821     authorized to review the medical chart or file;
3822          (ii) providing the information to a person in accordance with the requirements of the
3823     Health Insurance Portability and Accountability Act of 1996; or
3824          (iii) discussing or sharing that information about the patient with the patient.
3825          Section 40. Section 26B-4-213 is amended to read:
3826          26B-4-213. Medical cannabis patient card -- Medical cannabis guardian card --
3827     Conditional medical cannabis card -- Application -- Fees -- Studies.
3828          (1) (a) Subject to Section 26B-4-246, within 15 days after the day on which an
3829     individual who satisfies the eligibility criteria in this section or Section 26B-4-214 submits an
3830     application in accordance with this section or Section 26B-4-214, the department shall:
3831          (i) issue a medical cannabis patient card to an individual described in Subsection
3832     (2)(a);
3833          (ii) issue a medical cannabis guardian card to an individual described in Subsection
3834     (2)(b);
3835          (iii) issue a provisional patient card to a minor described in Subsection (2)(c); and
3836          (iv) issue a medical cannabis caregiver card to an individual described in Subsection
3837     26B-4-214(4).
3838          (b) (i) Upon the entry of a recommending medical provider's medical cannabis
3839     recommendation for a patient in the state electronic verification system, either by the provider
3840     or the provider's employee or by a medical cannabis pharmacy medical provider or medical

3841     cannabis pharmacy in accordance with Subsection 4-41a-1101(10)(a), the department shall
3842     issue to the patient an electronic conditional medical cannabis card, in accordance with this
3843     Subsection (1)(b).
3844          (ii) A conditional medical cannabis card is valid for the lesser of:
3845          (A) 60 days; or
3846          (B) the day on which the department completes the department's review and issues a
3847     medical cannabis card under Subsection (1)(a), denies the patient's medical cannabis card
3848     application, or revokes the conditional medical cannabis card under Subsection (8).
3849          (iii) The department may issue a conditional medical cannabis card to an individual
3850     applying for a medical cannabis patient card for which approval of the Compassionate Use
3851     Board is not required.
3852          (iv) An individual described in Subsection (1)(b)(iii) has the rights, restrictions, and
3853     obligations under law applicable to a holder of the medical cannabis card for which the
3854     individual applies and for which the department issues the conditional medical cannabis card.
3855          (2) (a) An individual is eligible for a medical cannabis patient card if:
3856          (i) (A) the individual is at least 21 years old; or
3857          (B) the individual is 18, 19, or 20 years old, the individual petitions the Compassionate
3858     Use Board under Section 26B-1-421, and the Compassionate Use Board recommends
3859     department approval of the petition;
3860          (ii) the individual is a Utah resident;
3861          (iii) the individual's recommending medical provider recommends treatment with
3862     medical cannabis in accordance with Subsection (4);
3863          (iv) the individual signs an acknowledgment stating that the individual received the
3864     information described in Subsection (9); and
3865          (v) the individual pays to the department a fee in an amount that, subject to Subsection
3866     26B-1-310(5), the department sets in accordance with Section 63J-1-504.
3867          (b) (i) An individual is eligible for a medical cannabis guardian card if the individual:
3868          (A) is at least 18 years old;
3869          (B) is a Utah resident;
3870          (C) is the parent or legal guardian of a minor for whom the minor's qualified medical
3871     provider recommends a medical cannabis treatment, the individual petitions the Compassionate

3872     Use Board under Section 26B-1-421, and the Compassionate Use Board recommends
3873     department approval of the petition;
3874          (D) the individual signs an acknowledgment stating that the individual received the
3875     information described in Subsection (9);
3876          (E) pays to the department a fee in an amount that, subject to Subsection 26B-1-310(5),
3877     the department sets in accordance with Section 63J-1-504, plus the cost of the criminal
3878     background check described in Section 26B-4-215.
3879          (ii) The department shall notify the Department of Public Safety of each individual that
3880     the department registers for a medical cannabis guardian card.
3881          (c) (i) A minor is eligible for a provisional patient card if:
3882          (A) the minor has a qualifying condition;
3883          (B) the minor's qualified medical provider recommends a medical cannabis treatment
3884     to address the minor's qualifying condition;
3885          (C) one of the minor's parents or legal guardians petitions the Compassionate Use
3886     Board under Section 26B-1-421, and the Compassionate Use Board recommends department
3887     approval of the petition; and
3888          (D) the minor's parent or legal guardian is eligible for a medical cannabis guardian card
3889     under Subsection (2)(b) or designates a caregiver under Subsection (2)(d) who is eligible for a
3890     medical cannabis caregiver card under Section 26B-4-214.
3891          (ii) The department shall automatically issue a provisional patient card to the minor
3892     described in Subsection (2)(c)(i) at the same time the department issues a medical cannabis
3893     guardian card to the minor's parent or legal guardian.
3894          (d) If the parent or legal guardian of a minor described in Subsections (2)(c)(i)(A)
3895     through (C) does not qualify for a medical cannabis guardian card under Subsection (2)(b), the
3896     parent or legal guardian may designate up to two caregivers in accordance with Subsection
3897     26B-4-214(1)(c) to ensure that the minor has adequate and safe access to the recommended
3898     medical cannabis treatment.
3899          (3) (a) An individual who is eligible for a medical cannabis card described in
3900     Subsection (2)(a) or (b) shall submit an application for a medical cannabis card to the
3901     department:
3902          (i) through an electronic application connected to the state electronic verification

3903     system;
3904          (ii) with the recommending medical provider; and
3905          (iii) with information including:
3906          (A) the applicant's name, gender, age, and address;
3907          (B) the number of the applicant's government issued photo identification;
3908          (C) for a medical cannabis guardian card, the name, gender, and age of the minor
3909     receiving a medical cannabis treatment under the cardholder's medical cannabis guardian card;
3910     and
3911          (D) for a provisional patient card, the name of the minor's parent or legal guardian who
3912     holds the associated medical cannabis guardian card.
3913          (b) The department shall ensure that a medical cannabis card the department issues
3914     under this section contains the information described in Subsection (3)(a)(iii).
3915          (c) (i) If a recommending medical provider determines that, because of age, illness, or
3916     disability, a medical cannabis patient cardholder requires assistance in administering the
3917     medical cannabis treatment that the recommending medical provider recommends, the
3918     recommending medical provider may indicate the cardholder's need in the state electronic
3919     verification system, either directly or, for a limited medical provider, through the order
3920     described in Subsections 26B-4-204(1)(c) and (d).
3921          (ii) If a recommending medical provider makes the indication described in Subsection
3922     (3)(c)(i):
3923          (A) the department shall add a label to the relevant medical cannabis patient card
3924     indicating the cardholder's need for assistance;
3925          (B) any adult who is 18 years old or older and who is physically present with the
3926     cardholder at the time the cardholder needs to use the recommended medical cannabis
3927     treatment may handle the medical cannabis treatment and any associated medical cannabis
3928     device as needed to assist the cardholder in administering the recommended medical cannabis
3929     treatment; and
3930          (C) an individual of any age who is physically present with the cardholder in the event
3931     of an emergency medical condition, as that term is defined in Section 31A-1-301, may handle
3932     the medical cannabis treatment and any associated medical cannabis device as needed to assist
3933     the cardholder in administering the recommended medical cannabis treatment.

3934          (iii) A non-cardholding individual acting under Subsection (3)(c)(ii)(B) or (C) may not:
3935          (A) ingest or inhale medical cannabis;
3936          (B) possess, transport, or handle medical cannabis or a medical cannabis device outside
3937     of the immediate area where the cardholder is present or with an intent other than to provide
3938     assistance to the cardholder; or
3939          (C) possess, transport, or handle medical cannabis or a medical cannabis device when
3940     the cardholder is not in the process of being dosed with medical cannabis.
3941          (4) To recommend a medical cannabis treatment to a patient or to renew a
3942     recommendation, a recommending medical provider shall:
3943          (a) visit with the patient face-to-face for an initial recommendation unless the patient:
3944          (i) prefers a virtual visit; and
3945          (ii) (A) is on hospice or has a terminal illness according to the patient's medical
3946     provider; or
3947          (B) is a resident of an assisted living facility, as defined in Section 26B-2-201, or a
3948     nursing care facility, as defined in Section 26B-2-201;
3949          (b) before recommending or renewing a recommendation for medical cannabis in a
3950     medicinal dosage form or a cannabis product in a medicinal dosage form:
3951          (i) verify the patient's and, for a minor patient, the minor patient's parent or legal
3952     guardian's government issued photo identification described in Subsection (3)(a);
3953          (ii) review any record related to the patient and, for a minor patient, the patient's parent
3954     or legal guardian in:
3955          (A) for a qualified medical provider, the state electronic verification system; and
3956          (B) the controlled substance database created in Section 58-37f-201; and
3957          (iii) consider the recommendation in light of the patient's qualifying condition, history
3958     of substance use or opioid use disorder, and history of medical cannabis and controlled
3959     substance use during a visit with the patient; and
3960          (c) state in the recommending medical provider's recommendation that the patient:
3961          (i) suffers from a qualifying condition, including the type of qualifying condition; and
3962          (ii) may benefit from treatment with cannabis in a medicinal dosage form or a cannabis
3963     product in a medicinal dosage form.
3964          (5) (a) Except as provided in Subsection (5)(b) or (c), a medical cannabis card that the

3965     department issues under this section is valid for the lesser of:
3966          (i) an amount of time that the recommending medical provider determines; or
3967          (ii) one year from the day the card is issued.
3968          (b) (i) A medical cannabis card that the department issues in relation to a terminal
3969     illness described in Section 26B-4-203 expires after one year.
3970          (ii) The recommending medical provider may revoke a recommendation that the
3971     provider made in relation to a terminal illness described in Section 26B-4-203 if the medical
3972     cannabis cardholder no longer has the terminal illness.
3973          (c) A medical cannabis card that the department issues in relation to acute pain as
3974     described in Section 26B-4-203 expires 30 days after the day on which the department first
3975     issues a conditional or full medical cannabis card.
3976          (6) (a) A medical cannabis patient card or a medical cannabis guardian card is
3977     renewable if:
3978          (i) at the time of renewal, the cardholder meets the requirements of Subsection (2)(a) or
3979     (b); or
3980          (ii) the cardholder received the medical cannabis card through the recommendation of
3981     the Compassionate Use Board under Section 26B-1-421.
3982          (b) The recommending medical provider who made the underlying recommendation
3983     for the card of a cardholder described in Subsection (6)(a) may renew the cardholder's card
3984     through phone or video conference with the cardholder, at the recommending medical
3985     provider's discretion.
3986          (c) Before having access to a renewed card, a cardholder under Subsection (2)(a) or (b)
3987     shall pay to the department a renewal fee in an amount that:
3988          (i) subject to Subsection 26B-1-310(5), the department sets in accordance with Section
3989     63J-1-504; and
3990          (ii) may not exceed the cost of the relatively lower administrative burden of renewal in
3991     comparison to the original application process.
3992          (d) If a minor meets the requirements of Subsection (2)(c), the minor's provisional
3993     patient card renews automatically at the time the minor's parent or legal guardian renews the
3994     parent or legal guardian's associated medical cannabis guardian card.
3995          (7) (a) A cardholder under this section shall carry the cardholder's valid medical

3996     cannabis card with the patient's name.
3997          (b) (i) A medical cannabis patient cardholder or a provisional patient cardholder may
3998     purchase, in accordance with this part and the recommendation underlying the card, cannabis in
3999     a medicinal dosage form, a cannabis product in a medicinal dosage form, or a medical cannabis
4000     device.
4001          (ii) A cardholder under this section may possess or transport, in accordance with this
4002     part and the recommendation underlying the card, cannabis in a medicinal dosage form, a
4003     cannabis product in a medicinal dosage form, or a medical cannabis device.
4004          (iii) To address the qualifying condition underlying the medical cannabis treatment
4005     recommendation:
4006          (A) a medical cannabis patient cardholder or a provisional patient cardholder may use
4007     cannabis in a medicinal dosage form, a medical cannabis product in a medicinal dosage form,
4008     or a medical cannabis device; and
4009          (B) a medical cannabis guardian cardholder may assist the associated provisional
4010     patient cardholder with the use of cannabis in a medicinal dosage form, a medical cannabis
4011     product in a medicinal dosage form, or a medical cannabis device.
4012          (8) (a) The department may revoke a medical cannabis card that the department issues
4013     under this section if:
4014          (i) the recommending medical provider withdraws the medical provider's
4015     recommendation for medical cannabis; or
4016          (ii) the cardholder:
4017          (A) violates this part; or
4018          (B) is convicted under state or federal law of, after March 17, 2021, a drug distribution
4019     offense.
4020          (b) The department may not refuse to issue a medical cannabis card to a patient solely
4021     based on a prior revocation under Subsection (8)(a)(i).
4022          (9) The department shall establish by rule, in accordance with Title 63G, Chapter 3,
4023     Utah Administrative Rulemaking Act, a process to provide information regarding the following
4024     to an individual receiving a medical cannabis card:
4025          (a) risks associated with medical cannabis treatment;
4026          (b) the fact that a condition's listing as a qualifying condition does not suggest that

4027     medical cannabis treatment is an effective treatment or cure for that condition, as described in
4028     Subsection 26B-4-203(1); and
4029          (c) other relevant warnings and safety information that the department determines.
4030          (10) The department may establish procedures by rule, in accordance with Title 63G,
4031     Chapter 3, Utah Administrative Rulemaking Act, to implement the application and issuance
4032     provisions of this section.
4033          (11) (a) [On or before September 1, 2021, the] The department shall establish by rule,
4034     in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, a process to
4035     allow an individual from another state to register with the department in order to purchase
4036     medical cannabis or a medical cannabis device from a medical cannabis pharmacy while the
4037     individual is visiting the state.
4038          (b) The department may only provide the registration process described in Subsection
4039     (11)(a):
4040          (i) to a nonresident patient; and
4041          (ii) for no more than two visitation periods per calendar year of up to 21 calendar days
4042     per visitation period.
4043          (12) (a) A person may submit to the department a request to conduct a research study
4044     using medical cannabis cardholder data that the state electronic verification system contains.
4045          (b) The department shall review a request described in Subsection (12)(a) to determine
4046     whether an institutional review board, as that term is defined in Section 26B-4-201, could
4047     approve the research study.
4048          (c) At the time an individual applies for a medical cannabis card, the department shall
4049     notify the individual:
4050          (i) of how the individual's information will be used as a cardholder;
4051          (ii) that by applying for a medical cannabis card, unless the individual withdraws
4052     consent under Subsection (12)(d), the individual consents to the use of the individual's
4053     information for external research; and
4054          (iii) that the individual may withdraw consent for the use of the individual's
4055     information for external research at any time, including at the time of application.
4056          (d) An applicant may, through the medical cannabis card application, and a medical
4057     cannabis cardholder may, through the state central patient portal, withdraw the applicant's or

4058     cardholder's consent to participate in external research at any time.
4059          (e) The department may release, for the purposes of a study described in this
4060     Subsection (12), information about a cardholder under this section who consents to participate
4061     under Subsection (12)(c).
4062          (f) If an individual withdraws consent under Subsection (12)(d), the withdrawal of
4063     consent:
4064          (i) applies to external research that is initiated after the withdrawal of consent; and
4065          (ii) does not apply to research that was initiated before the withdrawal of consent.
4066          (g) The department may establish standards for a medical research study's validity, by
4067     rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
4068          (13) The department shall record the issuance or revocation of a medical cannabis card
4069     under this section in the controlled substance database.
4070          Section 41. Section 26B-4-214 is amended to read:
4071          26B-4-214. Medical cannabis caregiver card -- Registration -- Renewal --
4072     Revocation.
4073          (1) (a) A cardholder described in Section 26B-4-213 may designate, through the state
4074     central patient portal, up to two individuals, or an individual and a facility in accordance with
4075     Subsection (1)(b), to serve as a designated caregiver for the cardholder.
4076          (b) (i) [Beginning on the earlier of September 1, 2021, or the date on which the
4077     electronic verification system is functionally capable of servicing the designation, a] A
4078     cardholder described in Section 26B-4-213 may designate one of the following types of
4079     facilities as one of the caregivers described in Subsection (1)(a):
4080          (A) for a patient or resident, an assisted living facility, as that term is defined in Section
4081     26B-2-201;
4082          (B) for a patient or resident, a nursing care facility, as that term is defined in Section
4083     26B-2-201; or
4084          (C) for a patient, a general acute hospital, as that term is defined in Section 26B-2-201.
4085          (ii) A facility may:
4086          (A) assign one or more employees to assist patients with medical cannabis treatment
4087     under the caregiver designation described in this Subsection (1)(b); and
4088          (B) receive a medical cannabis shipment from a medical cannabis pharmacy or a

4089     medical cannabis courier on behalf of the medical cannabis cardholder within the facility who
4090     designated the facility as a caregiver.
4091          (iii) The department shall make rules to regulate the practice of facilities and facility
4092     employees serving as designated caregivers under this Subsection (1)(b).
4093          (c) A parent or legal guardian described in Subsection 26B-4-213(2)(d), in consultation
4094     with the minor and the minor's qualified medical provider, may designate, through the state
4095     central patient portal, up to two individuals to serve as a designated caregiver for the minor, if
4096     the department determines that the parent or legal guardian is not eligible for a medical
4097     cannabis guardian card under Section 26B-4-213.
4098          (d) (i) [Beginning on the earlier of September 1, 2022, or the date on which the
4099     electronic verification system is functionally capable of facilitating a conditional medical
4100     cannabis caregiver card under this Subsection (1)(d), upon] Upon the entry of a caregiver
4101     designation under Subsection (1) by a patient with a terminal illness described in Section
4102     26B-4-203, the department shall issue to the designated caregiver an electronic conditional
4103     medical cannabis caregiver card, in accordance with this Subsection (1)(d).
4104          (ii) A conditional medical cannabis caregiver card is valid for the lesser of:
4105          (A) 60 days; or
4106          (B) the day on which the department completes the department's review and issues a
4107     medical cannabis caregiver card under Subsection (1)(a), denies the patient's medical cannabis
4108     caregiver card application, or revokes the conditional medical cannabis caregiver card under
4109     26B-4-246.
4110          (iii) The department may issue a conditional medical cannabis card to an individual
4111     applying for a medical cannabis patient card for which approval of the Compassionate Use
4112     Board is not required.
4113          (iv) An individual described in Subsection (1)(b)(iii) has the rights, restrictions, and
4114     obligations under law applicable to a holder of the medical cannabis card for which the
4115     individual applies and for which the department issues the conditional medical cannabis card.
4116          (2) An individual that the department registers as a designated caregiver under this
4117     section and a facility described in Subsection (1)(b):
4118          (a) for an individual designated caregiver, may carry a valid medical cannabis caregiver
4119     card;

4120          (b) in accordance with this part, may purchase, possess, transport, or assist the patient
4121     in the use of cannabis in a medicinal dosage form, a cannabis product in a medicinal dosage
4122     form, or a medical cannabis device on behalf of the designating medical cannabis cardholder;
4123          (c) may not charge a fee to an individual to act as the individual's designated caregiver
4124     or for a service that the designated caregiver provides in relation to the role as a designated
4125     caregiver; and
4126          (d) may accept reimbursement from the designating medical cannabis cardholder for
4127     direct costs the designated caregiver incurs for assisting with the designating cardholder's
4128     medicinal use of cannabis.
4129          (3) (a) The department shall:
4130          (i) within 15 days after the day on which an individual submits an application in
4131     compliance with this section, issue a medical cannabis card to the applicant if the applicant:
4132          (A) is designated as a caregiver under Subsection (1);
4133          (B) is eligible for a medical cannabis caregiver card under Subsection (4); and
4134          (C) complies with this section; and
4135          (ii) notify the Department of Public Safety of each individual that the department
4136     registers as a designated caregiver.
4137          (b) The department shall ensure that a medical cannabis caregiver card contains the
4138     information described in Subsections (5)(b) and (3)(c)(i).
4139          (c) If a cardholder described in Section 26B-4-213 designates an individual as a
4140     caregiver who already holds a medical cannabis caregiver card, the individual with the medical
4141     cannabis caregiver card:
4142          (i) shall report to the department the information required of applicants under
4143     Subsection (5)(b) regarding the new designation;
4144          (ii) if the individual makes the report described in Subsection (3)(c)(i), is not required
4145     to file an application for another medical cannabis caregiver card;
4146          (iii) may receive an additional medical cannabis caregiver card in relation to each
4147     additional medical cannabis patient who designates the caregiver; and
4148          (iv) is not subject to an additional background check.
4149          (4) An individual is eligible for a medical cannabis caregiver card if the individual:
4150          (a) is at least 21 years old;

4151          (b) is a Utah resident;
4152          (c) pays to the department a fee in an amount that, subject to Subsection 26B-1-310(5),
4153     the department sets in accordance with Section 63J-1-504, plus the cost of the criminal
4154     background check described in Section 26B-4-215;
4155          (d) signs an acknowledgment stating that the applicant received the information
4156     described in Subsection 26B-4-213(9) .
4157          (5) An eligible applicant for a medical cannabis caregiver card shall:
4158          (a) submit an application for a medical cannabis caregiver card to the department
4159     through an electronic application connected to the state electronic verification system; and
4160          (b) submit the following information in the application described in Subsection (5)(a):
4161          (i) the applicant's name, gender, age, and address;
4162          (ii) the name, gender, age, and address of the cardholder described in Section
4163     26B-4-213 who designated the applicant;
4164          (iii) if a medical cannabis guardian cardholder designated the caregiver, the name,
4165     gender, and age of the minor receiving a medical cannabis treatment in relation to the medical
4166     cannabis guardian cardholder; and
4167          (iv) any additional information that the department requests to assist in matching the
4168     application with the designating medical cannabis patient.
4169          (6) Except as provided in Subsection (6)(b), a medical cannabis caregiver card that the
4170     department issues under this section is valid for the lesser of:
4171          (a) an amount of time that the cardholder described in Section 26B-4-213 who
4172     designated the caregiver determines; or
4173          (b) the amount of time remaining before the card of the cardholder described in Section
4174     26B-4-213 expires.
4175          (7) (a) If a designated caregiver meets the requirements of Subsection (4), the
4176     designated caregiver's medical cannabis caregiver card renews automatically at the time the
4177     cardholder described in Section 26B-4-213 who designated the caregiver:
4178          (i) renews the cardholder's card; and
4179          (ii) renews the caregiver's designation, in accordance with Subsection (7)(b).
4180          (b) The department shall provide a method in the card renewal process to allow a
4181     cardholder described in Section 26B-4-213 who has designated a caregiver to:

4182          (i) signify that the cardholder renews the caregiver's designation;
4183          (ii) remove a caregiver's designation; or
4184          (iii) designate a new caregiver.
4185          (8) The department shall record the issuance or revocation of a medical cannabis card
4186     under this section in the controlled substance database.
4187          Section 42. Section 26B-4-222 is amended to read:
4188          26B-4-222. Report.
4189          (1) By the November interim meeting each year, [beginning in 2020,] the department
4190     shall report to the Health and Human Services Interim Committee on:
4191          (a) the number of applications and renewal applications filed for medical cannabis
4192     cards;
4193          (b) the number of qualifying patients and designated caregivers;
4194          (c) the nature of the debilitating medical conditions of the qualifying patients;
4195          (d) the age and county of residence of cardholders;
4196          (e) the number of medical cannabis cards revoked;
4197          (f) the number of practitioners providing recommendations for qualifying patients;
4198          (g) the number of license applications and renewal license applications received;
4199          (h) the number of licenses the department has issued in each county;
4200          (i) the number of licenses the department has revoked;
4201          (j) the quantity of medical cannabis shipments that the state central patient portal
4202     facilitates;
4203          (k) the number of overall purchases of medical cannabis and medical cannabis products
4204     from each medical cannabis pharmacy;
4205          (l) the expenses incurred and revenues generated from the medical cannabis program;
4206     and
4207          (m) an analysis of product availability in medical cannabis pharmacies in
4208     [consulatation] consultation with the Department of Agriculture and Food.
4209          (2) The report shall include information provided by the Center for Medical Cannabis
4210     Research described in Section 53B-17-1402.
4211          (3) The department may not include personally identifying information in the report
4212     described in this section.

4213          (4) The department shall report to the working group described in Section 36-12-8.2 as
4214     requested by the working group.
4215          Section 43. Section 26B-4-245 is amended to read:
4216          26B-4-245. Purchasing and use limitations.
4217          An individual with a medical cannabis card:
4218          (1) may purchase, in any one 28-day period, up to the legal dosage limit of:
4219          (a) unprocessed cannabis in a medicinal dosage form; and
4220          (b) a cannabis product in a medicinal dosage form;
4221          (2) may not purchase:
4222          (a) more medical cannabis than described in Subsection (1)(a); or
4223          (b) if the relevant recommending medical provider did not recommend directions of
4224     use and dosing guidelines, until the individual consults with the pharmacy medical provider in
4225     accordance with Subsection [26B-4-231(4)] 26B-4-231(5), any medical cannabis; and
4226          [(3)] (c) may not use a route of administration that the relevant recommending medical
4227     provider or the pharmacy medical provider, in accordance with Subsection [26B-4-231(4)]
4228     26B-4-231(5), has not recommended.
4229          Section 44. Section 26B-4-701 is amended to read:
4230          26B-4-701. Definitions.
4231          As used in this part:
4232          (1) "Accredited clinical education program" means a clinical education program for a
4233     health care profession that is accredited by the Accreditation Council on Graduate Medical
4234     Education.
4235          (2) "Accredited clinical training program" means a clinical training program that is
4236     accredited by an entity recognized within medical education circles as an accrediting body for
4237     medical education, advanced practice nursing education, physician [assistance] assistant
4238     education, doctor of pharmacy education, dental education, or registered nursing education.
4239          (3) "Centers for Medicare and Medicaid Services" means the Centers for Medicare and
4240     Medicaid Services within the United States Department of Health and Human Services.
4241          (4) "Health care professionals in training" means medical students and residents,
4242     [advance] advanced practice nursing students, physician assistant students, doctor of pharmacy
4243     students, dental students, and registered nursing students.

4244          (5) "Hospital" means a general acute hospital, as defined in Section 26B-2-201.
4245          (6) "Physician" means a person:
4246          (a) licensed as a physician under Title 58, Chapter 67, Utah Medical Practice Act; or
4247          (b) licensed as a physician under Title 58, Chapter 68, Utah Osteopathic Medical
4248     Practice Act.
4249          (7) "Rural county" means a county [with a population of less than 50,000, as
4250     determined by:] of the third, fourth, fifth, or sixth class under Section 17-50-501.
4251          [(a) the most recent official census or census estimate of the United States Bureau of
4252     the Census; or]
4253          [(b) the most recent population estimate for the county from the Utah Population
4254     Committee, if a population figure for the county is not available under Subsection (7)(a).]
4255          (8) "Rural hospital" means a hospital located within a rural county.
4256          (9) "UMEC" means the Utah Medical Education Council created in Section
4257     26B-4-706.
4258          Section 45. Section 26B-5-101 is amended to read:
4259          26B-5-101. Chapter definitions.
4260          As used in this chapter:
4261          (1) "Criminal risk factors" means a person's characteristics and behaviors that:
4262          (a) affect the person's risk of engaging in criminal behavior; and
4263          (b) are diminished when addressed by effective treatment, supervision, and other
4264     support resources, resulting in reduced risk of criminal behavior.
4265          (2) "Director" means the director appointed under Section 26B-5-103.
4266          (3) "Division" means the Division of Integrated Healthcare created in Section
4267     [26B-1-202] 26B-1-1202.
4268          (4) "Local mental health authority" means a county legislative body.
4269          (5) "Local substance abuse authority" means a county legislative body.
4270          (6) "Mental health crisis" means:
4271          (a) a mental health condition that manifests in an individual by symptoms of sufficient
4272     severity that a prudent layperson who possesses an average knowledge of mental health issues
4273     could reasonably expect the absence of immediate attention or intervention to result in:
4274          (i) serious danger to the individual's health or well-being; or

4275          (ii) a danger to the health or well-being of others; or
4276          (b) a mental health condition that, in the opinion of a mental health therapist or the
4277     therapist's designee, requires direct professional observation or intervention.
4278          (7) "Mental health crisis response training" means community-based training that
4279     educates laypersons and professionals on the warning signs of a mental health crisis and how to
4280     respond.
4281          (8) "Mental health crisis services" means an array of services provided to an individual
4282     who experiences a mental health crisis, which may include:
4283          (a) direct mental health services;
4284          (b) on-site intervention provided by a mobile crisis outreach team;
4285          (c) the provision of safety and care plans;
4286          (d) prolonged mental health services for up to 90 days after the day on which an
4287     individual experiences a mental health crisis;
4288          (e) referrals to other community resources;
4289          (f) local mental health crisis lines; and
4290          (g) the statewide mental health crisis line.
4291          (9) "Mental health therapist" means the same as that term is defined in Section
4292     58-60-102.
4293          (10) "Mobile crisis outreach team" or "MCOT" means a mobile team of medical and
4294     mental health professionals that, in coordination with local law enforcement and emergency
4295     medical service personnel, provides mental health crisis services.
4296          (11) "Office" means the Office of Substance Use and Mental Health created in Section
4297     26B-5-102.
4298          (12) (a) "Public funds" means federal money received from the department, and state
4299     money appropriated by the Legislature to the department, a county governing body, or a local
4300     substance abuse authority, or a local mental health authority for the purposes of providing
4301     substance abuse or mental health programs or services.
4302          (b) "Public funds" include federal and state money that has been transferred by a local
4303     substance abuse authority or a local mental health authority to a private provider under an
4304     annual or otherwise ongoing contract to provide comprehensive substance abuse or mental
4305     health programs or services for the local substance abuse authority or local mental health

4306     authority. The money maintains the nature of "public funds" while in the possession of the
4307     private entity that has an annual or otherwise ongoing contract with a local substance abuse
4308     authority or a local mental health authority to provide comprehensive substance use or mental
4309     health programs or services for the local substance abuse authority or local mental health
4310     authority.
4311          (c) Public funds received for the provision of services under substance use or mental
4312     health service plans may not be used for any other purpose except those authorized in the
4313     contract between the local mental health or substance abuse authority and provider for the
4314     provision of plan services.
4315          (13) "Severe mental disorder" means schizophrenia, major depression, bipolar
4316     disorders, delusional disorders, psychotic disorders, and other mental disorders as defined by
4317     the division.
4318          (14) "Stabilization services" means in-home services provided to a child with, or who
4319     is at risk for, complex emotional and behavioral needs, including teaching the child's parent or
4320     guardian skills to improve family functioning.
4321          (15) "Statewide mental health crisis line" means the same as that term is defined in
4322     Section 26B-5-610.
4323          (16) "System of care" means a broad, flexible array of services and supports that:
4324          (a) serve a child with or who is at risk for complex emotional and behavioral needs;
4325          (b) are community based;
4326          (c) are informed about trauma;
4327          (d) build meaningful partnerships with families and children;
4328          (e) integrate service planning, service coordination, and management across state and
4329     local entities;
4330          (f) include individualized case planning;
4331          (g) provide management and policy infrastructure that supports a coordinated network
4332     of interdepartmental service providers, contractors, and service providers who are outside of
4333     the department; and
4334          (h) are guided by the type and variety of services needed by a child with or who is at
4335     risk for complex emotional and behavioral needs and by the child's family.
4336          Section 46. Section 26B-5-403 is amended to read:

4337          26B-5-403. Residential and inpatient settings -- Commitment proceeding -- Child
4338     in physical custody of local mental health authority.
4339          (1) A child may receive services from a local mental health authority in an inpatient or
4340     residential setting only after a commitment proceeding, for the purpose of transferring physical
4341     custody, has been conducted in accordance with the requirements of this section.
4342          (2) That commitment proceeding shall be initiated by a petition for commitment, and
4343     shall be a careful, diagnostic inquiry, conducted by a neutral and detached fact finder, pursuant
4344     to the procedures and requirements of this section. If the findings described in Subsection (4)
4345     exist, the proceeding shall result in the transfer of physical custody to the appropriate local
4346     mental health authority, and the child may be placed in an inpatient or residential setting.
4347          (3) The neutral and detached fact finder who conducts the inquiry:
4348          (a) shall be a designated examiner; and
4349          (b) may not profit, financially or otherwise, from the commitment or physical
4350     placement of the child in that setting.
4351          (4) Upon determination by a fact finder that the following circumstances clearly exist,
4352     the fact finder may order that the child be committed to the physical custody of a local mental
4353     health authority:
4354          (a) the child has a mental illness;
4355          (b) the child demonstrates a reasonable fear of the risk of substantial danger to self or
4356     others;
4357          (c) the child will benefit from care and treatment by the local mental health authority;
4358     and
4359          (d) there is no appropriate less-restrictive alternative.
4360          (5) (a) The commitment proceeding before the neutral and detached fact finder shall be
4361     conducted in as informal manner as possible and in a physical setting that is not likely to have a
4362     harmful effect on the child.
4363          (b) The child, the child's parent or legal guardian, the petitioner, and a representative of
4364     the appropriate local mental health authority:
4365          (i) shall receive informal notice of the date and time of the proceeding; and
4366          (ii) may appear and address the petition for commitment.
4367          (c) The neutral and detached fact finder may, in the fact finder's discretion, receive the

4368     testimony of any other person.
4369          (d) The fact finder may allow a child to waive the child's right to be present at the
4370     commitment proceeding, for good cause shown. If that right is waived, the purpose of the
4371     waiver shall be made a matter of record at the proceeding.
4372          (e) At the time of the commitment proceeding, the appropriate local mental health
4373     authority, its designee, or the psychiatrist who has been in charge of the child's care prior to the
4374     commitment proceeding, shall provide the neutral and detached fact finder with the following
4375     information, as it relates to the period of current admission:
4376          (i) the petition for commitment;
4377          (ii) the admission notes;
4378          (iii) the child's diagnosis;
4379          (iv) physicians' orders;
4380          (v) progress notes;
4381          (vi) nursing notes; and
4382          (vii) medication records.
4383          (f) The information described in Subsection (5)(e) shall also be provided to the child's
4384     parent or legal guardian upon written request.
4385          (g) (i) The neutral and detached fact finder's decision of commitment shall state the
4386     duration of the commitment. Any commitment to the physical custody of a local mental health
4387     authority may not exceed 180 days. Prior to expiration of the commitment, and if further
4388     commitment is sought, a hearing shall be conducted in the same manner as the initial
4389     commitment proceeding, in accordance with the requirements of this section.
4390          (ii) At the conclusion of the hearing and subsequently in writing, when a decision for
4391     commitment is made, the neutral and detached fact finder shall inform the child and the child's
4392     parent or legal guardian of that decision and of the reasons for ordering commitment.
4393          (iii) The neutral and detached fact finder shall state in writing the basis of the decision,
4394     with specific reference to each of the criteria described in Subsection (4), as a matter of record.
4395          (6) A child may be temporarily committed for a maximum of 72 hours, excluding
4396     Saturdays, Sundays, and legal holidays, to the physical custody of a local mental health
4397     authority in accordance with the procedures described in Section 26B-5-331 and upon
4398     satisfaction of the risk factors described in Subsection (4). A child who is temporarily

4399     committed shall be released at the expiration of the 72 hours unless the procedures and findings
4400     required by this section for the commitment of a child are satisfied.
4401          (7) A local mental health authority shall have physical custody of each child committed
4402     to it under this section. The parent or legal guardian of a child committed to the physical
4403     custody of a local mental health authority under this section, retains legal custody of the child,
4404     unless legal custody has been otherwise modified by a court of competent jurisdiction. In cases
4405     when the Division of Child and Family Services or the Division of Juvenile Justice and Youth
4406     Services has legal custody of a child, that division shall retain legal custody for purposes of this
4407     part.
4408          (8) The cost of caring for and maintaining a child in the physical custody of a local
4409     mental health authority shall be assessed to and paid by the child's parents, according to their
4410     ability to pay. For purposes of this section, the Division of Child and Family Services or the
4411     Division of Juvenile Justice and Youth Services shall be financially responsible, in addition to
4412     the child's parents, if the child is in the legal custody of either of those divisions at the time the
4413     child is committed to the physical custody of a local mental health authority under this section,
4414     unless Medicaid regulation or contract provisions specify otherwise. The Office of Recovery
4415     Services shall assist those divisions in collecting the costs assessed pursuant to this section.
4416          (9) Whenever application is made for commitment of a minor to a local mental health
4417     authority under any provision of this section by a person other than the child's parent or
4418     guardian, the local mental health authority or its designee shall notify the child's parent or
4419     guardian. The parents shall be provided sufficient time to prepare and appear at any scheduled
4420     proceeding.
4421          (10) (a) Each child committed pursuant to this section is entitled to an appeal within 30
4422     days after any order for commitment. The appeal may be brought on the child's own petition or
4423     on petition of the child's parent or legal guardian, to the juvenile court in the district where the
4424     child resides or is currently physically located. With regard to a child in the custody of the
4425     Division of Child and Family Services or the Division of Juvenile Justice and Youth Services,
4426     the attorney general's office shall handle the appeal, otherwise the appropriate county attorney's
4427     office is responsible for appeals brought pursuant to this Subsection (10)(a).
4428          (b) Upon receipt of the petition for appeal, the court shall appoint a designated
4429     examiner previously unrelated to the case, to conduct an examination of the child in accordance

4430     with the criteria described in Subsection (4), and file a written report with the court. The court
4431     shall then conduct an appeal hearing to determine whether the findings described in Subsection
4432     (4) exist by clear and convincing evidence.
4433          (c) Prior to the time of the appeal hearing, the appropriate local mental health authority,
4434     its designee, or the mental health professional who has been in charge of the child's care prior
4435     to commitment, shall provide the court and the designated examiner for the appeal hearing with
4436     the following information, as it relates to the period of current admission:
4437          (i) the original petition for commitment;
4438          (ii) admission notes;
4439          (iii) diagnosis;
4440          (iv) physicians' orders;
4441          (v) progress notes;
4442          (vi) nursing notes; and
4443          (vii) medication records.
4444          (d) Both the neutral and detached fact finder and the designated examiner appointed for
4445     the appeal hearing shall be provided with an opportunity to review the most current
4446     information described in Subsection (10)(c) prior to the appeal hearing.
4447          (e) The child, the child's parent or legal guardian, the person who submitted the
4448     original petition for commitment, and a representative of the appropriate local mental health
4449     authority shall be notified by the court of the date and time of the appeal hearing. Those
4450     persons shall be afforded an opportunity to appear at the hearing. In reaching its decision, the
4451     court shall review the record and findings of the neutral and detached fact finder, the report of
4452     the designated examiner appointed pursuant to Subsection (10)(b), and may, in its discretion,
4453     allow or require the testimony of the neutral and detached fact finder, the designated examiner,
4454     the child, the child's parent or legal guardian, the person who brought the initial petition for
4455     commitment, or any other person whose testimony the court deems relevant. The court may
4456     allow the child to waive the right to appear at the appeal hearing, for good cause shown. If that
4457     waiver is granted, the purpose shall be made a part of the court's record.
4458          (11) Each local mental health authority has an affirmative duty to conduct periodic
4459     evaluations of the mental health and treatment progress of every child committed to its physical
4460     custody under this section, and to release any child who has sufficiently improved so that the

4461     criteria justifying commitment no longer exist.
4462          (12) (a) A local mental health authority or its designee, in conjunction with the child's
4463     current treating mental health professional may release an improved child to a less restrictive
4464     environment, as they determine appropriate. Whenever the local mental health authority or its
4465     designee, and the child's current treating mental health professional, determine that the
4466     conditions justifying commitment no longer exist, the child shall be discharged and released to
4467     the child's parent or legal guardian. With regard to a child who is in the physical custody of the
4468     State Hospital, the treating psychiatrist or clinical director of the State Hospital shall be the
4469     child's current treating mental health professional.
4470          (b) A local mental health authority or its designee, in conjunction with the child's
4471     current treating mental health professional, is authorized to issue a written order for the
4472     immediate placement of a child not previously released from an order of commitment into a
4473     more restrictive environment, if the local authority or its designee and the child's current
4474     treating mental health professional has reason to believe that the less restrictive environment in
4475     which the child has been placed is exacerbating the child's mental illness, or increasing the risk
4476     of harm to self or others.
4477          (c) The written order described in Subsection (12)(b) shall include the reasons for
4478     placement in a more restrictive environment and shall authorize any peace officer to take the
4479     child into physical custody and transport the child to a facility designated by the appropriate
4480     local mental health authority in conjunction with the child's current treating mental health
4481     professional. Prior to admission to the more restrictive environment, copies of the order shall
4482     be personally delivered to the child, the child's parent or legal guardian, the administrator of the
4483     more restrictive environment, or the administrator's designee, and the child's former treatment
4484     provider or facility.
4485          (d) If the child has been in a less restrictive environment for more than 30 days and is
4486     aggrieved by the change to a more restrictive environment, the child or the child's
4487     representative may request a review within 30 days of the change, by a neutral and detached
4488     fact finder as described in Subsection (3). The fact finder shall determine whether:
4489          (i) the less restrictive environment in which the child has been placed is exacerbating
4490     the child's mental illness or increasing the risk of harm to self or others; or
4491          (ii) the less restrictive environment in which the child has been placed is not

4492     exacerbating the child's mental illness or increasing the risk of harm to self or others, in which
4493     case the fact finder shall designate that the child remain in the less restrictive environment.
4494          (e) Nothing in this section prevents a local mental health authority or its designee, in
4495     conjunction with the child's current mental health professional, from discharging a child from
4496     commitment or from placing a child in an environment that is less restrictive than that
4497     designated by the neutral and detached fact finder.
4498          (13) Each local mental health authority or its designee, in conjunction with the child's
4499     current treating mental health professional shall discharge any child who, in the opinion of that
4500     local authority, or its designee, and the child's current treating mental health professional, no
4501     longer meets the criteria specified in Subsection (4), except as provided by Section 26B-5-405.
4502     The local authority and the mental health professional shall assure that any further supportive
4503     services required to meet the child's needs upon release will be provided.
4504          (14) Even though a child has been committed to the physical custody of a local mental
4505     health authority under this section, the child is still entitled to additional due process
4506     proceedings, in accordance with Section [26B-5-704] 26B-5-404, before any treatment that
4507     may affect a constitutionally protected liberty or privacy interest is administered. Those
4508     treatments include, but are not limited to, antipsychotic medication, electroshock therapy, and
4509     psychosurgery.
4510          Section 47. Section 26B-6-401 is amended to read:
4511          26B-6-401. Definitions.
4512          As used in this part:
4513          (1) "Approved provider" means a person approved by the division to provide
4514     [home-based] home- and community-based services.
4515          (2) "Board" means the Utah State Developmental Center Board created under Section
4516     26B-1-429.
4517          (3) (a) "Brain injury" means an acquired injury to the brain that is neurological in
4518     nature, including a cerebral vascular accident.
4519          (b) "Brain injury" does not include a deteriorating disease.
4520          (4) "Designated intellectual disability professional" means:
4521          (a) a psychologist licensed under Title 58, Chapter 61, Psychologist Licensing Act,
4522     who:

4523          (i) (A) has at least one year of specialized training in working with persons with an
4524     intellectual disability; or
4525          (B) has at least one year of clinical experience with persons with an intellectual
4526     disability; and
4527          (ii) is designated by the division as specially qualified, by training and experience, in
4528     the treatment of an intellectual disability; or
4529          (b) a clinical social worker, certified social worker, marriage and family therapist, or
4530     professional counselor, licensed under Title 58, Chapter 60, Mental Health Professional
4531     Practice Act, who:
4532          (i) has at least two years of clinical experience with persons with an intellectual
4533     disability; and
4534          (ii) is designated by the division as specially qualified, by training and experience, in
4535     the treatment of an intellectual disability.
4536          (5) "Deteriorating disease" includes:
4537          (a) multiple sclerosis;
4538          (b) muscular dystrophy;
4539          (c) Huntington's chorea;
4540          (d) Alzheimer's disease;
4541          (e) ataxia; or
4542          (f) cancer.
4543          (6) "Developmental center" means the Utah State Developmental Center, established in
4544     accordance with Part 5, Utah State Developmental Center.
4545          (7) "Director" means the director of the Division of Services for People with
4546     Disabilities.
4547          (8) "Direct service worker" means a person who provides services to a person with a
4548     disability:
4549          (a) when the services are rendered in:
4550          (i) the physical presence of the person with a disability; or
4551          (ii) a location where the person rendering the services has access to the physical
4552     presence of the person with a disability; and
4553          (b) (i) under a contract with the division;

4554          (ii) under a grant agreement with the division; or
4555          (iii) as an employee of the division.
4556          (9) (a) "Disability" means a severe, chronic disability that:
4557          (i) is attributable to:
4558          (A) an intellectual disability;
4559          (B) a condition that qualifies a person as a person with a related condition, as defined
4560     in 42 C.F.R. Sec. 435.1010;
4561          (C) a physical disability; or
4562          (D) a brain injury;
4563          (ii) is likely to continue indefinitely;
4564          (iii) (A) for a condition described in Subsection (9)(a)(i)(A), (B), or (C), results in a
4565     substantial functional limitation in three or more of the following areas of major life activity:
4566          (I) self-care;
4567          (II) receptive and expressive language;
4568          (III) learning;
4569          (IV) mobility;
4570          (V) self-direction;
4571          (VI) capacity for independent living; or
4572          (VII) economic self-sufficiency; or
4573          (B) for a condition described in Subsection (9)(a)(i)(D), results in a substantial
4574     limitation in three or more of the following areas:
4575          (I) memory or cognition;
4576          (II) activities of daily life;
4577          (III) judgment and self-protection;
4578          (IV) control of emotions;
4579          (V) communication;
4580          (VI) physical health; or
4581          (VII) employment; and
4582          (iv) requires a combination or sequence of special interdisciplinary or generic care,
4583     treatment, or other services that:
4584          (A) may continue throughout life; and

4585          (B) must be individually planned and coordinated.
4586          (b) "Disability" does not include a condition due solely to:
4587          (i) mental illness;
4588          (ii) personality disorder;
4589          (iii) deafness or being hard of hearing;
4590          (iv) visual impairment;
4591          (v) learning disability;
4592          (vi) behavior disorder;
4593          (vii) substance abuse; or
4594          (viii) the aging process.
4595          (10) "Division" means the Division of Services for People with Disabilities.
4596          (11) "Eligible to receive division services" or "eligibility" means qualification, based
4597     on criteria established by the division, to receive services that are administered by the division.
4598          (12) "Endorsed program" means a facility or program that:
4599          (a) is operated:
4600          (i) by the division; or
4601          (ii) under contract with the division; or
4602          (b) provides services to a person committed to the division under Part 6, Admission to
4603     an Intermediate Care Facility for People with an Intellectual Disability.
4604          (13) "Licensed physician" means:
4605          (a) an individual licensed to practice medicine under:
4606          (i) Title 58, Chapter 67, Utah Medical Practice Act; or
4607          (ii) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or
4608          (b) a medical officer of the United States Government while in this state in the
4609     performance of official duties.
4610          (14) "Limited support services" means services that are administered by the division to
4611     individuals with a disability:
4612          (a) under a waiver authorized under 42 U.S.C. Sec. 1396n(c) by the Centers for
4613     Medicare and Medicaid Services that permits the division to limit services to an individual who
4614     is eligible to receive division services; and
4615          (b) through a program that:

4616          (i) was not operated by the division on or before January 1, 2020; and
4617          (ii) (A) limits the kinds of services that an individual may receive; or
4618          (B) sets a maximum total dollar amount for program services provided to each
4619     individual.
4620          (15) "Physical disability" means a medically determinable physical impairment that has
4621     resulted in the functional loss of two or more of a person's limbs.
4622          (16) "Public funds" means state or federal funds that are disbursed by the division.
4623          (17) "Resident" means an individual under observation, care, or treatment in an
4624     intermediate care facility for people with an intellectual disability.
4625          (18) "Sustainability fund" means the Utah State Developmental Center Long-Term
4626     Sustainability Fund created in Section 26B-1-331.
4627          Section 48. Section 26B-7-213 is amended to read:
4628          26B-7-213. Sexually transmitted infections -- Examinations by authorities --
4629     Treatment of infected persons.
4630          State, county, and municipal health officers within their respective jurisdictions may
4631     make examinations of persons reasonably suspected of being infected with [venereal disease]
4632     sexually transmitted infections. Persons infected with [venereal disease] sexually transmitted
4633     infections shall be required to report for treatment to either a reputable physician or physician
4634     assistant and continue treatment until cured or to submit to treatment provided at public
4635     expense until cured.
4636          Section 49. Section 26B-7-215 is amended to read:
4637          26B-7-215. Sexually transmitted infections -- Examination and treatment of
4638     persons in prison or jail.
4639          (1) (a) All persons confined in any state, county, or city prison or jail shall be
4640     examined, and if infected, treated for [venereal diseases] sexually transmitted infections by the
4641     health authorities.
4642          (b) The prison authorities of every state, county, or city prison or jail shall make
4643     available to the health authorities such portion of the prison or jail as may be necessary for a
4644     clinic or hospital wherein all persons suffering with [venereal disease] sexually transmitted
4645     infections at the time of the expiration of their terms of imprisonment, shall be isolated and
4646     treated at public expense until cured.

4647          (2) (a) The department may require persons suffering with [venereal disease] sexually
4648     transmitted infections at the time of the expiration of their terms of imprisonment to report for
4649     treatment to a licensed physician or physician assistant or submit to treatment provided at
4650     public expense in lieu of isolation.
4651          (b) Nothing in this section shall interfere with the service of any sentence imposed by a
4652     court as a punishment for the commission of crime.
4653          Section 50. Section 26B-8-201 is amended to read:
4654          26B-8-201. Definitions.
4655          As used in this part:
4656          (1) "Dead body" means the same as that term is defined in Section 26B-8-101.
4657          (2) (a) "Death by violence" means death that resulted by the decedent's exposure to
4658     physical, mechanical, or chemical forces.
4659          (b) "Death by violence" includes death that appears to have been due to homicide,
4660     death that occurred during or in an attempt to commit rape, mayhem, kidnapping, robbery,
4661     burglary, housebreaking, extortion, or blackmail accompanied by threats of violence, assault
4662     with a dangerous weapon, assault with intent to commit any offense punishable by
4663     imprisonment for more than one year, arson punishable by imprisonment for more than one
4664     year, or any attempt to commit any of the foregoing offenses.
4665          (3) "Immediate relative" means an individual's spouse, child, parent, sibling,
4666     grandparent, or grandchild.
4667          (4) "Health care professional" means any of the following while acting in a
4668     professional capacity:
4669          (a) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or Title
4670     58, Chapter 68, Utah Osteopathic Medical Practice Act;
4671          (b) a physician assistant licensed under Title 58, Chapter 70a, Utah Physician Assistant
4672     Act; or
4673          (c) an advance practice registered nurse licensed under Subsection 58-31b-301(2)(e).
4674          (5) "Medical examiner" means the state medical examiner appointed pursuant to
4675     Section 26B-8-202 or a deputy appointed by the medical examiner.
4676          (6) "Medical examiner record" means:
4677          (a) all information that the medical examiner obtains regarding a decedent; [and]

4678          (b) reports that the medical examiner makes regarding a decedent[.]; and
4679          (c) all administrative forms and correspondence related to the decedent's case.
4680          (7) "Regional pathologist" means [a trained] an American Board of Pathology certified
4681     pathologist licensed to practice medicine and surgery in the state, appointed by the medical
4682     examiner pursuant to Subsection 26B-8-202(3).
4683          (8) "Sudden death while in apparent good health" means apparently instantaneous
4684     death without obvious natural cause, death during or following an unexplained syncope or
4685     coma, or death during an acute or unexplained rapidly fatal illness.
4686          (9) "Sudden [infant death syndrome] unexpected infant death" means the death of a
4687     child who was thought to be in good health or whose terminal illness appeared to be so mild
4688     that the possibility of a fatal outcome was not anticipated.
4689          (10) "Suicide" means death caused by an intentional and voluntary act of an individual
4690     who understands the physical nature of the act and intends by such act to accomplish
4691     self-destruction.
4692          (11) "Unattended death" means a death that occurs more than 365 days after the day on
4693     which a health care professional examined or treated the deceased individual for any purpose,
4694     including writing a prescription.
4695          (12) (a) "Unavailable for postmortem investigation" means that a dead body is:
4696          (i) transported out of state;
4697          (ii) buried at sea;
4698          (iii) cremated;
4699          (iv) processed by alkaline hydrolysis; or
4700          (v) otherwise made unavailable to the medical examiner for postmortem investigation
4701     or autopsy.
4702          (b) "Unavailable for postmortem investigation" does not include embalming or burial
4703     of a dead body pursuant to the requirements of law.
4704          (13) "Within the scope of the decedent's employment" means all acts reasonably
4705     necessary or incident to the performance of work, including matters of personal convenience
4706     and comfort not in conflict with specific instructions.
4707          Section 51. Section 26B-8-202 is amended to read:
4708          26B-8-202. Chief medical examiner -- Appointment -- Qualifications -- Authority.

4709          (1) The executive director[, with the advice of an advisory board consisting of the
4710     chairman of the Department of Pathology at the University of Utah medical school and the
4711     dean of the law school at the University of Utah,] shall appoint a chief medical examiner who
4712     shall be licensed to practice medicine in the state and shall meet the qualifications of a forensic
4713     pathologist, certified by the American Board of Pathology.
4714          (2) (a) The medical examiner shall serve at the will of the executive director.
4715          (b) The medical examiner has authority to:
4716          (i) employ medical, technical and clerical personnel as may be required to effectively
4717     administer this chapter, subject to the rules of the department and the state merit system;
4718          (ii) conduct investigations and pathological examinations;
4719          (iii) perform autopsies authorized in this title;
4720          (iv) conduct or authorize necessary examinations on dead bodies; and
4721          (v) notwithstanding the provisions of Subsection 26B-8-321(3), retain tissues and
4722     biological samples:
4723          (A) for scientific purposes;
4724          (B) where necessary to accurately certify the cause and manner of death; or
4725          (C) for tissue from an unclaimed body, subject to Section 26B-8-225, in order to
4726     donate the tissue or biological sample to an individual who is affiliated with an established
4727     search and rescue dog organization, for the purpose of training a dog to search for human
4728     remains.
4729          (c) In the case of an unidentified body, the medical examiner shall authorize or conduct
4730     investigations, tests and processes in order to determine its identity as well as the cause of
4731     death.
4732          (3) The medical examiner may appoint regional pathologists, each of whom shall be
4733     approved by the executive director.
4734          Section 52. Section 26B-8-203 is amended to read:
4735          26B-8-203. County medical examiners.
4736          The county executive, with the advice and consent of the county legislative body and
4737     approval of the chief medical examiner, may appoint medical examiners for their respective
4738     counties.
4739          Section 53. Section 26B-8-205 is amended to read:

4740          26B-8-205. Jurisdiction of medical examiner.
4741          Upon notification under Section 26B-8-206 or investigation by the medical examiner's
4742     office, the medical examiner shall assume [custody of] jurisdiction over a deceased body if it
4743     appears that death:
4744          (1) was by violence, gunshot, suicide, or accident;
4745          (2) was sudden death while in apparent good health;
4746          (3) occurred unattended, except that an autopsy may only be performed in accordance
4747     with the provisions of Subsection 26B-8-207(3);
4748          (4) occurred under suspicious or unusual circumstances;
4749          (5) resulted from poisoning or overdose of drugs;
4750          (6) resulted from a disease that may constitute a threat to the public health;
4751          (7) resulted from disease, injury, toxic effect, or unusual exertion incurred within the
4752     scope of the decedent's employment;
4753          (8) was due to [sudden infant death syndrome] sudden unexpected infant death;
4754          (9) occurred while the decedent was in prison, jail, police custody, the state hospital, or
4755     in a detention or medical facility operated for the treatment of persons with a mental illness,
4756     persons who are emotionally disturbed, or delinquent persons;
4757          (10) resulted directly from the actions of a law enforcement officer, as defined in
4758     Section 53-13-103;
4759          (11) was associated with diagnostic or therapeutic procedures; or
4760          (12) was described in this section when request is made to assume custody by a county
4761     or district attorney or law enforcement agency in connection with a potential homicide
4762     investigation or prosecution.
4763          Section 54. Section 26B-8-207 is amended to read:
4764          26B-8-207. Custody of dead body and personal effects -- Examination of scene of
4765     death -- Preservation of body -- Autopsies.
4766          (1) (a) Upon notification of a death under Section 26B-8-206, the medical examiner
4767     shall assume [custody of] jurisdiction over the deceased body, clothing on the body, biological
4768     samples taken, and any article on or near the body which may aid the medical examiner in
4769     determining the cause of death except those articles which will assist the investigative agency
4770     to proceed without delay with the investigation.

4771          (b) In all cases the scene of the event may not be disturbed until authorization is given
4772     by the senior ranking peace officer from the law enforcement agency having jurisdiction of the
4773     case and conducting the investigation.
4774          (c) Where death appears to have occurred under circumstances listed in Section
4775     26B-8-205, the person or persons finding or having custody of the body, or jurisdiction over
4776     the investigation of the death, shall take reasonable precautions to preserve the body and body
4777     fluids so that minimum deterioration takes place.
4778          (d) A person may not move a body [in the custody] under the jurisdiction of the
4779     medical examiner unless:
4780          (i) the medical examiner, or district attorney or county attorney that has criminal
4781     jurisdiction, authorizes the person to move the body;
4782          (ii) a designee of an individual listed in this Subsection (1)(d) authorizes the person to
4783     move the body;
4784          (iii) not moving the body would be an affront to public decency or impractical; or
4785          (iv) the medical examiner determines the cause of death is likely due to natural causes.
4786          (e) The body can under direction of the medical examiner or the medical examiner's
4787     designee be moved to a place specified by the medical examiner or the medical examiner's
4788     designee.
4789          (2) (a) If the medical examiner has [custody of] jurisdiction over a body, a person may
4790     not clean or embalm the body without first obtaining the medical examiner's permission.
4791          (b) An intentional or knowing violation of Subsection (2)(a) is a class B misdemeanor.
4792          (3) (a) When the medical examiner assumes lawful [custody of] jurisdiction over a
4793     body under Subsection 26B-8-205(3) solely because the death was unattended, an autopsy may
4794     not be performed unless requested by the district attorney, county attorney having criminal
4795     jurisdiction, or law enforcement agency having jurisdiction of the place where the body is
4796     found.
4797          (b) The county attorney or district attorney and law enforcement agency having
4798     jurisdiction shall consult with the medical examiner to determine the need for an autopsy.
4799          (c) If the deceased chose not to be seen or treated by a health care professional for a
4800     spiritual or religious reason, a district attorney, county attorney, or law enforcement agency,
4801     may not request an autopsy or inquest under Subsection (3)(a) solely because of the deceased's

4802     choice.
4803          (d) The medical examiner or medical examiner's designee may not conduct a requested
4804     autopsy described in Subsection (3)(a) if the medical examiner or medical examiner's designee
4805     determines:
4806          (i) the request violates Subsection (3)(c); or
4807          (ii) the cause of death can be determined without performing an autopsy.
4808          Section 55. Section 26B-8-210 is amended to read:
4809          26B-8-210. Medical examiner to report death caused by prescribed controlled
4810     substance poisoning or overdose.
4811          (1) If a medical examiner determines that the death of a person who is 12 years old or
4812     older at the time of death resulted from poisoning or overdose involving a [prescribed]
4813     controlled substance prescribed to the decedent, the medical examiner shall, within three
4814     business days after the day on which the medical examiner determines the cause of death, send
4815     a written report to the Division of Professional Licensing, created in Section 58-1-103, that
4816     includes:
4817          (a) the decedent's name;
4818          (b) each drug or other substance found in the decedent's system that may have
4819     contributed to the poisoning or overdose, if known; and
4820          (c) the name of each person the medical examiner has reason to believe may have
4821     prescribed a controlled substance described in Subsection (1)(b) to the decedent.
4822          (2) This section does not create a new cause of action.
4823          Section 56. Section 26B-8-217 is amended to read:
4824          26B-8-217. Records of medical examiner -- Confidentiality.
4825          (1) The medical examiner shall maintain complete, original records for the medical
4826     examiner record, which shall:
4827          (a) be properly indexed, giving the name, if known, or otherwise identifying every
4828     individual whose death is investigated;
4829          (b) indicate the place where the body was found;
4830          (c) indicate the date of death;
4831          (d) indicate the cause and manner of death;
4832          (e) indicate the occupation of the decedent, if available;

4833          (f) include all other relevant information concerning the death; and
4834          (g) include a full report and detailed findings of the autopsy or report of the
4835     investigation.
4836          (2) (a) Upon written request from an individual described in Subsections (2)(a)(i)
4837     through (iv), the medical examiner shall provide a copy of the [medical examiner's final report
4838     of examination for the decedent, including the] autopsy report, toxicology report, lab reports,
4839     [and] investigative reports, documents generated by the medical examiner related to any report,
4840     and any other specifically requested portions of the medical examiner record, if any, to any of
4841     the following:
4842          (i) a decedent's immediate relative;
4843          (ii) a decedent's legal representative;
4844          (iii) a physician or physician assistant who attended the decedent during the year before
4845     the decedent's death; or
4846          (iv) a county attorney, a district attorney, a criminal defense attorney, or other law
4847     enforcement official with jurisdiction, as necessary for the performance of the attorney or
4848     official's professional duties.
4849          (b) [Upon] Subject to Subsection (c), upon written request from the director or a
4850     designee of the director of an entity described in Subsections (2)(b)(i) through (iv), the medical
4851     examiner may provide a copy of [the of the medical examiner's final report of examination for
4852     the decedent, including any other reports] any medical examiner report or other portions of the
4853     medical examiner's record described in Subsection (2)(a), to any of the following entities as
4854     necessary for performance of the entity's official purposes:
4855          (i) a local health department;
4856          (ii) a local mental health authority;
4857          (iii) a public health authority; or
4858          (iv) another state or federal governmental agency.
4859          (c) The medical examiner may provide a copy of [the medical examiner's final report
4860     of examination, including any other reports] a report or portion of the medical examiner's
4861     record described in Subsection (2)(a), if the [final] report or portion of the medical examiner's
4862     record relates to an issue of public health or safety, as further defined by rule made by the
4863     department in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.

4864          (3) Reports provided under Subsection (2) may not include records that the medical
4865     examiner obtains from a third party in the course of investigating the decedent's death.
4866          (4) The medical examiner may provide a medical examiner record to a researcher who:
4867          (a) has an advanced degree;
4868          (b) (i) is affiliated with an accredited college or university, a hospital, or another
4869     system of care, including an emergency medical response or a local health agency; or
4870          (ii) is part of a research firm contracted with an accredited college or university, a
4871     hospital, or another system of care;
4872          (c) requests a medical examiner record for a research project or a quality improvement
4873     initiative that will have a public health benefit, as determined by the department; and
4874          (d) provides to the medical examiner an approval from:
4875          (i) the researcher's sponsoring organization; and
4876          (ii) the Utah Department of Health and Human Services Institutional Review Board.
4877          (5) Records provided under Subsection (4) may not include a third party record, unless:
4878          (a) a court has ordered disclosure of the third party record; and
4879          (b) disclosure is conducted in compliance with state and federal law.
4880          (6) A person who obtains a medical examiner record under Subsection (4) shall:
4881          (a) maintain the confidentiality of the medical examiner record by removing personally
4882     identifying information about a decedent or the decedent's family and any other information
4883     that may be used to identify a decedent before using the medical examiner record in research;
4884          (b) conduct any research within and under the supervision of the Office of the Medical
4885     Examiner, if the medical examiner record contains a third party record with personally
4886     identifiable information;
4887          (c) limit the use of a medical examiner record to the purpose for which the person
4888     requested the medical examiner record;
4889          (d) destroy a medical examiner record and the data abstracted from the medical
4890     examiner record at the conclusion of the research for which the person requested the medical
4891     examiner record;
4892          (e) reimburse the medical examiner, as provided in Section 26B-1-209, for any costs
4893     incurred by the medical examiner in providing a medical examiner record;
4894          (f) allow the medical examiner to review, before public release, a publication in which

4895     data from a medical examiner record is referenced or analyzed; and
4896          (g) provide the medical examiner access to the researcher's database containing data
4897     from a medical examiner record, until the day on which the researcher permanently destroys
4898     the medical examiner record and all data obtained from the medical examiner record.
4899          (7) The department may make rules, in accordance with Title 63G, Chapter 3, Utah
4900     Administrative Rulemaking Act, and in consideration of applicable state and federal law, to
4901     establish permissible uses and disclosures of a medical examiner record or other record
4902     obtained under this section.
4903          (8) Except as provided in this chapter or ordered by a court, the medical examiner may
4904     not disclose any part of a medical examiner record.
4905          (9) A person who obtains a medical examiner record under Subsection (4) is guilty of a
4906     class B misdemeanor, if the person fails to comply with the requirements of Subsections (6)(a)
4907     through (d).
4908          Section 57. Section 26B-8-221 is amended to read:
4909          26B-8-221. Authority of county attorney or district attorney to subpoena
4910     witnesses and compel testimony -- Determination if decedent died by unlawful means.
4911          (1) The district attorney or county attorney having criminal jurisdiction may subpoena
4912     witnesses and compel testimony concerning the death of any person and have such testimony
4913     reduced to writing under his direction and may employ a [shorthand] court reporter for that
4914     purpose at the same compensation as is allowed to reporters in the district courts. When the
4915     testimony has been taken down by the [shorthand] court reporter, a transcript thereof, duly
4916     certified, shall constitute the deposition of the witness.
4917          (2) Upon review of all facts and testimony taken concerning the death of a person, the
4918     district attorney or county attorney having criminal jurisdiction shall determine if the decedent
4919     died by unlawful means and shall also determine if criminal prosecution shall be instituted.
4920          Section 58. Section 26B-8-223 is amended to read:
4921          26B-8-223. Authority of examiner to provide organ or other tissue for transplant
4922     purposes.
4923          (1) When requested by the licensed physician of a patient who is in need of an organ or
4924     other tissue for transplant purpose, by a legally created Utah eye bank, organ bank or medical
4925     facility, the medical examiner may provide an organ or other tissue if:

4926          (a) a decedent who may provide a suitable organ or other tissue for the transplant is in
4927     the custody of the medical examiner;
4928          (b) the medical examiner is assured that the requesting party has made reasonable
4929     search for and inquiry of next of kin of the decedent and that no objection by the next of kin is
4930     known by the requesting party; and
4931          (c) the removal of the organ or other tissue will not interfere with the investigation or
4932     autopsy or alter the post-mortem facial appearance.
4933          (2) When the medical examiner [is in custody of] has jurisdiction over a decedent who
4934     may provide a suitable organ or other tissue for transplant purposes, he may contact the
4935     appropriate eye bank, organ bank or medical facility and notify them concerning the suitability
4936     of the organ or other tissue. In such contact the medical examiner may disclose the name of the
4937     decedent so that necessary clearances can be obtained.
4938          (3) No person shall be held civilly or criminally liable for any acts performed pursuant
4939     to this section.
4940          Section 59. Section 26B-8-225 is amended to read:
4941          26B-8-225. Burial of an unclaimed body -- Request by the school of medicine at
4942     the University of Utah -- Medical examiner may retain tissue for dog training.
4943          (1) Except as described in Subsection (2) or (3), a county shall provide, at the county's
4944     expense, decent [burial for] disposition of an unclaimed body found in the county.
4945          (2) A county is not responsible for decent [burial] disposition of an unclaimed body
4946     found in the county if the body is requested by the dean of the school of medicine at the
4947     University of Utah under Section 53B-17-301.
4948          (3) For an unclaimed body that is temporarily in the medical examiner's custody before
4949     [burial] disposition under Subsection (1), the medical examiner may retain tissue from the
4950     unclaimed body in order to donate the tissue to an individual who is affiliated with an
4951     established search and rescue dog organization, for the purpose of training a dog to search for
4952     human remains.
4953          Section 60. Section 26B-8-227 is amended to read:
4954          26B-8-227. Registry of unidentified deceased persons.
4955          (1) If the identity of a deceased person over which the medical examiner has
4956     jurisdiction under Section 26B-8-205 is unknown, the medical examiner shall do the following

4957     [before releasing the body to the county in which the body was found as provided in Section
4958     26B-8-225]:
4959          (a) assign a unique identifying number to the body;
4960          (b) create and maintain a file under the assigned number;
4961          (c) examine the body, take samples, and perform other related tasks for the purpose of
4962     deriving information that may be useful in ascertaining the identity of the deceased person;
4963          (d) use the identifying number in all records created by the medical examiner that
4964     pertains to the body;
4965          (e) record all information pertaining to the body in the file created and maintained
4966     under Subsection (1)(b);
4967          (f) communicate the unique identifying number to the county in which the body was
4968     found; and
4969          (g) access information from available government sources and databases in an attempt
4970     to ascertain the identity of the deceased person.
4971          [(2) A county which has received a body to which Subsection (1) applies:]
4972          [(a) shall adopt and use the same identifying number assigned by Subsection (1) in all
4973     records created by the county that pertain to the body;]
4974          [(b) require any funeral director or sexton who is involved in the disposition of the
4975     body to adopt and use the same identifying number assigned by Subsection (1) in all records
4976     created by the funeral director or sexton pertaining to the body; and]
4977          [(c) shall provide a decent burial for the body.]
4978          [(3) Within 30 days of receiving a body to which Subsection (1) applies, the county
4979     shall inform the medical examiner of the disposition of the body including the burial plot. The
4980     medical examiner shall record this information in the file created and maintained under
4981     Subsection (1)(b).]
4982          [(4) The requirements of Subsections (1) and (6) apply to a county examiner appointed
4983     under Section 26B-8-203, with the additional requirements that the county examiner:]
4984          [(a) obtain a unique identifying number from the medical examiner for the body; and]
4985          [(b) send to the medical examiner a copy of the file created and maintained in
4986     accordance with Subsection (1)(b), including the disposition of the body and burial plot, within
4987     30 days of releasing the body.]

4988          [(5) The medical examiner shall maintain a file received under Subsection (4) in the
4989     same way that it maintains a file created and maintained by the medical examiner in accordance
4990     with Subsection (1)(b).]
4991          [(6)] (2) The medical examiner shall cooperate and share information generated and
4992     maintained under this section with a person who demonstrates:
4993          (a) a legitimate personal or governmental interest in determining the identity of a
4994     deceased person; and
4995          (b) a reasonable belief that the body of that deceased person may have come into the
4996     custody of the medical examiner.
4997          Section 61. Section 26B-8-229 is amended to read:
4998          26B-8-229. Psychological autopsy examiner.
4999          (1) With funds appropriated by the Legislature for this purpose, the department shall
5000     provide compensation, at a standard rate determined by the department, to a psychological
5001     autopsy examiner.
5002          (2) The psychological autopsy examiner shall:
5003          (a) work with the medical examiner to compile data regarding suicide related deaths;
5004          (b) as relatives, associates, and acquaintances of the deceased are willing, gather
5005     information [from relatives of the deceased] regarding the [psychological reasons for]
5006     circumstances that preceded the decedent's death;
5007          (c) maintain a database of information described in Subsections (2)(a) and (b);
5008          (d) in accordance with all applicable privacy laws subject to approval by the
5009     department, share the database described in Subsection (2)(c) with the University of Utah
5010     Department of Psychiatry or other university-based departments conducting research on
5011     suicide;
5012          (e) coordinate no less than monthly with the suicide prevention coordinator described
5013     in Subsection 26B-5-611(2); and
5014          (f) coordinate no less than quarterly with the state suicide prevention coalition.
5015          Section 62. Section 53-2d-404 (Effective 07/01/24) is amended to read:
5016          53-2d-404 (Effective 07/01/24). Permits for emergency medical service vehicles
5017     and nonemergency secured behavioral health transport vehicles.
5018          (1) (a) To ensure that emergency medical service vehicles and nonemergency secured

5019     behavioral health transport vehicles are adequately staffed, safe, maintained, properly
5020     equipped, and safely operated, the committee shall establish permit requirements at levels it
5021     considers appropriate in the following categories:
5022          (i) ambulance;
5023          (ii) emergency medical response vehicle; and
5024          (iii) nonemergency secured behavioral health transport vehicle.
5025          (b) The permit requirements under Subsections (1)(a)(i) and (ii) shall include a
5026     requirement that [beginning on or after January 31, 2014,] every operator of an ambulance or
5027     emergency medical response vehicle annually provide proof of the successful completion of an
5028     emergency vehicle operator's course approved by the bureau for all ambulances and emergency
5029     medical response vehicle operators.
5030          (2) The bureau shall, based on the requirements established in Subsection (1), issue
5031     permits to emergency medical service vehicles and nonemergency secured behavioral health
5032     transport vehicles.
5033          Section 63. Section 53-2d-503 (Effective 07/01/24) is amended to read:
5034          53-2d-503 (Effective 07/01/24). Establishment of maximum rates.
5035          (1) The bureau shall, after receiving recommendations under Subsection (2), establish
5036     maximum rates for ground ambulance providers and paramedic providers that are just and
5037     reasonable.
5038          (2) The committee may make recommendations to the bureau on the maximum rates
5039     that should be set under Subsection (1).
5040          (3) (a) [The bureau shall prohibit ground] Ground ambulance providers and paramedic
5041     providers [from charging] may not charge fees for transporting a patient when the provider
5042     does not transport the patient.
5043          (b) The provisions of Subsection (3)(a) do not apply to ambulance providers or
5044     paramedic providers in a geographic service area which contains a town as defined in
5045     Subsection 10-2-301(2)(f).
5046          Section 64. Section 53-2d-703 (Effective 07/01/24) is amended to read:
5047          53-2d-703 (Effective 07/01/24). Volunteer Emergency Medical Service Personnel
5048     Health Insurance Program -- Creation -- Administration -- Eligibility -- Benefits --
5049     Rulemaking -- Advisory board.

5050          (1) As used in this section:
5051          (a) "Health benefit plan" means the same as that term is defined in Section 31A-1-301.
5052          (b) "Local government entity" means a political subdivision that:
5053          (i) is licensed as a ground ambulance provider under Part 5, Ambulance and Paramedic
5054     Providers; and
5055          (ii) [as of January 1, 2022,] does not offer health insurance benefits to volunteer
5056     emergency medical service personnel.
5057          (c) "PEHP" means the Public Employees' Benefit and Insurance Program created in
5058     Section 49-20-103.
5059          (d) "Political subdivision" means a county, a municipality, a limited purpose
5060     government entity described in Title 17B, Limited Purpose Local Government Entities -
5061     Special Districts, or Title 17D, Limited Purpose Local Government Entities - Other Entities, or
5062     an entity created by an interlocal agreement under Title 11, Chapter 13, Interlocal Cooperation
5063     Act.
5064          (e) "Qualifying association" means an association that represents two or more political
5065     subdivisions in the state.
5066          (2) The Volunteer Emergency Medical Service Personnel Health Insurance Program
5067     shall promote recruitment and retention of volunteer emergency medical service personnel by
5068     making health insurance available to volunteer emergency medical service personnel.
5069          (3) The bureau shall contract with a qualifying association to create, implement, and
5070     administer the Volunteer Emergency Medical Service Personnel Health Insurance Program
5071     described in this section.
5072          (4) Participation in the program is limited to emergency medical service personnel
5073     who:
5074          (a) are licensed under Section 53-2d-402 and are able to perform all necessary
5075     functions associated with the license;
5076          (b) provide emergency medical services under the direction of a local governmental
5077     entity:
5078          (i) by responding to 20% of calls for emergency medical services in a rolling
5079     twelve-month period;
5080          (ii) within a county of the third, fourth, fifth, or sixth class; and

5081          (iii) as a volunteer under the Fair Labor Standards Act, in accordance with 29 C.F.R.
5082     Sec. 553.106;
5083          (c) are not eligible for a health benefit plan through an employer or a spouse's
5084     employer;
5085          (d) are not eligible for medical coverage under a government sponsored healthcare
5086     program; and
5087          (e) reside in the state.
5088          (5) (a) A participant in the program is eligible to participate in PEHP in accordance
5089     with Subsection (5)(b) and Subsection 49-20-201(3).
5090          (b) Benefits available to program participants under PEHP are limited to health
5091     insurance that:
5092          (i) covers the program participant and the program participant's eligible dependents on
5093     a July 1 plan year;
5094          (ii) accepts enrollment during an open enrollment period or for a special enrollment
5095     event, including the initial eligibility of a program participant;
5096          (iii) if the program participant is no longer eligible for benefits, terminates on the last
5097     day of the last month for which the individual is a participant in the Volunteer Emergency
5098     Medical Service Personnel Health Insurance Program; and
5099          (iv) is not subject to continuation rights under state or federal law.
5100          (6) (a) The bureau may make rules in accordance with Title 63G, Chapter 3, Utah
5101     Administrative Rulemaking Act, to define additional criteria regarding benefit design and
5102     eligibility for the program.
5103          (b) The bureau shall convene an advisory board:
5104          (i) to advise the bureau on making rules under Subsection (6)(a); and
5105          (ii) that includes representation from at least the following entities:
5106          (A) the qualifying association that receives the contract under Subsection (3); and
5107          (B) PEHP.
5108          (7) For purposes of this section, the qualifying association that receives the contract
5109     under Subsection (3) shall be considered the public agency for whom the program participant is
5110     volunteering under 29 C.F.R. Sec. 553.101.
5111          Section 65. Section 53-10-404 is amended to read:

5112          53-10-404. DNA specimen analysis -- Requirement to obtain the specimen.
5113          (1) As used in this section, "person" refers to any person as described under Section
5114     53-10-403.
5115          (2) (a) A person under Section 53-10-403 or any person required to register as a sex
5116     offender under Title 77, Chapter 41, Sex and Kidnap Offender Registry, shall provide a DNA
5117     specimen and shall reimburse the agency responsible for obtaining the DNA specimen $150 for
5118     the cost of obtaining the DNA specimen unless:
5119          (i) the person was booked under Section 53-10-403 and is not required to reimburse the
5120     agency under Section 53-10-404.5; or
5121          (ii) the agency determines the person lacks the ability to pay.
5122          (b) (i) (A) The responsible agencies shall establish guidelines and procedures for
5123     determining if the person is able to pay the fee.
5124          (B) An agency's implementation of Subsection (2)(b)(i) meets an agency's obligation to
5125     determine an inmate's ability to pay.
5126          (ii) An agency's guidelines and procedures may provide for the assessment of $150 on
5127     the inmate's county trust fund account and may allow a negative balance in the account until
5128     the $150 is paid in full.
5129          (3) (a) (i) All fees collected under Subsection (2) shall be deposited in the DNA
5130     Specimen Restricted Account created in Section 53-10-407, except that the agency collecting
5131     the fee may retain not more than $25 per individual specimen for the costs of obtaining the
5132     saliva DNA specimen.
5133          (ii) The agency collecting the $150 fee may not retain from each separate fee more than
5134     $25, and no amount of the $150 fee may be credited to any other fee or agency obligation.
5135          (b) The responsible agency shall determine the method of collecting the DNA
5136     specimen. Unless the responsible agency determines there are substantial reasons for using a
5137     different method of collection or the person refuses to cooperate with the collection, the
5138     preferred method of collection shall be obtaining a saliva specimen.
5139          (c) The responsible agency may use reasonable force, as established by its guidelines
5140     and procedures, to collect the DNA sample if the person refuses to cooperate with the
5141     collection.
5142          (d) If the judgment places the person on probation, the person shall submit to the

5143     obtaining of a DNA specimen as a condition of the probation.
5144          (e) (i) Under this section a person is required to provide one DNA specimen and pay
5145     the collection fee as required under this section.
5146          (ii) The person shall provide an additional DNA specimen only if the DNA specimen
5147     previously provided is not adequate for analysis.
5148          (iii) The collection fee is not imposed for a second or subsequent DNA specimen
5149     collected under this section.
5150          (f) Any agency that is authorized to obtain a DNA specimen under this part may collect
5151     any outstanding amount of a fee due under this section from any person who owes any portion
5152     of the fee and deposit the amount in the DNA Specimen Restricted Account created in Section
5153     53-10-407.
5154          (4) (a) The responsible agency shall cause a DNA specimen to be obtained as soon as
5155     possible and transferred to the Department of Public Safety:
5156          (i) after a conviction or a finding of jurisdiction by the juvenile court;
5157          (ii) on and after January 1, 2011, through December 31, 2014, after the booking of a
5158     person for any offense under Subsection 53-10-403(1)(c); and
5159          (iii) on and after January 1, 2015, after the booking of a person for any felony offense,
5160     as provided under Subsection 53-10-403(1)(d)(ii).
5161          (b) On and after May 13, 2014, through December 31, 2014, the responsible agency
5162     may cause a DNA specimen to be obtained and transferred to the Department of Public Safety
5163     after the booking of a person for any felony offense, as provided under Subsection
5164     53-10-403(1)(d)(i).
5165          (c) If notified by the Department of Public Safety that a DNA specimen is not adequate
5166     for analysis, the agency shall, as soon as possible:
5167          (i) obtain and transmit an additional DNA specimen; or
5168          (ii) request that another agency that has direct access to the person and that is
5169     authorized to collect DNA specimens under this section collect the necessary second DNA
5170     specimen and transmit it to the Department of Public Safety.
5171          (d) Each agency that is responsible for collecting DNA specimens under this section
5172     shall establish:
5173          (i) a tracking procedure to record the handling and transfer of each DNA specimen it

5174     obtains; and
5175          (ii) a procedure to account for the management of all fees it collects under this section.
5176          (5) (a) The Department of Corrections is the responsible agency whenever the person is
5177     committed to the custody of or is under the supervision of the Department of Corrections.
5178          (b) The juvenile court is the responsible agency regarding a minor under Subsection
5179     53-10-403(3), but if the minor has been committed to the legal custody of the [Division of
5180     Juvenile Justice Services] Division of Juvenile Justice and Youth Services, that division is the
5181     responsible agency if a DNA specimen of the minor has not previously been obtained by the
5182     juvenile court under Section 80-6-608.
5183          (c) The sheriff operating a county jail is the responsible agency regarding the collection
5184     of DNA specimens from persons who:
5185          (i) have pled guilty to or have been convicted of an offense listed under Subsection
5186     53-10-403(2) but who have not been committed to the custody of or are not under the
5187     supervision of the Department of Corrections;
5188          (ii) are incarcerated in the county jail:
5189          (A) as a condition of probation for a felony offense; or
5190          (B) for a misdemeanor offense for which collection of a DNA specimen is required;
5191          (iii) on and after January 1, 2011, through May 12, 2014, are booked at the county jail
5192     for any offense under Subsection 53-10-403(1)(c).; and
5193          (iv) are booked at the county jail:
5194          (A) by a law enforcement agency that is obtaining a DNA specimen for any felony
5195     offense on or after May 13, 2014, through December 31, 2014, under Subsection
5196     53-10-404(4)(b); or
5197          (B) on or after January 1, 2015, for any felony offense.
5198          (d) Each agency required to collect a DNA specimen under this section shall:
5199          (i) designate employees to obtain the saliva DNA specimens required under this
5200     section; and
5201          (ii) ensure that employees designated to collect the DNA specimens receive appropriate
5202     training and that the specimens are obtained in accordance with generally accepted protocol.
5203          (6) (a) As used in this Subsection (6), "department" means the Department of
5204     Corrections.

5205          (b) Priority of obtaining DNA specimens by the department is:
5206          (i) first, to obtain DNA specimens of persons who as of July 1, 2002, are in the custody
5207     of or under the supervision of the department before these persons are released from
5208     incarceration, parole, or probation, if their release date is prior to that of persons under
5209     Subsection (6)(b)(ii), but in no case later than July 1, 2004; and
5210          (ii) second, the department shall obtain DNA specimens from persons who are
5211     committed to the custody of the department or who are placed under the supervision of the
5212     department after July 1, 2002, within 120 days after the commitment, if possible, but not later
5213     than prior to release from incarceration if the person is imprisoned, or prior to the termination
5214     of probation if the person is placed on probation.
5215          (c) The priority for obtaining DNA specimens from persons under Subsection (6)(b)(ii)
5216     is:
5217          (i) first, persons on probation;
5218          (ii) second, persons on parole; and
5219          (iii) third, incarcerated persons.
5220          (d) Implementation of the schedule of priority under Subsection (6)(c) is subject to the
5221     priority of Subsection (6)(b)(i), to ensure that the Department of Corrections obtains DNA
5222     specimens from persons in the custody of or under the supervision of the Department of
5223     Corrections as of July 1, 2002, prior to their release.
5224          (7) (a) As used in this Subsection (7):
5225          (i) "Court" means the juvenile court.
5226          (ii) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
5227     Justice and Youth Services.
5228          (b) Priority of obtaining DNA specimens by the court from minors under Section
5229     53-10-403 whose cases are under the jurisdiction of the court but who are not in the legal
5230     custody of the division shall be:
5231          (i) first, to obtain specimens from minors whose cases, as of July 1, 2002, are under the
5232     court's jurisdiction, before the court's jurisdiction over the minors' cases terminates; and
5233          (ii) second, to obtain specimens from minors whose cases are under the jurisdiction of
5234     the court after July 1, 2002, within 120 days of the minor's case being found to be within the
5235     court's jurisdiction, if possible, but no later than before the court's jurisdiction over the minor's

5236     case terminates.
5237          (c) Priority of obtaining DNA specimens by the division from minors under Section
5238     53-10-403 who are committed to the legal custody of the division shall be:
5239          (i) first, to obtain specimens from minors who as of July 1, 2002, are within the
5240     division's legal custody and who have not previously provided a DNA specimen under this
5241     section, before termination of the division's legal custody of these minors; and
5242          (ii) second, to obtain specimens from minors who are placed in the legal custody of the
5243     division after July 1, 2002, within 120 days of the minor's being placed in the custody of the
5244     division, if possible, but no later than before the termination of the court's jurisdiction over the
5245     minor's case.
5246          (8) (a) The Department of Corrections, the juvenile court, the [Division of Juvenile
5247     Justice Services] Division of Juvenile Justice and Youth Services, and all law enforcement
5248     agencies in the state shall by policy establish procedures for obtaining saliva DNA specimens,
5249     and shall provide training for employees designated to collect saliva DNA specimens.
5250          (b) (i) The department may designate correctional officers, including those employed
5251     by the adult probation and parole section of the department, to obtain the saliva DNA
5252     specimens required under this section.
5253          (ii) The department shall ensure that the designated employees receive appropriate
5254     training and that the specimens are obtained in accordance with accepted protocol.
5255          (c) Blood DNA specimens shall be obtained in accordance with Section 53-10-405.
5256          Section 66. Section 53-10-407 is amended to read:
5257          53-10-407. DNA Specimen Restricted Account.
5258          (1) There is created the DNA Specimen Restricted Account, which is referred to in this
5259     section as "the account."
5260          (2) The sources of money for the account are:
5261          (a) DNA collection fees paid under Section 53-10-404;
5262          (b) any appropriations made to the account by the Legislature; and
5263          (c) all federal money provided to the state for the purpose of funding the collection or
5264     analysis of DNA specimens collected under Section 53-10-403.
5265          (3) The account shall earn interest, and this interest shall be deposited in the account.
5266          (4) The Legislature may appropriate money from the account solely for the following

5267     purposes:
5268          (a) to the Department of Corrections for the costs of collecting DNA specimens as
5269     required under Section 53-10-403;
5270          (b) to the juvenile court for the costs of collecting DNA specimens as required under
5271     Sections 53-10-403 and 80-6-608;
5272          (c) to the [Division of Juvenile Justice Services] Division of Juvenile Justice and
5273     Youth Services for the costs of collecting DNA specimens as required under Sections
5274     53-10-403 and 80-5-201; and
5275          (d) to the Department of Public Safety for the costs of:
5276          (i) storing and analyzing DNA specimens in accordance with the requirements of this
5277     part;
5278          (ii) DNA testing which cannot be performed by the Utah State Crime Lab, as provided
5279     in Subsection 78B-9-301(7); and
5280          (iii) reimbursing sheriffs for collecting the DNA specimens as provided under Sections
5281     53-10-404 and 53-10-404.5.
5282          (5) Appropriations from the account to the Department of Corrections, the juvenile
5283     court, the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth
5284     Services, and to the Department of Public Safety are nonlapsing.
5285          Section 67. Section 53E-10-301 is amended to read:
5286          53E-10-301. Definitions.
5287          As used in this part:
5288          (1) "Career and technical education course" means a concurrent enrollment course in
5289     career and technical education, as determined by the policy established by the Utah Board of
5290     Higher Education under Section 53E-10-302.
5291          (2) "Concurrent enrollment" means enrollment in a course offered through the
5292     concurrent enrollment program described in Section 53E-10-302.
5293          (3) "Educator" means the same as that term is defined in Section 53E-6-102.
5294          (4) "Eligible instructor" means an instructor who meets the requirements described in
5295     Subsection 53E-10-302(6).
5296          (5) "Eligible student" means a student who:
5297          (a) (i) is enrolled in, and counted in average daily membership in, a public school

5298     within the state; or
5299          (ii) is in the custody of the [Division of Juvenile Justice Services] Division of Juvenile
5300     Justice and Youth Services and subject to the jurisdiction of the Youth Parole Authority;
5301          (b) has on file a plan for college and career readiness as described in Section
5302     53E-2-304; and
5303          (c) is in grade 9, 10, 11, or 12.
5304          (6) "Institution of higher education" means an institution described in Subsection
5305     53B-1-102(1)(a).
5306          (7) "License" means the same as that term is defined in Section 53E-6-102.
5307          (8) "Local education agency" or "LEA" means a school district or charter school.
5308          (9) "Qualifying experience" means an LEA employee's experience in an academic field
5309     that:
5310          (a) qualifies the LEA employee to teach a concurrent enrollment course in the
5311     academic field; and
5312          (b) may include the LEA employee's:
5313          (i) number of years teaching in the academic field;
5314          (ii) holding a higher level secondary teaching credential issued by the state board;
5315          (iii) research, publications, or other scholarly work in the academic field;
5316          (iv) continuing professional education in the academic field;
5317          (v) portfolio of work related to the academic field; or
5318          (vi) professional work experience or certifications in the academic field.
5319          (10) "Value of the weighted pupil unit" means the amount established each year in the
5320     enacted public education budget that is multiplied by the number of weighted pupil units to
5321     yield the funding level for the basic state-supported school program.
5322          Section 68. Section 53G-8-211 is amended to read:
5323          53G-8-211. Responses to school-based behavior.
5324          (1) As used in this section:
5325          (a) "Evidence-based" means a program or practice that has:
5326          (i) had multiple randomized control studies or a meta-analysis demonstrating that the
5327     program or practice is effective for a specific population;
5328          (ii) been rated as effective by a standardized program evaluation tool; or

5329          (iii) been approved by the state board.
5330          (b) "Habitual truant" means a school-age child who:
5331          (i) is in grade 7 or above, unless the school-age child is under 12 years old;
5332          (ii) is subject to the requirements of Section 53G-6-202; and
5333          (iii) (A) is truant at least 10 times during one school year; or
5334          (B) fails to cooperate with efforts on the part of school authorities to resolve the
5335     school-age child's attendance problem as required under Section 53G-6-206.
5336          (c) "Minor" means the same as that term is defined in Section 80-1-102.
5337          (d) "Mobile crisis outreach team" means the same as that term is defined in Section
5338     [62A-15-102] 26B-5-101.
5339          (e) "Prosecuting attorney" means the same as that term is defined in Subsections
5340     80-1-102(65)(b) and (c).
5341          (f) "Restorative justice program" means a school-based program or a program used or
5342     adopted by a local education agency that is designed:
5343          (i) to enhance school safety, reduce school suspensions, and limit referrals to law
5344     enforcement agencies and courts; and
5345          (ii) to help minors take responsibility for and repair harmful behavior that occurs in
5346     school.
5347          (g) "School administrator" means a principal of a school.
5348          (h) "School is in session" means a day during which the school conducts instruction for
5349     which student attendance is counted toward calculating average daily membership.
5350          (i) "School resource officer" means a law enforcement officer, as defined in Section
5351     53-13-103, who contracts with, is employed by, or whose law enforcement agency contracts
5352     with a local education agency to provide law enforcement services for the local education
5353     agency.
5354          (j) "School-age child" means the same as that term is defined in Section 53G-6-201.
5355          (k) (i) "School-sponsored activity" means an activity, fundraising event, club, camp,
5356     clinic, or other event or activity that is authorized by a specific local education agency or public
5357     school, according to LEA governing board policy, and satisfies at least one of the following
5358     conditions:
5359          (A) the activity is managed or supervised by a local education agency or public school,

5360     or local education agency or public school employee;
5361          (B) the activity uses the local education agency's or public school's facilities,
5362     equipment, or other school resources; or
5363          (C) the activity is supported or subsidized, more than inconsequentially, by public
5364     funds, including the public school's activity funds or Minimum School Program dollars.
5365          (ii) "School-sponsored activity" includes preparation for and involvement in a public
5366     performance, contest, athletic competition, demonstration, display, or club activity.
5367          (l) (i) "Status offense" means an offense that would not be an offense but for the age of
5368     the offender.
5369          (ii) "Status offense" does not mean an offense that by statute is a misdemeanor or
5370     felony.
5371          (2) This section applies to a minor enrolled in school who is alleged to have committed
5372     an offense on school property where the student is enrolled:
5373          (a) when school is in session; or
5374          (b) during a school-sponsored activity.
5375          (3) If a minor is alleged to have committed an offense on school property that is a class
5376     C misdemeanor, an infraction, or a status offense, the school administrator, the school
5377     administrator's designee, or a school resource officer may refer the minor:
5378          (a) to an evidence-based alternative intervention, including:
5379          (i) a mobile crisis outreach team;
5380          (ii) a youth services center, as defined in Section 80-5-102;
5381          (iii) a youth court or comparable restorative justice program;
5382          (iv) an evidence-based alternative intervention created and developed by the school or
5383     school district;
5384          (v) an evidence-based alternative intervention that is jointly created and developed by a
5385     local education agency, the state board, the juvenile court, local counties and municipalities,
5386     the Department of Health and Human Services; or
5387          (vi) a tobacco cessation or education program if the offense is a violation of Section
5388     76-10-105; or
5389          (b) for prevention and early intervention youth services, as described in Section
5390     80-5-201, by the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth

5391     Services if the minor refuses to participate in an evidence-based alternative intervention
5392     described in Subsection (3)(a).
5393          (4) Except as provided in Subsection (5), if a minor is alleged to have committed an
5394     offense on school property that is a class C misdemeanor, an infraction, or a status offense, a
5395     school administrator, the school administrator's designee, or a school resource officer may refer
5396     a minor to a law enforcement officer or agency or a court only if:
5397          (a) the minor allegedly committed the same offense on school property on two previous
5398     occasions; and
5399          (b) the minor was referred to an evidence-based alternative intervention, or to
5400     prevention or early intervention youth services, as described in Subsection (3) for both of the
5401     two previous offenses.
5402          (5) If a minor is alleged to have committed a traffic offense that is an infraction, a
5403     school administrator, the school administrator's designee, or a school resource officer may refer
5404     the minor to a law enforcement officer or agency, a prosecuting attorney, or a court for the
5405     traffic offense.
5406          (6) Notwithstanding Subsection (4), a school resource officer may:
5407          (a) investigate possible criminal offenses and conduct, including conducting probable
5408     cause searches;
5409          (b) consult with school administration about the conduct of a minor enrolled in a
5410     school;
5411          (c) transport a minor enrolled in a school to a location if the location is permitted by
5412     law;
5413          (d) take temporary custody of a minor in accordance with Section 80-6-201; or
5414          (e) protect the safety of students and the school community, including the use of
5415     reasonable and necessary physical force when appropriate based on the totality of the
5416     circumstances.
5417          (7) (a) If a minor is referred to a court or a law enforcement officer or agency under
5418     Subsection (4), the school or the school district shall appoint a school representative to
5419     continue to engage with the minor and the minor's family through the court process.
5420          (b) A school representative appointed under Subsection (7)(a) may not be a school
5421     resource officer.

5422          (c) A school district or school shall include the following in the school district's or
5423     school's referral to the court or the law enforcement officer or agency:
5424          (i) attendance records for the minor;
5425          (ii) a report of evidence-based alternative interventions used by the school before the
5426     referral, including outcomes;
5427          (iii) the name and contact information of the school representative assigned to actively
5428     participate in the court process with the minor and the minor's family;
5429          (iv) if the minor was referred to prevention or early intervention youth services under
5430     Subsection (3)(b), a report from the [Division of Juvenile Justice Services] Division of Juvenile
5431     Justice and Youth Services that demonstrates the minor's failure to complete or participate in
5432     prevention and early intervention youth services under Subsection (3)(b); and
5433          (v) any other information that the school district or school considers relevant.
5434          (d) A minor referred to a court under Subsection (4) may not be ordered to or placed in
5435     secure detention, including for a contempt charge or violation of a valid court order under
5436     Section 78A-6-353, when the underlying offense is a status offense or infraction.
5437          (e) If a minor is referred to a court under Subsection (4), the court may use, when
5438     available, the resources of the [Division of Juvenile Justice Services] Division of Juvenile
5439     Justice and Youth Services or the [Division of Substance Abuse and Mental Health] Office of
5440     Substance Use and Mental Health to address the minor.
5441          (8) If a minor is alleged to have committed an offense on school property that is a class
5442     B misdemeanor or a class A misdemeanor, the school administrator, the school administrator's
5443     designee, or a school resource officer may refer the minor directly to a court or to the
5444     evidence-based alternative interventions in Subsection (3)(a).
5445          Section 69. Section 53G-8-213 is amended to read:
5446          53G-8-213. Reintegration plan for student alleged to have committed violent
5447     felony or weapon offense.
5448          (1) As used in this section:
5449          (a) "Multidisciplinary team" means the local education agency, the juvenile court, the
5450     [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services, a
5451     school resource officer if applicable, and any other relevant party that should be involved in a
5452     reintegration plan.

5453          (b) "Violent felony" means the same as that term is defined in Section 76-3-203.5.
5454          (2) If a school district receives a notification from the juvenile court or a law
5455     enforcement agency that a student was arrested for, charged with, or adjudicated in the juvenile
5456     court for a violent felony or an offense in violation of Title 76, Chapter 10, Part 5, Weapons,
5457     the school shall develop a reintegration plan for the student with a multidisciplinary team, the
5458     student, and the student's parent or guardian, within five days after the day on which the school
5459     receives a notification.
5460          (3) The school may deny admission to the student until the school completes the
5461     reintegration plan under Subsection (2).
5462          (4) The reintegration plan under Subsection (2) shall address:
5463          (a) a behavioral intervention for the student;
5464          (b) a short-term mental health or counseling service for the student; and
5465          (c) an academic intervention for the student.
5466          Section 70. Section 53G-10-406 is amended to read:
5467          53G-10-406. Underage Drinking and Substance Abuse Prevention Program --
5468     State board rules.
5469          (1) As used in this section:
5470          (a) "Advisory council" means the Underage Drinking and Substance Abuse Prevention
5471     Program Advisory Council created in this section.
5472          (b) "Program" means the Underage Drinking and Substance Abuse Prevention Program
5473     created in this section.
5474          (c) "School-based prevention program" means an evidence-based program that:
5475          (i) is aimed at preventing underage consumption of alcohol and underage use of
5476     electronic cigarette products;
5477          (ii) is delivered by methods that engage students in storytelling and visualization;
5478          (iii) addresses the behavioral risk factors associated with underage drinking and use of
5479     electronic cigarette products; and
5480          (iv) provides practical tools to address the dangers of underage drinking and use of
5481     electronic cigarette products.
5482          (2) There is created the Underage Drinking and Substance Abuse Prevention Program
5483     that consists of:

5484          (a) a school-based prevention program for students in grade 4 or 5;
5485          (b) a school-based prevention program for students in grade 7 or 8; and
5486          (c) a school-based prevention program for students in grade 9 or 10 that increases
5487     awareness of the dangers of driving under the influence of alcohol.
5488          (3) (a) Beginning with the 2018-19 school year, an LEA shall offer the program each
5489     school year to each student in grade 7 or 8 and grade 9 or 10.
5490          (b) In addition to Subsection (3)(a), beginning with the 2020-21 school year, an LEA
5491     shall offer the program each school year to each student in grade 4 or 5.
5492          (c) An LEA shall select from the providers qualified by the state board under
5493     Subsection (6) to offer the program.
5494          (4) The state board shall administer the program with input from the advisory council.
5495          (5) There is created the Underage Drinking and Substance Abuse Prevention Program
5496     Advisory Council comprised of the following members:
5497          (a) the executive director of the Department of Alcoholic Beverage Services or the
5498     executive director's designee;
5499          (b) the executive director of the Department of Health and Human Services or the
5500     executive director's designee;
5501          (c) the director of the [Division of Substance Abuse and Mental Health] Office of
5502     Substance Use and Mental Health or the director's designee;
5503          (d) the director of the Division of Child and Family Services or the director's designee;
5504          (e) the director of the [Division of Juvenile Justice Services] Division of Juvenile
5505     Justice and Youth Services or the director's designee;
5506          (f) the state superintendent or the state superintendent's designee; and
5507          (g) two members of the state board, appointed by the chair of the state board.
5508          (6) (a) In accordance with Title 63G, Chapter 6a, Utah Procurement Code, the state
5509     board shall qualify one or more providers to provide the program to an LEA.
5510          (b) In selecting a provider described in Subsection (6)(a), the state board shall consider:
5511          (i) whether the provider's program complies with the requirements described in this
5512     section;
5513          (ii) the extent to which the provider's prevention program aligns with core standards for
5514     Utah public schools; and

5515          (iii) the provider's experience in providing a program that is effective.
5516          (7) (a) The state board shall use money from the Underage Drinking and Substance
5517     Abuse Prevention Program Restricted Account described in Section 53F-9-304 for the
5518     program.
5519          (b) The state board may use money from the Underage Drinking Prevention Program
5520     Restricted Account to fund up to .5 of a full-time equivalent position to administer the
5521     program.
5522          (8) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
5523     state board shall make rules that:
5524          (a) beginning with the 2018-19 school year, require an LEA to offer the Underage
5525     Drinking and Substance Abuse Prevention Program each school year to each student in grade 7
5526     or 8 and grade 9 or 10;
5527          (b) beginning with the 2020-21 school year, require an LEA to offer the Underage
5528     Drinking and Substance Abuse Prevention Program each school year to each student in grade 4
5529     or 5; and
5530          (c) establish criteria for the state board to use in selecting a provider described in
5531     Subsection (6).
5532          Section 71. Section 58-17b-309.7 is amended to read:
5533          58-17b-309.7. Opioid treatment program.
5534          (1) As used in this section:
5535          (a) "Covered provider" means an individual who is licensed to engage in:
5536          (i) the practice of advanced practice registered nursing as defined in Section
5537     58-31b-102;
5538          (ii) the practice of registered nursing as defined in Section 58-31b-102; or
5539          (iii) practice as a physician assistant as defined in Section 58-70a-102.
5540          (b) "Opioid treatment program" means a program or practitioner that is:
5541          (i) engaged in dispensing an opiate medication assisted treatment for opioid use
5542     disorder;
5543          (ii) registered under 21 U.S.C. Sec. 823(g)(1);
5544          (iii) licensed by the [Office of Licensing] Division of Licensing and Background
5545     Checks within the Department of Health and Human Services created in Section 26B-2-103;

5546     and
5547          (iv) certified by the federal Substance Abuse and Mental Health Services
5548     Administration in accordance with 42 C.F.R. 8.11.
5549          (2) A covered provider may dispense opiate medication assisted treatment at an opioid
5550     treatment program if the covered provider:
5551          (a) is operating under the direction of a pharmacist;
5552          (b) dispenses the opiate medication assisted treatment under the direction of a
5553     pharmacist; and
5554          (c) acts in accordance with division rule made under Subsection (3).
5555          (3) The division shall, in consultation with practitioners who work in an opioid
5556     treatment program, make rules in accordance with Title 63G, Chapter 3, Utah Administrative
5557     Rulemaking Act, to establish guidelines under which a covered provider may dispense opiate
5558     medication assisted treatment to a patient in an opioid treatment program under this section.
5559          Section 72. Section 58-17b-620 is amended to read:
5560          58-17b-620. Prescriptions issued within the public health system.
5561          (1) As used in this section:
5562          (a) "Department of Health and Human Services" means the Department of Health and
5563     Human Services created in Section 26B-1-201.
5564          (b) "Health department" means either the Department of Health and Human Services or
5565     a local health department.
5566          (c) "Local health departments" mean the local health departments created in Title 26A,
5567     Chapter 1, Local Health Departments.
5568          (2) When it is necessary to treat a reportable disease or non-emergency condition that
5569     has a direct impact on public health, a health department may implement the prescription
5570     procedure described in Subsection (3) for a prescription drug that is not a controlled substance
5571     for use in:
5572          (a) a clinic; or
5573          (b) a remote or temporary off-site location, including a triage facility established in the
5574     community, that provides:
5575          (i) treatment for sexually transmitted infections;
5576          (ii) fluoride treatment;

5577          (iii) travel immunization;
5578          (iv) preventative treatment for an individual with latent tuberculosis infection;
5579          (v) preventative treatment for an individual at risk for an infectious disease that has a
5580     direct impact on public health when the treatment is indicated to prevent the spread of disease
5581     or to mitigate the seriousness of infection in the exposed individual; or
5582          (vi) other treatment as defined by the Department of Health and Human Services by
5583     rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
5584          (3) In a circumstance described in Subsection (2), an individual with prescriptive
5585     authority may write a prescription for each contact, as defined in Section 26B-7-201, of a
5586     patient of the individual with prescriptive authority without a face-to-face exam, if:
5587          (a) the individual with prescriptive authority is treating the patient for a reportable
5588     disease or non-emergency condition having a direct impact on public health; and
5589          (b) the contact's condition is the same as the patient of the individual with prescriptive
5590     authority.
5591          (4) The following prescription procedure shall be carried out in accordance with the
5592     requirements of Subsection (5) and may be used only in the circumstances described under
5593     Subsections (2) and (3):
5594          (a) a physician writes and signs a prescription for a prescription drug, other than a
5595     controlled substance, without the name and address of the patient and without the date the
5596     prescription is provided to the patient; and
5597          (b) the physician authorizes a registered nurse employed by the health department to
5598     complete the prescription written under this Subsection (4) by inserting the patient's name and
5599     address, and the date the prescription is provided to the patient, in accordance with the
5600     physician's standing written orders and a written health department protocol approved by the
5601     [physician and the medical director] public health department physician medical director or the
5602     physician medical director of the state Department of Health and Human Services licensed
5603     under Chapter 67, Utah Medical Practices Act, or Chapter 68, Utah Osteopathic Medical
5604     Practice Act.
5605          (5) A physician assumes responsibility for all prescriptions issued under this section in
5606     the physician's name.
5607          (6) (a) All prescription forms to be used by a physician and health department in

5608     accordance with this section shall be serially numbered according to a numbering system
5609     assigned to that health department.
5610          (b) All prescriptions issued shall contain all information required under this chapter
5611     and rules adopted under this chapter.
5612          (7) Notwithstanding Sections 58-17b-302 and 58-17b-309, a nurse who is employed by
5613     a health department and licensed under Chapter 31b, Nurse Practice Act, may dispense a drug
5614     to treat a sexually transmitted infection if the drug is:
5615          (a) a prepackaged drug as defined in Section 58-17b-802;
5616          (b) dispensed under a prescription authorized by this section;
5617          (c) provided at a location that is described in Subsection (2)(a) or (b) and operated by
5618     the health department;
5619          (d) provided in accordance with a dispensing standard that is issued by a physician who
5620     is employed by the health department; and
5621          (e) if applicable, in accordance with requirements established by the division in
5622     collaboration with the board under Subsection (8).
5623          (8) The division may make rules in collaboration with the board and in accordance
5624     with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to establish specific
5625     requirements regarding the dispensing of a drug under Subsection (7).
5626          Section 73. Section 63B-3-102 is amended to read:
5627          63B-3-102. Maximum amount -- Projects authorized.
5628          (1) The total amount of bonds issued under this part may not exceed $64,600,000.
5629          (2) (a) Proceeds from the issuance of bonds shall be provided to the division to provide
5630     funds to pay all or part of the cost of acquiring and constructing the projects listed in this
5631     Subsection (2).
5632          (b) These costs may include the cost of acquiring land, interests in land, easements and
5633     rights-of-way, improving sites, and acquiring, constructing, equipping, and furnishing facilities
5634     and all structures, roads, parking facilities, utilities, and improvements necessary, incidental, or
5635     convenient to the facilities, interest estimated to accrue on these bonds during the period to be
5636     covered by construction of the projects plus a period of six months after the end of the
5637     construction period and all related engineering, architectural, and legal fees.
5638          (c) For the division, proceeds shall be provided for the following:

5639      CAPITAL IMPROVEMENTS
5640      1Alterations, Repairs, and Improvements
$5,000,000          
5641      TOTAL IMPROVEMENTS
$5,000,000
5642      CAPITAL AND ECONOMIC DEVELOPMENT
5643     


PRIORITY
PROJECT



PROJECT
DESCRIPTION



AMOUNT
FUNDED
ESTIMATED
OPERATIONS
AND
MAINTENANCE
COSTS
5644      1University of Utah
Marriott Library Phase III (Final)
$13,811,500$881,600
5645      2Bridgerland Applied Technology Center
Utah State University Space
$2,400,000
$0
5646      3Weber State University -
Heat Plant
$2,332,100$9,600
5647      4Department of Health and Human
Services - [Division of Youth
Corrections renamed in 2003 to the
Division of Juvenile Justice Services
]
Division of Juvenile Justice and Youth
Services
$4,180,000$400,000
5648      5Snow College - Administrative
Services/Student Center
$3,885,100$224,500
5649      6Ogden Weber Applied Technology
Center - Metal Trades Building Design
and Equipment Purchase
$750,000$0
5650      7Department of Corrections B-Block
Remodel
$1,237,100$72,000
5651      8Utah State University - Old Main Phase
III Design
$550,000$0
5652      9Department of Corrections - 144 bed
Uintah Expansion
$6,700,000$168,800
5653      10Southern Utah University
Administrative Services/Student Center
$5,630,400$314,200
5654      11Anasazi Museum$760,200$8,500
5655      12Hill Air Force Base - Easements
Purchase
$9,500,000$0
5656      13Signetics Building Remodel$2,000,000$0
5657      14Antelope Island Visitors Center$750,000$30,000
5658      15State Fair Park - Master Study$150,000$0
5659      16Utah National Guard - Draper Land$380,800$0
5660      17Davis Applied Technology Center -
Design
$325,000$0
5661      18Palisade State Park - Land and Park
Development
$800,000$0
5662      19Department of Human Services - Cedar
City Land
$80,000$0
5663      20Department of Human Services -
Clearfield Land
$163,400$0
5664      21Electronic technology, equipment, and
hardware
$2,500,000$0
5665      TOTAL CAPITAL AND ECONOMIC DEVELOPMENT          $58,885,600
5666      TOTAL IMPROVEMENTS AND CAPITAL
AND ECONOMIC DEVELOPMENT                    $63,885,600
5667          (d) For purposes of this section, operations and maintenance costs:
5668          (i) are estimates only;
5669          (ii) may include any operations and maintenance costs already funded in existing

5670     agency budgets; and
5671          (iii) are not commitments by this Legislature or future Legislatures to fund those
5672     operations and maintenance costs.
5673          (3) (a) The amounts funded as listed in Subsection (2) are estimates only and do not
5674     constitute a limitation on the amount that may be expended for any project.
5675          (b) The board may revise these estimates and redistribute the amount estimated for a
5676     project among the projects authorized.
5677          (c) The commission, by resolution and in consultation with the board, may delete one
5678     or more projects from this list if the inclusion of that project or those projects in the list could
5679     be construed to violate state law or federal law or regulation.
5680          (4) (a) The division may enter into agreements related to these projects before the
5681     receipt of proceeds of bonds issued under this chapter.
5682          (b) The division shall make those expenditures from unexpended and unencumbered
5683     building funds already appropriated to the Capital Projects Fund.
5684          (c) The division shall reimburse the Capital Projects Fund upon receipt of the proceeds
5685     of bonds issued under this chapter.
5686          (d) The commission may, by resolution, make any statement of intent relating to that
5687     reimbursement that is necessary or desirable to comply with federal tax law.
5688          (5) (a) For those projects for which only partial funding is provided in Subsection (2),
5689     it is the intent of the Legislature that the balance necessary to complete the projects be
5690     addressed by future Legislatures, either through appropriations or through the issuance or sale
5691     of bonds.
5692          (b) For those phased projects, the division may enter into contracts for amounts not to
5693     exceed the anticipated full project funding but may not allow work to be performed on those
5694     contracts in excess of the funding already authorized by the Legislature.
5695          (c) Those contracts shall contain a provision for termination of the contract for the
5696     convenience of the state.
5697          (d) It is also the intent of the Legislature that this authorization to the division does not
5698     bind future Legislatures to fund projects initiated from this authorization.
5699          Section 74. Section 63B-3-301 is amended to read:
5700          63B-3-301. Legislative intent -- Additional projects.

5701          (1) It is the intent of the Legislature that, for any lease purchase agreement that the
5702     Legislature may authorize the Division of Facilities Construction and Management to enter into
5703     during its 1994 Annual General Session, the State Building Ownership Authority, at the
5704     reasonable rates and amounts it may determine, and with technical assistance from the state
5705     treasurer, the director of the Division of Finance, and the executive director of the Governor's
5706     Office of Planning and Budget, may seek out the most cost effective and prudent lease
5707     purchase plans available to the state and may, pursuant to Chapter 1, Part 3, State Building
5708     Ownership Authority Act, certificate out interests in, or obligations of the authority pertaining
5709     to:
5710          (a) the lease purchase obligation; or
5711          (b) lease rental payments under the lease purchase obligation.
5712          (2) It is the intent of the Legislature that the Department of Transportation dispose of
5713     surplus real properties and use the proceeds from those properties to acquire or construct
5714     through the Division of Facilities Construction and Management a new District Two Complex.
5715          (3) It is the intent of the Legislature that the Division of Facilities Construction and
5716     Management allocate funds from the Capital Improvement appropriation and donations to
5717     cover costs associated with the upgrade of the Governor's Residence that go beyond the
5718     restoration costs which can be covered by insurance proceeds.
5719          (4) (a) It is the intent of the Legislature to authorize the State Building Ownership
5720     Authority under authority of Chapter 1, Part 3, State Building Ownership Authority Act, to
5721     issue or execute obligations or enter into or arrange for a lease purchase agreement in which
5722     participation interests may be created, to provide up to $10,600,000 for the construction of a
5723     Natural Resources Building in Salt Lake City, together with additional amounts necessary to:
5724          (i) pay costs of issuance;
5725          (ii) pay capitalized interest; and
5726          (iii) fund any debt service reserve requirements.
5727          (b) It is the intent of the Legislature that the authority seek out the most cost effective
5728     and prudent lease purchase plan available with technical assistance from the state treasurer, the
5729     director of the Division of Finance, and the executive director of the Governor's Office of
5730     Planning and Budget.
5731          (c) It is the intent of the Legislature that the operating budget for the Department of

5732     Natural Resources not be increased to fund these lease payments.
5733          (5) (a) It is the intent of the Legislature to authorize the State Building Ownership
5734     Authority under authority of Chapter 1, Part 3, State Building Ownership Authority Act, to
5735     issue or execute obligations or enter into or arrange for a lease purchase agreement in which
5736     participation interests may be created, to provide up to $8,300,000 for the acquisition of the
5737     office buildings currently occupied by the Department of Environmental Quality and
5738     approximately 19 acres of additional vacant land at the Airport East Business Park in Salt Lake
5739     City, together with additional amounts necessary to:
5740          (i) pay costs of issuance;
5741          (ii) pay capitalized interest; and
5742          (iii) fund any debt service reserve requirements.
5743          (b) It is the intent of the Legislature that the authority seek out the most cost effective
5744     and prudent lease purchase plan available with technical assistance from the state treasurer, the
5745     director of the Division of Finance, and the executive director of the Governor's Office of
5746     Planning and Budget.
5747          (6) (a) It is the intent of the Legislature to authorize the State Building Ownership
5748     Authority under authority of Chapter 1, Part 3, State Building Ownership Authority Act, to
5749     issue or execute obligations or enter into or arrange for a lease purchase agreement in which
5750     participation interests may be created, to provide up to $9,000,000 for the acquisition or
5751     construction of up to two field offices for the Department of Health and Human Services in the
5752     southwestern portion of Salt Lake County, together with additional amounts necessary to:
5753          (i) pay costs of issuance;
5754          (ii) pay capitalized interest; and
5755          (iii) fund any debt service reserve requirements.
5756          (b) It is the intent of the Legislature that the authority seek out the most cost effective
5757     and prudent lease purchase plan available with technical assistance from the state treasurer, the
5758     director of the Division of Finance, and the executive director of the Governor's Office of
5759     Planning and Budget.
5760          (7) (a) It is the intent of the Legislature to authorize the State Building Ownership
5761     Authority under authority of Chapter 1, Part 3, State Building Ownership Authority Act, to
5762     issue or execute obligations or enter into or arrange for lease purchase agreements in which

5763     participation interests may be created, to provide up to $5,000,000 for the acquisition or
5764     construction of up to 13 stores for the Department of Alcoholic Beverage Services, together
5765     with additional amounts necessary to:
5766          (i) pay costs of issuance;
5767          (ii) pay capitalized interest; and
5768          (iii) fund any debt service reserve requirements.
5769          (b) It is the intent of the Legislature that the authority seek out the most cost effective
5770     and prudent lease purchase plan available with technical assistance from the state treasurer, the
5771     director of the Division of Finance, and the executive director of the Governor's Office of
5772     Planning and Budget.
5773          (c) It is the intent of the Legislature that the operating budget for the Department of
5774     Alcoholic Beverage Services not be increased to fund these lease payments.
5775          (8) (a) It is the intent of the Legislature to authorize the State Building Ownership
5776     Authority under authority of Chapter 1, Part 3, State Building Ownership Authority Act, to
5777     issue or execute obligations or enter into or arrange for a lease purchase agreement in which
5778     participation interests may be created, to provide up to $6,800,000 for the construction of a
5779     Prerelease and Parole Center for the Department of Corrections, containing a minimum of 300
5780     beds, together with additional amounts necessary to:
5781          (i) pay costs of issuance;
5782          (ii) pay capitalized interest; and
5783          (iii) fund any debt service reserve requirements.
5784          (b) It is the intent of the Legislature that the authority seek out the most cost effective
5785     and prudent lease purchase plan available with technical assistance from the state treasurer, the
5786     director of the Division of Finance, and the executive director of the Governor's Office of
5787     Planning and Budget.
5788          (9) If S.B. 275, 1994 General Session, which authorizes funding for a Courts Complex
5789     in Salt Lake City, becomes law, it is the intent of the Legislature that:
5790          (a) the Legislative Management Committee, the Interim Appropriation Subcommittees
5791     for General Government and Capital Facilities and Executive Offices, Courts, and Corrections,
5792     the Office of the Legislative Fiscal Analyst, the Governor's Office of Planning and Budget, and
5793     the Division of Facilities Construction and Management participate in a review of the proposed

5794     facility design for the Courts Complex no later than December 1994; and
5795          (b) although this review will not affect the funding authorization issued by the 1994
5796     Legislature, it is expected that Division of Facilities Construction and Management will give
5797     proper attention to concerns raised in these reviews and make appropriate design changes
5798     pursuant to the review.
5799          (10) It is the intent of the Legislature that:
5800          (a) the Division of Facilities Construction and Management, in cooperation with the
5801     [Division of Youth Corrections renamed in 2003 to the Division of Juvenile Justice Services]
5802     Division of Juvenile Justice and Youth Services, formerly known as the Division of Youth
5803     Corrections and then the Division of Juvenile Justice Services, develop a flexible use prototype
5804     facility for [the Division of Youth Corrections renamed in 2003 to the Division of Juvenile
5805     Justice Services] the Division of Juvenile Justice and Youth Services;
5806          (b) the development process use existing prototype proposals unless it can be
5807     quantifiably demonstrated that the proposals cannot be used;
5808          (c) the facility is designed so that with minor modifications, it can accommodate
5809     detention, observation and assessment, transition, and secure programs as needed at specific
5810     geographical locations;
5811          (d) (i) funding as provided in the fiscal year 1995 bond authorization for the Division
5812     of Youth Corrections [renamed in 2003 to the Division of Juvenile Justice Services], now
5813     known as the Division of Juvenile Justice and Youth Services, is used to design and construct
5814     one facility and design the other;
5815          (ii) the [Division of Youth Corrections renamed in 2003 to the Division of Juvenile
5816     Justice Services] Division of Juvenile Justice and Youth Services shall:
5817          (A) determine the location for the facility for which design and construction are fully
5818     funded; and
5819          (B) in conjunction with the Division of Facilities Construction and Management,
5820     determine the best methodology for design and construction of the fully funded facility;
5821          (e) the Division of Facilities Construction and Management submit the prototype as
5822     soon as possible to the Infrastructure and General Government Appropriations Subcommittee
5823     and Executive Offices, Criminal Justice, and Legislature Appropriation Subcommittee for
5824     review;

5825          (f) the Division of Facilities Construction and Management issue a Request for
5826     Proposal for one of the facilities, with that facility designed and constructed entirely by the
5827     winning firm;
5828          (g) the other facility be designed and constructed under the existing Division of
5829     Facilities Construction and Management process;
5830          (h) that both facilities follow the program needs and specifications as identified by
5831     Division of Facilities Construction and Management and the [Division of Youth Corrections
5832     renamed in 2003 to the Division of Juvenile Justice Services] Division of Juvenile Justice and
5833     Youth Services in the prototype; and
5834          (i) the fully funded facility should be ready for occupancy by September 1, 1995.
5835          (11) It is the intent of the Legislature that the fiscal year 1995 funding for the State Fair
5836     Park Master Study be used by the Division of Facilities Construction and Management to
5837     develop a master plan for the State Fair Park that:
5838          (a) identifies capital facilities needs, capital improvement needs, building
5839     configuration, and other long term needs and uses of the State Fair Park and its buildings; and
5840          (b) establishes priorities for development, estimated costs, and projected timetables.
5841          (12) It is the intent of the Legislature that:
5842          (a) the Division of Facilities Construction and Management, in cooperation with the
5843     Division of State Parks, formerly known as the Division of Parks and Recreation, and
5844     surrounding counties, develop a master plan and general program for the phased development
5845     of Antelope Island;
5846          (b) the master plan:
5847          (i) establish priorities for development;
5848          (ii) include estimated costs and projected time tables; and
5849          (iii) include recommendations for funding methods and the allocation of
5850     responsibilities between the parties; and
5851          (c) the results of the effort be reported to the Natural Resources, Agriculture, and
5852     Environmental Quality Appropriations Subcommittee and Infrastructure and General
5853     Government Appropriations Subcommittee.
5854          (13) It is the intent of the Legislature to authorize the University of Utah to use:
5855          (a) bond reserves to plan, design, and construct the Kingsbury Hall renovation under

5856     the supervision of the director of the Division of Facilities Construction and Management
5857     unless supervisory authority is delegated by the director; and
5858          (b) donated and other nonappropriated funds to plan, design, and construct the Biology
5859     Research Building under the supervision of the director of the Division of Facilities
5860     Construction and Management unless supervisory authority is delegated by the director.
5861          (14) It is the intent of the Legislature to authorize Utah State University to use:
5862          (a) federal and other funds to plan, design, and construct the Bee Lab under the
5863     supervision of the director of the Division of Facilities Construction and Management unless
5864     supervisory authority is delegated by the director;
5865          (b) donated and other nonappropriated funds to plan, design, and construct an Athletic
5866     Facility addition and renovation under the supervision of the director of the Division of
5867     Facilities Construction and Management unless supervisory authority is delegated by the
5868     director;
5869          (c) donated and other nonappropriated funds to plan, design, and construct a renovation
5870     to the Nutrition and Food Science Building under the supervision of the director of the
5871     Division of Facilities Construction and Management unless supervisory authority is delegated
5872     by the director; and
5873          (d) federal and private funds to plan, design, and construct the Millville Research
5874     Facility under the supervision of the director of the Division of Facilities Construction and
5875     Management unless supervisory authority is delegated by the director.
5876          (15) It is the intent of the Legislature to authorize Salt Lake Community College to use:
5877          (a) institutional funds to plan, design, and construct a remodel to the Auto Trades
5878     Office and Learning Center under the supervision of the director of the Division of Facilities
5879     Construction and Management unless supervisory authority is delegated by the director;
5880          (b) institutional funds to plan, design, and construct the relocation and expansion of a
5881     temporary maintenance compound under the supervision of the director of the Division of
5882     Facilities Construction and Management unless supervisory authority is delegated by the
5883     director; and
5884          (c) institutional funds to plan, design, and construct the Alder Amphitheater under the
5885     supervision of the director of the Division of Facilities Construction and Management unless
5886     supervisory authority is delegated by the director.

5887          (16) It is the intent of the Legislature to authorize Southern Utah University to use:
5888          (a) federal funds to plan, design, and construct a Community Services Building under
5889     the supervision of the director of the Division of Facilities Construction and Management
5890     unless supervisory authority is delegated by the director; and
5891          (b) donated and other nonappropriated funds to plan, design, and construct a stadium
5892     expansion under the supervision of the director of the Division of Facilities Construction and
5893     Management unless supervisory authority is delegated by the director.
5894          (17) It is the intent of the Legislature to authorize the Department of Corrections to use
5895     donated funds to plan, design, and construct a Prison Chapel at the Central Utah Correctional
5896     Facility in Gunnison under the supervision of the director of the Division of Facilities
5897     Construction and Management unless supervisory authority is delegated by the director.
5898          (18) If the Utah National Guard does not relocate in the Signetics Building, it is the
5899     intent of the Legislature to authorize the Guard to use federal funds and funds from Provo City
5900     to plan and design an Armory in Provo, Utah, under the supervision of the director of the
5901     Division of Facilities Construction and Management unless supervisory authority is delegated
5902     by the director.
5903          (19) It is the intent of the Legislature that the Utah Department of Transportation use
5904     $250,000 of the fiscal year 1995 highway appropriation to fund an environmental study in
5905     Ogden, Utah of the 2600 North Corridor between Washington Boulevard and I-15.
5906          (20) It is the intent of the Legislature that the Ogden-Weber Applied Technology
5907     Center use the money appropriated for fiscal year 1995 to design the Metal Trades Building
5908     and purchase equipment for use in that building that could be used in metal trades or other
5909     programs in other Applied Technology Centers.
5910          (21) It is the intent of the Legislature that the Bridgerland Applied Technology Center
5911     and the Ogden-Weber Applied Technology Center projects as designed in fiscal year 1995 be
5912     considered as the highest priority projects for construction funding in fiscal year 1996.
5913          (22) It is the intent of the Legislature that:
5914          (a) the Division of Facilities Construction and Management complete physical space
5915     utilization standards by June 30, 1995, for the use of technology education activities;
5916          (b) these standards are to be developed with and approved by the State Board of
5917     Education, the Board of Regents, and the Division of Facilities Construction and Management;

5918          (c) these physical standards be used as the basis for:
5919          (i) determining utilization of any technology space based on number of stations capable
5920     and occupied for any given hour of operation; and
5921          (ii) requests for any new space or remodeling;
5922          (d) the fiscal year 1995 projects at the Bridgerland Applied Technology Center and the
5923     Ogden-Weber Applied Technology Center are exempt from this process; and
5924          (e) the design of the Davis Applied Technology Center take into account the utilization
5925     formulas established by the Division of Facilities Construction and Management.
5926          (23) It is the intent of the Legislature that Utah Valley State College may use the
5927     money from the bond allocated to the remodel of the Signetics building to relocate its technical
5928     education programs at other designated sites or facilities under the supervision of the director
5929     of the Division of Facilities Construction and Management unless supervisory authority is
5930     delegated by the director.
5931          (24) It is the intent of the Legislature that the money provided for the fiscal year 1995
5932     project for the Bridgerland Applied Technology Center be used to design and construct the
5933     space associated with Utah State University and design the technology center portion of the
5934     project.
5935          (25) It is the intent of the Legislature that the governor provide periodic reports on the
5936     expenditure of the funds provided for electronic technology, equipment, and hardware to the
5937     Infrastructure and General Government Appropriations Subcommittee, and the Legislative
5938     Management Committee.
5939          Section 75. Section 63B-4-102 is amended to read:
5940          63B-4-102. Maximum amount -- Projects authorized.
5941          (1) The total amount of bonds issued under this part may not exceed $45,300,000.
5942          (2) (a) Proceeds from the issuance of bonds shall be provided to the division to provide
5943     funds to pay all or part of the cost of acquiring and constructing the projects listed in this
5944     Subsection (2).
5945          (b) These costs may include the cost of acquiring land, interests in land, easements and
5946     rights-of-way, improving sites, and acquiring, constructing, equipping, and furnishing facilities
5947     and all structures, roads, parking facilities, utilities, and improvements necessary, incidental, or
5948     convenient to the facilities, interest estimated to accrue on these bonds during the period to be

5949     covered by construction of the projects plus a period of six months after the end of the
5950     construction period, and all related engineering, architectural, and legal fees.
5951          (c) For the division, proceeds shall be provided for the following:
5952      CAPITAL IMPROVEMENTS
5953      Alterations, Repairs, and Improvements$7,200,000
5954      TOTAL IMPROVEMENTS$7,200,000
5955      CAPITAL AND ECONOMIC DEVELOPMENT
5956     


     PROJECT
     DESCRIPTION



AMOUNT
FUNDED
ESTIMATED
OPERATIONS
AND
MAINTENANCE
COSTS
5957      Corrections - Uinta IVA$11,300,000$212,800
5958      Utah County Youth Correctional Facility$6,650,000$245,000
5959      Ogden Weber Applied Technology Center -
Metal Trades
$5,161,000$176,000
5960      Project Reserve Fund$3,500,000None
5961      Weber State University - Browning Center
Remodel
$3,300,000None
5962      Heber Wells Building Remodel$2,000,000None
5963      Higher Education Davis County - Land Purchase$1,600,000None
5964      National Guard -- Provo Armory$1,500,000$128,000
5965      Department of Natural Resources - Pioneer
Trails Visitor Center
$900,000$65,000
5966      Higher Education Design Projects$800,000Varies depending
upon projects
selected
5967      Salt Lake Community College - South Valley
Planning
$300,000None
5968      Division of Youth Corrections renamed in 2003
to the Division of Juvenile Justice and Youth
Services, formerly known as the
Division of
Juvenile Justice Services - Logan Land Purchase
$120,000None
5969      TOTAL CAPITAL AND ECONOMIC DEVELOPMENT$37,131,000
5970      TOTAL IMPROVEMENTS AND CAPITAL AND ECONOMIC
DEVELOPMENT
$44,331,000
5971          (d) For purposes of this section, operations and maintenance costs:
5972          (i) are estimates only;
5973          (ii) may include any operations and maintenance costs already funded in existing
5974     agency budgets; and
5975          (iii) are not commitments by this Legislature or future Legislatures to fund those
5976     operations and maintenance costs.
5977          (3) (a) The amounts funded as listed in Subsection (2) are estimates only and do not
5978     constitute a limitation on the amount that may be expended for any project.
5979          (b) The board may revise these estimates and redistribute the amount estimated for a
5980     project among the projects authorized.
5981          (c) The commission, by resolution and in consultation with the board, may delete one
5982     or more projects from this list if the inclusion of that project or those projects in the list could
5983     be construed to violate state law or federal law or regulation.
5984          (4) (a) The division may enter into agreements related to these projects before the
5985     receipt of proceeds of bonds issued under this chapter.
5986          (b) The division shall make those expenditures from unexpended and unencumbered
5987     building funds already appropriated to the Capital Projects Fund.
5988          (c) The division shall reimburse the Capital Projects Fund upon receipt of the proceeds
5989     of bonds issued under this chapter.
5990          (d) The commission may, by resolution, make any statement of intent relating to that
5991     reimbursement that is necessary or desirable to comply with federal tax law.
5992          (5) (a) For those projects for which only partial funding is provided in Subsection (2),
5993     it is the intent of the Legislature that the balance necessary to complete the projects be
5994     addressed by future Legislatures, either through appropriations or through the issuance or sale

5995     of bonds.
5996          (b) For those phased projects, the division may enter into contracts for amounts not to
5997     exceed the anticipated full project funding but may not allow work to be performed on those
5998     contracts in excess of the funding already authorized by the Legislature.
5999          (c) Those contracts shall contain a provision for termination of the contract for the
6000     convenience of the state.
6001          (d) It is also the intent of the Legislature that this authorization to the division does not
6002     bind future Legislatures to fund projects initiated from this authorization.
6003          Section 76. Section 63B-11-702 is amended to read:
6004          63B-11-702. Other capital facility authorizations and intent language.
6005          (1) It is the intent of the Legislature that:
6006          (a) Salt Lake Community College use donations and other institutional funds to plan,
6007     design, and construct a renovation of and addition to the Grand Theater under the direction of
6008     the director of the Division of Facilities Construction and Management unless supervisory
6009     authority has been delegated;
6010          (b) no state funds be used for any portion of this project; and
6011          (c) the college may request state funds for operations and maintenance to the extent
6012     that the college is able to demonstrate to the Board of Regents that the facility meets approved
6013     academic and training purposes under Board of Regents policy R710.
6014          (2) It is the intent of the Legislature that:
6015          (a) the University of Utah use donations, grants, and other institutional funds to plan,
6016     design, and construct a Department of Chemistry Gauss House under the direction of the
6017     director of the Division of Facilities Construction and Management unless supervisory
6018     authority has been delegated;
6019          (b) no state funds be used for any portion of this project; and
6020          (c) the university may request state funds for operations and maintenance to the extent
6021     that the university is able to demonstrate to the Board of Regents that the facility meets
6022     approved academic and training purposes under Board of Regents policy R710.
6023          (3) It is the intent of the Legislature that:
6024          (a) the University of Utah use donations and other institutional funds to plan, design,
6025     and construct an expansion of the Eccles Health Science Library and the associated parking

6026     structure under the direction of the director of the Division of Facilities Construction and
6027     Management unless supervisory authority has been delegated;
6028          (b) no state funds be used for any portion of this project; and
6029          (c) the university may request state funds for operations and maintenance to the extent
6030     that the university is able to demonstrate to the Board of Regents that the facility meets
6031     approved academic and training purposes under Board of Regents policy R710.
6032          (4) It is the intent of the Legislature that:
6033          (a) the University of Utah use donations and other institutional funds to plan, design,
6034     and construct a Phase II Addition to the Moran Eye Center under the direction of the director of
6035     the Division of Facilities Construction and Management unless supervisory authority has been
6036     delegated;
6037          (b) no state funds be used for any portion of this project; and
6038          (c) the university may not request state funds for operations and maintenance.
6039          (5) It is the intent of the Legislature that:
6040          (a) the University of Utah use donations and other institutional funds to plan, design,
6041     and construct a Children's Dance Theatre under the direction of the director of the Division of
6042     Facilities Construction and Management unless supervisory authority has been delegated;
6043          (b) no state funds be used for any portion of this project; and
6044          (c) the university may not request state funds for operations and maintenance.
6045          (6) It is the intent of the Legislature that:
6046          (a) Utah State University use donations and other institutional funds to plan, design,
6047     and construct a Teaching Pavilion at its Animal Science Farm under the direction of the
6048     director of the Division of Facilities Construction and Management unless supervisory
6049     authority has been delegated;
6050          (b) no state funds be used for any portion of this project; and
6051          (c) the university may request state funds for operations and maintenance to the extent
6052     that the university is able to demonstrate to the Board of Regents that the facility meets
6053     approved academic and training purposes under Board of Regents policy R710.
6054          (7) It is the intent of the Legislature that:
6055          (a) the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth
6056     Services use donations to plan, design, and construct a chapel at the Slate Canyon Youth

6057     Corrections Facility under the direction of the director of the Division of Facilities
6058     Construction and Management unless supervisory authority has been delegated;
6059          (b) no state funds be used for any portion of this project; and
6060          (c) the division may not request additional state funding for operations and
6061     maintenance.
6062          (8) It is the intent of the Legislature that the Utah National Guard use federal funds and
6063     proceeds from the sale of property to acquire a site for new facilities in Salt Lake or Davis
6064     County.
6065          (9) It is the intent of the Legislature that:
6066          (a) the Utah National Guard use donations and grants to plan, design, and construct the
6067     renovation and expansion of the Fort Douglas Military Museum under the direction of the
6068     director of the Division of Facilities Construction and Management unless supervisory
6069     authority has been delegated;
6070          (b) no state funds be used for any portion of this project; and
6071          (c) the National Guard may not request additional state funding for operations and
6072     maintenance.
6073          (10) It is the intent of the Legislature that:
6074          (a) the Division of Facilities Construction and Management pursue the exchange of
6075     public safety facilities in Orem if:
6076          (i) the land and newly constructed replacement facilities meet the needs of the Driver
6077     License Division and the Utah Highway Patrol; and
6078          (ii) the replacement property and facilities can be obtained at a cost that is not less than
6079     the market value of the existing property and facilities; and
6080          (b) the division confirms the value of the properties to be exchanged.
6081          Section 77. Section 63I-1-226 (Superseded 07/01/24) is amended to read:
6082          63I-1-226 (Superseded 07/01/24). Repeal dates: Titles 26A through 26B.
6083          (1) Subsection 26B-1-204(2)(i), related to the Primary Care Grant Committee, is
6084     repealed July 1, 2025.
6085          (2) Section 26B-1-315, which creates the Medicaid Expansion Fund, is repealed July 1,
6086     [2024] 2029.
6087          (3) Section 26B-1-319, which creates the Neuro-Rehabilitation Fund, is repealed

6088     January 1, 2025.
6089          (4) Section 26B-1-320, which creates the Pediatric Neuro-Rehabilitation Fund, is
6090     repealed January 1, 2025.
6091          (5) Subsection 26B-1-324(4), the language that states "the Behavioral Health Crisis
6092     Response Commission, as defined in Section 63C-18-202," is repealed December 31, 2026.
6093          (6) Subsection 26B-1-329(6), related to the Behavioral Health Crisis Response
6094     Commission, is repealed December 31, 2026.
6095          (7) Section 26B-1-402, related to the Rare Disease Advisory Council Grant Program, is
6096     repealed July 1, 2026.
6097          (8) Section 26B-1-409, which creates the Utah Digital Health Service Commission, is
6098     repealed July 1, 2025.
6099          (9) Section 26B-1-410, which creates the Primary Care Grant Committee, is repealed
6100     July 1, 2025.
6101          (10) Section 26B-1-416, which creates the Utah Children's Health Insurance Program
6102     Advisory Council, is repealed July 1, 2025.
6103          (11) Section 26B-1-417, which creates the Brain Injury Advisory Committee, is
6104     repealed July 1, 2025.
6105          (12) Section 26B-1-418, which creates the Neuro-Rehabilitation Fund and Pediatric
6106     Neuro-Rehabilitation Fund Advisory Committee, is repealed January 1, 2025.
6107          (13) Section 26B-1-422, which creates the Early Childhood Utah Advisory Council, is
6108     repealed July 1, 2029.
6109          (14) Section 26B-1-428, which creates the Youth Electronic Cigarette, Marijuana, and
6110     Other Drug Prevention Program, is repealed July 1, 2025.
6111          (15) Section 26B-1-430, which creates the Coordinating Council for Persons with
6112     Disabilities, is repealed July 1, 2027.
6113          (16) Section 26B-1-431, which creates the Forensic Mental Health Coordinating
6114     Council, is repealed July 1, 2023.
6115          (17) Section 26B-1-432, which creates the Newborn Hearing Screening Committee, is
6116     repealed July 1, 2026.
6117          (18) Section 26B-1-434, regarding the Correctional Postnatal and Early Childhood
6118     Advisory Board, is repealed July 1, 2026.

6119          (19) Section 26B-2-407, related to drinking water quality in child care centers, is
6120     repealed July 1, 2027.
6121          (20) Subsection 26B-3-107(9), which addresses reimbursement for dental hygienists, is
6122     repealed July 1, 2028.
6123          (21) Section 26B-3-136, which creates the Children's Health Care Coverage Program,
6124     is repealed July 1, 2025.
6125          (22) Section 26B-3-137, related to reimbursement for the National Diabetes Prevention
6126     Program, is repealed June 30, 2027.
6127          (23) Subsection 26B-3-213(2), the language that states "and the Behavioral Health
6128     Crisis Response Commission created in Section 63C-18-202" is repealed December 31, 2026.
6129          (24) Sections 26B-3-302 through 26B-3-309, regarding the Drug Utilization Review
6130     Board, are repealed July 1, 2027.
6131          (25) Title 26B, Chapter 3, Part 5, Inpatient Hospital Assessment, is repealed July 1,
6132     [2024] 2029.
6133          (26) Title 26B, Chapter 3, Part 6, Medicaid Expansion Hospital Assessment, is
6134     repealed July 1, [2024] 2029.
6135          (27) Title 26B, Chapter 3, Part 7, Hospital Provider Assessment, is repealed July 1,
6136     2028.
6137          (28) Section 26B-3-910, regarding alternative eligibility, is repealed July 1, 2028.
6138          (29) Section 26B-4-136, related to the Volunteer Emergency Medical Service
6139     Personnel Health Insurance Program, is repealed July 1, 2027.
6140          (30) Section 26B-4-710, related to rural residency training programs, is repealed July 1,
6141     2025.
6142          (31) Subsections 26B-5-112(1) and (5), the language that states "In consultation with
6143     the Behavioral Health Crisis Response Commission, established in Section 63C-18-202," is
6144     repealed December 31, 2026.
6145          (32) Section 26B-5-112.5 is repealed December 31, 2026.
6146          (33) Section 26B-5-114, related to the Behavioral Health Receiving Center Grant
6147     Program, is repealed December 31, 2026.
6148          (34) Section 26B-5-118, related to collaborative care grant programs, is repealed
6149     December 31, 2024.

6150          (35) Section 26B-5-120 is repealed December 31, 2026.
6151          (36) In relation to the Utah Assertive Community Treatment Act, on July 1, 2024:
6152          (a) Subsection 26B-5-606(2)(a)(i), the language that states "and" is repealed; and
6153          (b) Subsections 26B-5-606(2)(a)(ii), 26B-5-606(2)(b), and 26B-5-606(2)(c) are
6154     repealed.
6155          (37) In relation to the Behavioral Health Crisis Response Commission, on December
6156     31, 2026:
6157          (a) Subsection 26B-5-609(1)(a) is repealed;
6158          (b) Subsection 26B-5-609(3)(a), the language that states "With recommendations from
6159     the commission," is repealed;
6160          (c) Subsection 26B-5-610(1)(b) is repealed;
6161          (d) Subsection 26B-5-610(2)(b), the language that states "and in consultation with the
6162     commission," is repealed; and
6163          (e) Subsection 26B-5-610(4), the language that states "In consultation with the
6164     commission," is repealed.
6165          (38) Subsections 26B-5-611(1)(a) and (10), in relation to the Utah Substance Use and
6166     Mental Health Advisory Council, are repealed January 1, 2033.
6167          (39) Section 26B-5-612, related to integrated behavioral health care grant programs, is
6168     repealed December 31, 2025.
6169          (40) Subsection 26B-7-119(5), related to reports to the Legislature on the outcomes of
6170     the Hepatitis C Outreach Pilot Program, is repealed July 1, 2028.
6171          (41) Section 26B-7-224, related to reports to the Legislature on violent incidents and
6172     fatalities involving substance abuse, is repealed December 31, 2027.
6173          (42) Title 26B, Chapter 8, Part 5, Utah Health Data Authority, is repealed July 1, 2024.
6174          (43) Section 26B-8-513, related to identifying overuse of non-evidence-based health
6175     care, is repealed December 31, 2023.
6176          Section 78. Section 63I-1-226 (Effective 07/01/24) is amended to read:
6177          63I-1-226 (Effective 07/01/24). Repeal dates: Titles 26A through 26B.
6178          (1) Subsection 26B-1-204(2)(i), related to the Primary Care Grant Committee, is
6179     repealed July 1, 2025.
6180          (2) Section 26B-1-315, which creates the Medicaid Expansion Fund, is repealed July 1,

6181     [2024] 2029.
6182          (3) Section 26B-1-319, which creates the Neuro-Rehabilitation Fund, is repealed
6183     January 1, 2025.
6184          (4) Section 26B-1-320, which creates the Pediatric Neuro-Rehabilitation Fund, is
6185     repealed January 1, 2025.
6186          (5) Subsection 26B-1-324(4), the language that states "the Behavioral Health Crisis
6187     Response Commission, as defined in Section 63C-18-202," is repealed December 31, 2026.
6188          (6) Subsection 26B-1-329(6), related to the Behavioral Health Crisis Response
6189     Commission, is repealed December 31, 2026.
6190          (7) Section 26B-1-402, related to the Rare Disease Advisory Council Grant Program, is
6191     repealed July 1, 2026.
6192          (8) Section 26B-1-409, which creates the Utah Digital Health Service Commission, is
6193     repealed July 1, 2025.
6194          (9) Section 26B-1-410, which creates the Primary Care Grant Committee, is repealed
6195     July 1, 2025.
6196          (10) Section 26B-1-416, which creates the Utah Children's Health Insurance Program
6197     Advisory Council, is repealed July 1, 2025.
6198          (11) Section 26B-1-417, which creates the Brain Injury Advisory Committee, is
6199     repealed July 1, 2025.
6200          (12) Section 26B-1-418, which creates the Neuro-Rehabilitation Fund and Pediatric
6201     Neuro-Rehabilitation Fund Advisory Committee, is repealed January 1, 2025.
6202          (13) Section 26B-1-422, which creates the Early Childhood Utah Advisory Council, is
6203     repealed July 1, 2029.
6204          (14) Section 26B-1-428, which creates the Youth Electronic Cigarette, Marijuana, and
6205     Other Drug Prevention Program, is repealed July 1, 2025.
6206          (15) Section 26B-1-430, which creates the Coordinating Council for Persons with
6207     Disabilities, is repealed July 1, 2027.
6208          (16) Section 26B-1-431, which creates the Forensic Mental Health Coordinating
6209     Council, is repealed July 1, 2023.
6210          (17) Section 26B-1-432, which creates the Newborn Hearing Screening Committee, is
6211     repealed July 1, 2026.

6212          (18) Section 26B-1-434, regarding the Correctional Postnatal and Early Childhood
6213     Advisory Board, is repealed July 1, 2026.
6214          (19) Section 26B-2-407, related to drinking water quality in child care centers, is
6215     repealed July 1, 2027.
6216          (20) Subsection 26B-3-107(9), which addresses reimbursement for dental hygienists, is
6217     repealed July 1, 2028.
6218          (21) Section 26B-3-136, which creates the Children's Health Care Coverage Program,
6219     is repealed July 1, 2025.
6220          (22) Section 26B-3-137, related to reimbursement for the National Diabetes Prevention
6221     Program, is repealed June 30, 2027.
6222          (23) Subsection 26B-3-213(2), the language that states "and the Behavioral Health
6223     Crisis Response Commission created in Section 63C-18-202" is repealed December 31, 2026.
6224          (24) Sections 26B-3-302 through 26B-3-309, regarding the Drug Utilization Review
6225     Board, are repealed July 1, 2027.
6226          (25) Title 26B, Chapter 3, Part 5, Inpatient Hospital Assessment, is repealed July 1,
6227     [2024] 2029.
6228          (26) Title 26B, Chapter 3, Part 6, Medicaid Expansion Hospital Assessment, is
6229     repealed July 1, 2024.
6230          (27) Title 26B, Chapter 3, Part 7, Hospital Provider Assessment, is repealed July 1,
6231     2028.
6232          (28) Section 26B-3-910, regarding alternative eligibility, is repealed July 1, 2028.
6233          (29) Section 26B-4-710, related to rural residency training programs, is repealed July 1,
6234     2025.
6235          (30) Subsections 26B-5-112(1) and (5), the language that states "In consultation with
6236     the Behavioral Health Crisis Response Commission, established in Section 63C-18-202," is
6237     repealed December 31, 2026.
6238          (31) Section 26B-5-112.5 is repealed December 31, 2026.
6239          (32) Section 26B-5-114, related to the Behavioral Health Receiving Center Grant
6240     Program, is repealed December 31, 2026.
6241          (33) Section 26B-5-118, related to collaborative care grant programs, is repealed
6242     December 31, 2024.

6243          (34) Section 26B-5-120 is repealed December 31, 2026.
6244          (35) In relation to the Utah Assertive Community Treatment Act, on July 1, 2024:
6245          (a) Subsection 26B-5-606(2)(a)(i), the language that states "and" is repealed; and
6246          (b) Subsections 26B-5-606(2)(a)(ii), 26B-5-606(2)(b), and 26B-5-606(2)(c) are
6247     repealed.
6248          (36) In relation to the Behavioral Health Crisis Response Commission, on December
6249     31, 2026:
6250          (a) Subsection 26B-5-609(1)(a) is repealed;
6251          (b) Subsection 26B-5-609(3)(a), the language that states "With recommendations from
6252     the commission," is repealed;
6253          (c) Subsection 26B-5-610(1)(b) is repealed;
6254          (d) Subsection 26B-5-610(2)(b), the language that states "and in consultation with the
6255     commission," is repealed; and
6256          (e) Subsection 26B-5-610(4), the language that states "In consultation with the
6257     commission," is repealed.
6258          (37) Subsections 26B-5-611(1)(a) and (10), in relation to the Utah Substance Use and
6259     Mental Health Advisory Council, are repealed January 1, 2033.
6260          (38) Section 26B-5-612, related to integrated behavioral health care grant programs, is
6261     repealed December 31, 2025.
6262          (39) Subsection 26B-7-119(5), related to reports to the Legislature on the outcomes of
6263     the Hepatitis C Outreach Pilot Program, is repealed July 1, 2028.
6264          (40) Section 26B-7-224, related to reports to the Legislature on violent incidents and
6265     fatalities involving substance abuse, is repealed December 31, 2027.
6266          (41) Title 26B, Chapter 8, Part 5, Utah Health Data Authority, is repealed July 1, 2024.
6267          (42) Section 26B-8-513, related to identifying overuse of non-evidence-based health
6268     care, is repealed December 31, 2023.
6269          Section 79. Section 63M-7-208 is amended to read:
6270          63M-7-208. Juvenile justice oversight -- Delegation -- Effective dates.
6271          (1) The State Commission on Criminal and Juvenile Justice shall:
6272          (a) support implementation and expansion of evidence-based juvenile justice programs
6273     and practices, including assistance regarding implementation fidelity, quality assurance, and

6274     ongoing evaluation;
6275          (b) examine and make recommendations on the use of third-party entities or an
6276     intermediary organization to assist with implementation and to support the performance-based
6277     contracting system authorized in Subsection (1)(m);
6278          (c) oversee the development of performance measures to track juvenile justice reforms,
6279     and ensure early and ongoing stakeholder engagement in identifying the relevant performance
6280     measures;
6281          (d) evaluate currently collected data elements throughout the juvenile justice system
6282     and contract reporting requirements to streamline reporting, reduce redundancies, eliminate
6283     inefficiencies, and ensure a focus on recidivism reduction;
6284          (e) review averted costs from reductions in out-of-home placements for juvenile justice
6285     youth placed with the [Division of Juvenile Justice Services] Division of Juvenile Justice and
6286     Youth Services and the Division of Child and Family Services, and make recommendations to
6287     prioritize the reinvestment and realignment of resources into community-based programs for
6288     youth living at home, including the following:
6289          (i) statewide expansion of:
6290          (A) juvenile receiving centers, as defined in Section 80-1-102;
6291          (B) mobile crisis outreach teams, as defined in Section [62A-15-102] 26B-5-101;
6292          (C) youth courts; and
6293          (D) victim-offender mediation;
6294          (ii) statewide implementation of nonresidential diagnostic assessment;
6295          (iii) statewide availability of evidence-based programs and practices including
6296     cognitive behavioral and family therapy programs for minors assessed by a validated risk and
6297     needs assessment as moderate or high risk;
6298          (iv) implementation and infrastructure to support the sustainability and fidelity of
6299     evidence-based juvenile justice programs, including resources for staffing, transportation, and
6300     flexible funds; and
6301          (v) early intervention programs such as family strengthening programs, family
6302     wraparound services, and proven truancy interventions;
6303          (f) assist the Administrative Office of the Courts in the development of a statewide
6304     sliding scale for the assessment of fines, fees, and restitution, based on the ability of the minor's

6305     family to pay;
6306          (g) analyze the alignment of resources and the roles and responsibilities of agencies,
6307     such as the operation of early intervention services, receiving centers, and diversion, and make
6308     recommendations to reallocate functions as appropriate, in accordance with Section 80-5-401;
6309          (h) comply with the data collection and reporting requirements under Section
6310     80-6-104;
6311          (i) develop a reasonable timeline within which all programming delivered to minors in
6312     the juvenile justice system must be evidence-based or consist of practices that are rated as
6313     effective for reducing recidivism by a standardized program evaluation tool;
6314          (j) provide guidelines to be considered by the Administrative Office of the Courts and
6315     the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services in
6316     developing tools considered by the Administrative Office of the Courts and the [Division of
6317     Juvenile Justice Services] Division of Juvenile Justice and Youth Services in developing or
6318     selecting tools to be used for the evaluation of juvenile justice programs;
6319          (k) develop a timeline to support improvements to juvenile justice programs to achieve
6320     reductions in recidivism and review reports from relevant state agencies on progress toward
6321     reaching that timeline;
6322          (l) subject to Subsection (2), assist in the development of training for juvenile justice
6323     stakeholders, including educators, law enforcement officers, probation staff, judges, [Division
6324     of Juvenile Justice Services] Division of Juvenile Justice and Youth Services staff, Division of
6325     Child and Family Services staff, and program providers;
6326          (m) subject to Subsection (3), assist in the development of a performance-based
6327     contracting system, which shall be developed by the Administrative Office of the Courts and
6328     the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services for
6329     contracted services in the community and contracted out-of-home placement providers;
6330          (n) assist in the development of a validated detention risk assessment tool that is
6331     developed or adopted and validated by the Administrative Office of the Courts and the
6332     [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services as
6333     provided in Section 80-5-203; and
6334          (o) annually issue and make public a report to the governor, president of the Senate,
6335     speaker of the House of Representatives, and chief justice of the Utah Supreme Court on the

6336     progress of the reforms and any additional areas in need of review.
6337          (2) Training described in Subsection (1)(l) should include instruction on
6338     evidence-based programs and principles of juvenile justice, such as risk, needs, responsivity,
6339     and fidelity, and shall be supplemented by the following topics:
6340          (a) adolescent development;
6341          (b) identifying and using local behavioral health resources;
6342          (c) cross-cultural awareness;
6343          (d) graduated responses;
6344          (e) Utah juvenile justice system data and outcomes; and
6345          (f) gangs.
6346          (3) The system described in Subsection (1)(m) shall provide incentives for:
6347          (a) the use of evidence-based juvenile justice programs and practices rated as effective
6348     by the tools selected in accordance with Subsection (1)(j);
6349          (b) the use of three-month timelines for program completion; and
6350          (c) evidence-based programs and practices for minors living at home in rural areas.
6351          (4) The State Commission on Criminal and Juvenile Justice may delegate the duties
6352     imposed under this section to a subcommittee or board established by the State Commission on
6353     Criminal and Juvenile Justice in accordance with Subsection 63M-7-204(2).
6354          Section 80. Section 63M-7-401 is amended to read:
6355          63M-7-401. Creation -- Members -- Appointment -- Qualifications.
6356          (1) There is created a state commission to be known as the Sentencing Commission
6357     composed of 28 members. The commission shall develop by-laws and rules in compliance
6358     with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, and elect its officers.
6359          (2) The commission's members shall be:
6360          (a) two members of the House of Representatives, appointed by the speaker of the
6361     House and not of the same political party;
6362          (b) two members of the Senate, appointed by the president of the Senate and not of the
6363     same political party;
6364          (c) the executive director of the Department of Corrections or a designee appointed by
6365     the executive director;
6366          (d) the director of the [Division of Juvenile Justice Services] Division of Juvenile

6367     Justice and Youth Services or a designee appointed by the director;
6368          (e) the executive director of the Commission on Criminal and Juvenile Justice or a
6369     designee appointed by the executive director;
6370          (f) the chair of the Board of Pardons and Parole or a designee appointed by the chair;
6371          (g) the chair of the Youth Parole Authority or a designee appointed by the chair;
6372          (h) two trial judges and an appellate judge appointed by the chair of the Judicial
6373     Council;
6374          (i) two juvenile court judges designated by the chair of the Judicial Council;
6375          (j) an attorney in private practice who is a member of the Utah State Bar, experienced
6376     in criminal defense, and appointed by the Utah Bar Commission;
6377          (k) an attorney who is a member of the Utah State Bar, experienced in the defense of
6378     minors in juvenile court, and appointed by the Utah Bar Commission;
6379          (l) the director of Salt Lake Legal Defenders or a designee appointed by the director;
6380          (m) the attorney general or a designee appointed by the attorney general;
6381          (n) a criminal prosecutor appointed by the Statewide Association of Public Attorneys;
6382          (o) a juvenile court prosecutor appointed by the Statewide Association of Public
6383     Attorneys;
6384          (p) a representative of the Utah Sheriff's Association appointed by the governor;
6385          (q) a chief of police appointed by the governor;
6386          (r) a licensed professional appointed by the governor who assists in the rehabilitation
6387     of adult offenders;
6388          (s) a licensed professional appointed by the governor who assists in the rehabilitation
6389     of juvenile offenders;
6390          (t) two members from the public appointed by the governor who exhibit sensitivity to
6391     the concerns of victims of crime and the ethnic composition of the population;
6392          (u) one member from the public at large appointed by the governor; and
6393          (v) a representative of an organization that specializes in civil rights or civil liberties on
6394     behalf of incarcerated individuals appointed by the governor.
6395          Section 81. Section 63M-7-601 is amended to read:
6396          63M-7-601. Creation -- Members -- Chair.
6397          (1) There is created within the governor's office the Utah Council on Victims of Crime.

6398          (2) The council is composed of 28 voting members as follows:
6399          (a) a representative of the State Commission on Criminal and Juvenile Justice
6400     appointed by the executive director;
6401          (b) a representative of the Department of Corrections appointed by the executive
6402     director;
6403          (c) a representative of the Board of Pardons and Parole appointed by the chair;
6404          (d) a representative of the Department of Public Safety appointed by the commissioner;
6405          (e) a representative of the [Division of Juvenile Justice Services] Division of Juvenile
6406     Justice and Youth Services appointed by the director;
6407          (f) a representative of the Utah Office for Victims of Crime appointed by the director;
6408          (g) a representative of the Office of the Attorney General appointed by the attorney
6409     general;
6410          (h) a representative of the United States Attorney for the district of Utah appointed by
6411     the United States Attorney;
6412          (i) a representative of Utah's Native American community appointed by the director of
6413     the Division of Indian Affairs after input from federally recognized tribes in Utah;
6414          (j) a professional or volunteer working in the area of violence against women and
6415     families appointed by the governor;
6416          (k) a representative of the Department of Health and Human Services Violence and
6417     Injury Prevention Program appointed by the program's manager;
6418          (l) the chair of each judicial district's victims' rights committee;
6419          (m) a representative of the Statewide Association of Public Attorneys appointed by that
6420     association;
6421          (n) a representative of the Utah Chiefs of Police Association appointed by the president
6422     of that association;
6423          (o) a representative of the Utah Sheriffs' Association appointed by the president of that
6424     association;
6425          (p) a representative of a Children's Justice Center appointed by the attorney general;
6426          (q) the director of the Division of Child and Family Services or that individual's
6427     designee;
6428          (r) the chair of the Utah Victim Services Commission or the chair's designee; and

6429          (s) the following members appointed by the members in Subsections (2)(a) through
6430     (2)(r) to serve four-year terms:
6431          (i) an individual who engages in community based advocacy;
6432          (ii) a citizen representative; and
6433          (iii) a citizen representative who has been a victim of crime.
6434          (3) The council shall annually elect:
6435          (a) one member to serve as chair;
6436          (b) one member to serve as vice-chair; and
6437          (c) one member to serve as treasurer.
6438          Section 82. Section 63M-7-702 is amended to read:
6439          63M-7-702. Domestic Violence Offender Treatment Board -- Creation --
6440     Membership -- Quorum -- Per diem -- Staff support -- Meetings.
6441          (1) There is created within the commission the Domestic Violence Offender Treatment
6442     Board consisting of the following members:
6443          (a) the executive director of the Department of Corrections, or the executive director's
6444     designee;
6445          (b) the executive director of the Department of Health and Human Services, or the
6446     executive director's designee;
6447          (c) one individual who represents a state program that focuses on prevention of injury
6448     and domestic violence appointed by the executive director of the Department of Health and
6449     Human Services;
6450          (d) the commissioner of public safety for the Department of Public Safety, or the
6451     commissioner's designee;
6452          (e) the chair of the Utah Victim Services Commission or the chair's designee;
6453          (f) the director of the Utah Office for Victims of Crime, or the director's designee;
6454          (g) the chair of the Board of Pardons and Parole, or the chair's designee;
6455          (h) the director of the [Division of Juvenile Justice Services] Division of Juvenile
6456     Justice and Youth Services, or the director's designee;
6457          (i) one individual who represents the Administrative Office of the Courts appointed by
6458     the state court administrator; and
6459          (j) ten individuals appointed by the executive director of the commission, including:

6460          (i) the following four individuals licensed under Title 58, Chapter 60, Mental Health
6461     Professional Practice Act:
6462          (A) a clinical social worker;
6463          (B) a marriage and family therapist;
6464          (C) a professional counselor; and
6465          (D) a psychologist;
6466          (ii) one individual who represents an association of criminal defense attorneys;
6467          (iii) one criminal defense attorney who primarily represents indigent criminal
6468     defendants;
6469          (iv) one individual who represents an association of prosecuting attorneys;
6470          (v) one individual who represents law enforcement;
6471          (vi) one individual who represents an association of criminal justice victim advocates;
6472     and
6473          (vii) one individual who represents a nonprofit organization that provides domestic
6474     violence victim advocate services.
6475          (2) (a) A member may not serve on the board for more than eight consecutive years.
6476          (b) If a vacancy occurs in the membership of the board appointed under Subsection (1),
6477     the member shall be replaced in the same manner in which the original appointment was made.
6478          (c) A member of the board serves until the member's successor is appointed.
6479          (3) The members of the board shall vote on a chair and co-chair of the board to serve
6480     for two years.
6481          (4) (a) A majority of the board members constitutes a quorum.
6482          (b) The action of a majority of a quorum constitutes an action of the board.
6483          (5) A board member may not receive compensation or benefits for the member's
6484     service on the board, but may receive per diem and reimbursement for travel expenses incurred
6485     as a board member at the rates established by the Division of Finance under:
6486          (a) Sections 63A-3-106 and 63A-3-107; and
6487          (b) rules made by the Division of Finance under Sections 63A-3-106 and 63A-3-107.
6488          (6) The commission shall provide staff support to the board.
6489          (7) The board shall meet at least quarterly on a date the board sets.
6490          Section 83. Section 63M-7-802 is amended to read:

6491          63M-7-802. Sex Offense Management Board - Creation - Members appointment -
6492     Qualifications - Terms.
6493          (1) There is created within the commission the Sex Offense Management Board
6494     consisting of the following members:
6495          (a) the executive director of the Department of Corrections, or the executive director's
6496     designee;
6497          (b) the commissioner of the Department of Public Safety, or the commissioner's
6498     designee;
6499          (c) the attorney general, or the attorney general's designee;
6500          (d) an officer with the adult probation and parole section of the Department of
6501     Corrections with experience supervising adults convicted of sex offenses, appointed by the
6502     executive director of the Department of Corrections;
6503          (e) the executive director of the Department of Health and Human Services, or the
6504     executive director's designee;
6505          (f) an individual who represents the Administrative Office of the Courts appointed by
6506     the state court administrator;
6507          (g) the director of the Utah Office for Victims of Crime, or the director's designee;
6508          (h) the director of the [Division of Juvenile Justice Services] Division of Juvenile
6509     Justice and Youth Services, or the director's designee;
6510          (i) the chair of the Board of Pardons and Parole, or the chair's designee; and
6511          (j) nine individuals appointed by the executive director of the commission, including:
6512          (i) the following two individuals licensed under Title 58, Chapter 60, Mental Health
6513     Professional Practice Act:
6514          (A) an individual with experience in the treatment of adults convicted of sex offenses
6515     in the community;
6516          (B) an individual with experience in the treatment of juveniles adjudicated of sex
6517     offenses in the community;
6518          (ii) an individual who represents an association of criminal defense attorneys;
6519          (iii) an individual who is a criminal defense attorney experienced in indigent criminal
6520     defense;
6521          (iv) an individual who represents an association of prosecuting attorneys;

6522          (v) an individual who represents law enforcement;
6523          (vi) an individual who represents an association of criminal justice victim advocates;
6524          (vii) an individual who is a clinical polygraph examiner experienced in providing
6525     polygraph examinations to individuals convicted of sex offenses; and
6526          (viii) an individual who has been previously convicted of a sex offense and has
6527     successfully completed treatment and supervision for the offense.
6528          (2) (a) A member described in Subsection (1)(j) shall serve a four-year term.
6529          (b) If a vacancy occurs among a member described in Subsection (1)(j), the executive
6530     director of the commission may appoint a new individual to fill the remainder of the term.
6531          (c) When a term of a member described in Subsection (1)(j) expires, the executive
6532     director of the commission shall appoint a new member or reappoint the member whose term
6533     has expired to a new four-year term.
6534          (3) The members of the board shall vote on a chair and co-chair of the board from
6535     among the members described in Subsection (1) to serve a two-year term.
6536          (4) A majority of the board constitutes a quorum.
6537          (5) A board member may not receive compensation or benefits for the member's
6538     service on the board, but may receive per diem and reimbursement for travel expenses incurred
6539     as a board member at rates established by the Division of Finance under:
6540          (a) Sections 63A-3-106 and 63A-3-107; and
6541          (b) rules made by the Division of Finance under Sections 63A-3-106 and 63A-3-107.
6542          (6) The commission shall provide staff support to the board.
6543          (7) The board shall meet at least six times per year on dates the board sets.
6544          Section 84. Section 67-5b-101 is amended to read:
6545          67-5b-101. Definitions.
6546          As used in this part:
6547          (1) "Center" means a Children's Justice Center established in accordance with Section
6548     67-5b-102.
6549          (2) "Child abuse case" means a juvenile, civil, or criminal case involving a child abuse
6550     victim.
6551          (3) "Child abuse victim" means a child 17 years of age or younger who is:
6552          (a) a victim of:

6553          (i) sexual abuse; or
6554          (ii) physical abuse; or
6555          (b) a victim or a critical witness in any criminal case, such as a child endangerment
6556     case described in Section 76-5-112.5.
6557          (4) "Officers and employees" means any person performing services for two or more
6558     public agencies as agreed in a memorandum of understanding in accordance with Section
6559     67-5b-104.
6560          (5) "Public agency" means a municipality, a county, the attorney general, the Division
6561     of Child and Family Services, the [Division of Juvenile Justice Services] Division of Juvenile
6562     Justice and Youth Services, the Department of Corrections, the juvenile court, or the
6563     Administrative Office of the Courts.
6564          (6) "Satellite office" means a child-friendly facility supervised by a Children's Justice
6565     Center established in accordance with Section 67-5b-102.
6566          (7) (a) "Volunteer" means any individual who donates service without pay or other
6567     compensation except expenses actually and reasonably incurred as approved by the supervising
6568     agency.
6569          (b) "Volunteer" does not include an individual participating in human subjects research
6570     or a court-ordered compensatory service worker as defined in Section 67-20-2.
6571          Section 85. Section 76-3-401.5 is amended to read:
6572          76-3-401.5. Concurrent or consecutive sentence with a juvenile disposition.
6573          (1) As used in this section:
6574          (a) "Authority" means the Youth Parole Authority created in Section 80-5-701.
6575          (b) "Board" means the Board of Pardons and Parole created in Section 77-27-2.
6576          (c) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
6577     Justice and Youth Services created in Section 80-5-103.
6578          (d) (i) "Juvenile disposition" means an order for commitment to the custody of the
6579     division under Subsection 80-6-703(2).
6580          (ii) "Juvenile disposition" includes an order for secure care under Subsection
6581     80-6-705(1).
6582          (e) "Secure correctional facility" means the same as that term is defined in Section
6583     64-13-1.

6584          (f) "Secure care" means the same as that term is defined in Section 80-1-102.
6585          (2) If a defendant who is 18 years old or older is serving a juvenile disposition, a court
6586     may not terminate the juvenile disposition for the defendant when:
6587          (a) the defendant is convicted of an offense; and
6588          (b) the court imposes a sentence under Section 76-3-201 for the offense.
6589          (3) (a) If a defendant who is 18 years old or older is convicted and sentenced for an
6590     offense and the defendant is serving a juvenile disposition at the time of sentencing, the court
6591     shall determine whether the sentence is to run concurrently or consecutively to the juvenile
6592     disposition.
6593          (b) The court shall state on the record and in the order of judgment and commitment
6594     whether the sentence imposed is to run concurrently or consecutively with the juvenile
6595     disposition.
6596          (c) In determining whether a sentence is to run concurrently or consecutively with a
6597     juvenile disposition, the court shall consider:
6598          (i) the gravity and circumstances of the offense for which the defendant is convicted;
6599          (ii) the number of victims; and
6600          (iii) the history, character, and rehabilitative needs of the defendant.
6601          (d) If an order of judgment and commitment does not clearly state whether the sentence
6602     is to run consecutively or concurrently with the juvenile disposition, the division shall request
6603     clarification from the court.
6604          (e) Upon receipt of the request under Subsection (3)(d), the court shall enter a clarified
6605     order of judgment and commitment stating whether the sentence is to run concurrently or
6606     consecutively to the juvenile disposition.
6607          (4) If a court orders a sentence for imprisonment to run concurrently with a juvenile
6608     disposition for secure care, the defendant shall serve the sentence in secure care until the
6609     juvenile disposition is terminated by the authority in accordance with Section 80-6-804.
6610          (5) If a court orders a sentence for imprisonment in a county jail to run concurrently
6611     with a juvenile disposition for secure care and the disposition is terminated before the
6612     defendant's sentence for imprisonment in the county jail is terminated, the division shall:
6613          (a) notify the county jail at least 14 days before the day on which the defendant's
6614     disposition is terminated or the defendant is released from secure care; and

6615          (b) facilitate the transfer or release of the defendant in accordance with the order of
6616     judgment and commitment imposed by the court.
6617          (6) (a) If a court orders a sentence for imprisonment in a secure correctional facility to
6618     run concurrently with a juvenile disposition for secure care:
6619          (i) the board has authority over the defendant for purposes of ordering parole, pardon,
6620     commutation, termination of sentence, remission of fines or forfeitures, restitution, and any
6621     other authority granted by law; and
6622          (ii) the court and the division shall immediately notify the board that the defendant will
6623     remain in secure care as described in Subsection (4) for the board to schedule a hearing for the
6624     defendant in accordance with board procedures.
6625          (b) If a court orders a sentence for imprisonment in a secure correctional facility to run
6626     concurrently with a juvenile disposition for secure care and the juvenile disposition is
6627     terminated before the defendant's sentence is terminated, the division shall:
6628          (i) notify the board and the Department of Corrections at least 14 days before the day
6629     on which the defendant's disposition is terminated or the defendant is released from the secure
6630     care; and
6631          (ii) facilitate a release or transfer of the defendant in accordance with the order of
6632     judgment and commitment imposed by the court.
6633          Section 86. Section 76-5-101 is amended to read:
6634          76-5-101. Definitions.
6635          Unless otherwise provided, as used in this part:
6636          (1) "Detained individual" means an individual detained under Section 77-7-15.
6637          (2) "Prisoner" means an individual who is in custody of a peace officer pursuant to a
6638     lawful arrest or who is confined in a jail or other penal institution or a facility used for
6639     confinement of delinquent juveniles operated by the [Division of Juvenile Justice Services]
6640     Division of Juvenile Justice and Youth Services regardless of whether the confinement is legal.
6641          Section 87. Section 76-5-413 is amended to read:
6642          76-5-413. Custodial sexual relations with youth receiving state services --
6643     Penalties -- Defenses and limitations.
6644          (1) (a) As used in this section:
6645          (i) "Actor" means:

6646          (A) an individual employed by the Department of Health and Human Services created
6647     in Section 26B-1-201, or an employee of a private provider or contractor; or
6648          (B) an individual employed by the juvenile court of the state, or an employee of a
6649     private provider or contractor.
6650          (ii) "Department" means the Department of Health and Human Services created in
6651     Section 26B-1-201.
6652          (iii) "Juvenile court" means the juvenile court of the state created in Section
6653     78A-6-102.
6654          (iv) "Private provider or contractor" means a person that contracts with the:
6655          (A) department to provide services or functions that are part of the operation of the
6656     department; or
6657          (B) juvenile court to provide services or functions that are part of the operation of the
6658     juvenile court.
6659          (v) "Youth receiving state services" means an individual:
6660          (A) younger than 18 years old, except as provided under Subsection (1)(a)(v)(B), who
6661     is:
6662          (I) in the custody of the department under Section 80-6-703; or
6663          (II) receiving services from any division of the department if any portion of the costs of
6664     these services is covered by public money; or
6665          (B) younger than 21 years old:
6666          (I) who is in the custody of the [Division of Juvenile Justice Services] Division of
6667     Juvenile Justice and Youth Services, or the Division of Child and Family Services; or
6668          (II) whose case is under the jurisdiction of the juvenile court.
6669          (b) Terms defined in Section 76-1-101.5 apply to this section.
6670          (2) (a) Under circumstances not amounting to an offense listed in Subsection (4), an
6671     actor commits custodial sexual relations with a youth receiving state services if:
6672          (i) the actor commits any of the acts described in Subsection (2)(b); and
6673          (ii) (A) the actor knows that the individual is a youth receiving state services; or
6674          (B) a reasonable person in the actor's position should have known under the
6675     circumstances that the individual was a youth receiving state services.
6676          (b) Acts referred to in Subsection (2)(a)(i) are:

6677          (i) having sexual intercourse with a youth receiving state services;
6678          (ii) engaging in any sexual act with a youth receiving state services involving the
6679     genitals of one individual and the mouth or anus of another individual; or
6680          (iii) (A) causing the penetration, however slight, of the genital or anal opening of a
6681     youth receiving state services by any foreign object, substance, instrument, or device, including
6682     a part of the human body; and
6683          (B) with the intent to cause substantial emotional or bodily pain to any individual or
6684     with the intent to arouse or gratify the sexual desire of any individual.
6685          (c) Any touching, even if accomplished through clothing, is sufficient to constitute the
6686     relevant element of a violation of Subsection (2)(a).
6687          (3) (a) A violation of Subsection (2) is a third degree felony.
6688          (b) Notwithstanding Subsection (3)(a), if the youth receiving state services is younger
6689     than 18 years old, a violation of Subsection (2) is a second degree felony.
6690          (c) If the act committed under Subsection (2) amounts to an offense subject to a greater
6691     penalty under another provision of state law than is provided under this Subsection (3), this
6692     Subsection (3) does not prohibit prosecution and sentencing for the more serious offense.
6693          (4) The offenses referred to in Subsection (2) are:
6694          (a) unlawful sexual activity with a minor, in violation of Section 76-5-401;
6695          (b) rape, in violation of Section 76-5-402;
6696          (c) rape of a child, in violation of Section 76-5-402.1;
6697          (d) object rape, in violation of Section 76-5-402.2;
6698          (e) object rape of a child, in violation of Section 76-5-402.3;
6699          (f) forcible sodomy, in violation of Section 76-5-403;
6700          (g) sodomy on a child, in violation of Section 76-5-403.1;
6701          (h) forcible sexual abuse, in violation of Section 76-5-404;
6702          (i) sexual abuse of a child, in violation of Section 76-5-404.1;
6703          (j) aggravated sexual abuse of a child, in violation of Section 76-5-404.3;
6704          (k) aggravated sexual assault, in violation of Section 76-5-405; or
6705          (l) an attempt to commit an offense listed in Subsections (4)(a) through (4)(k).
6706          (5) (a) It is not a defense to the commission of, or an attempt to commit, the offense
6707     described in Subsection (2) if the youth receiving state services is younger than 18 years old,

6708     that the actor:
6709          (i) mistakenly believed the youth receiving state services to be 18 years old or older at
6710     the time of the alleged offense; or
6711          (ii) was unaware of the true age of the youth receiving state services.
6712          (b) Consent of the youth receiving state services is not a defense to any violation or
6713     attempted violation of Subsection (2).
6714          (6) It is a defense that the commission by the actor of an act under Subsection (2) is the
6715     result of compulsion, as the defense is described in Subsection 76-2-302(1).
6716          Section 88. Section 76-8-311.5 is amended to read:
6717          76-8-311.5. Aiding or concealing a juvenile offender -- Trespass of a secure care
6718     facility -- Criminal penalties.
6719          (1) As used in this section:
6720          (a) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
6721     Justice and Youth Services created in Section 80-5-103.
6722          (b) "Juvenile offender" means the same as that term is defined in Section 80-1-102.
6723          (c) "Secure care" means the same as that term is defined in Section 80-1-102.
6724          (d) "Secure care facility" means the same as that term is defined in Section 80-1-102.
6725          (2) An individual who commits any of the following offenses is guilty of a class A
6726     misdemeanor:
6727          (a) entering, or attempting to enter, a building or enclosure appropriated to the use of
6728     juvenile offenders, without permission;
6729          (b) entering any premises belonging to a secure care facility and committing or
6730     attempting to commit a trespass or damage on the premises of a secure care facility; or
6731          (c) willfully annoying or disturbing the peace and quiet of a secure care facility or of a
6732     juvenile offender in a secure care facility.
6733          (3) An individual is guilty of a third degree felony who:
6734          (a) knowingly harbors or conceals a juvenile offender who has:
6735          (i) escaped from secure care; or
6736          (ii) as described in Subsection (4), absconded from:
6737          (A) a facility or supervision; or
6738          (B) supervision of the division; or

6739          (b) willfully aided or assisted a juvenile offender who has been lawfully committed to a
6740     secure care facility in escaping or attempting to escape from the secure care facility.
6741          (4) As used in this section:
6742          (a) a juvenile offender absconds from a facility under this section when the juvenile
6743     offender:
6744          (i) leaves the facility without permission; or
6745          (ii) fails to return at a prescribed time.
6746          (b) A juvenile offender absconds from supervision when the juvenile offender:
6747          (i) changes the juvenile offender's residence from the residence that the juvenile
6748     offender reported to the division as the juvenile offender's correct address to another residence,
6749     without notifying the division or obtaining permission; or
6750          (ii) for the purpose of avoiding supervision:
6751          (A) hides at a different location from the juvenile offender's reported residence; or
6752          (B) leaves the juvenile offender's reported residence.
6753          Section 89. Section 77-16b-102 is amended to read:
6754          77-16b-102. Definitions.
6755          As used in this chapter:
6756          (1) "Correctional facility" means:
6757          (a) a county jail;
6758          (b) a secure correctional facility as defined by Section 64-13-1; or
6759          (c) a secure care facility as defined in Section 80-1-102.
6760          (2) "Correctional facility administrator" means:
6761          (a) a county sheriff in charge of a county jail;
6762          (b) a designee of the executive director of the Utah Department of Corrections; or
6763          (c) a designee of the director of the [Division of Juvenile Justice Services] Division of
6764     Juvenile Justice and Youth Services.
6765          (3) "Medical supervision" means under the direction of a licensed physician, physician
6766     assistant, or nurse practitioner.
6767          (4) "Mental health therapist" means the same as that term is defined in Section
6768     58-60-102.
6769          (5) "Prisoner" means:

6770          (a) any individual who is a pretrial detainee or who has been committed to the custody
6771     of a sheriff or the Utah Department of Corrections, and who is physically in a correctional
6772     facility; and
6773          (b) any individual who is 18 years old or older and younger than 21 years old, and who
6774     has been committed to the custody of the [Division of Juvenile Justice Services] Division of
6775     Juvenile Justice and Youth Services.
6776          Section 90. Section 77-38-3 is amended to read:
6777          77-38-3. Notification to victims -- Initial notice, election to receive subsequent
6778     notices -- Form of notice -- Protected victim information -- Pretrial criminal no contact
6779     order.
6780          (1) Within seven days after the day on which felony criminal charges are filed against a
6781     defendant, the prosecuting agency shall provide an initial notice to reasonably identifiable and
6782     locatable victims of the crime contained in the charges, except as otherwise provided in this
6783     chapter.
6784          (2) The initial notice to the victim of a crime shall provide information about electing
6785     to receive notice of subsequent important criminal justice hearings listed in Subsections
6786     77-38-2(5)(a) through (g) and rights under this chapter.
6787          (3) The prosecuting agency shall provide notice to a victim of a crime:
6788          (a) for the important criminal justice hearings, provided in Subsections 77-38-2(5)(a)
6789     through (g), which the victim has requested; and
6790          (b) for a restitution request to be submitted in accordance with Section 77-38b-202.
6791          (4) (a) The responsible prosecuting agency may provide initial and subsequent notices
6792     in any reasonable manner, including telephonically, electronically, orally, or by means of a
6793     letter or form prepared for this purpose.
6794          (b) In the event of an unforeseen important criminal justice hearing, described in
6795     Subsections 77-38-2(5)(a) through (g) for which a victim has requested notice, a good faith
6796     attempt to contact the victim by telephone shall be considered sufficient notice, provided that
6797     the prosecuting agency subsequently notifies the victim of the result of the proceeding.
6798          (5) (a) The court shall take reasonable measures to ensure that its scheduling practices
6799     for the proceedings provided in Subsections 77-38-2(5)(a) through (g) permit an opportunity
6800     for victims of crimes to be notified.

6801          (b) The court shall consider whether any notification system that the court might use to
6802     provide notice of judicial proceedings to defendants could be used to provide notice of judicial
6803     proceedings to victims of crimes.
6804          (6) A defendant or, if it is the moving party, the Division of Adult Probation and
6805     Parole, shall give notice to the responsible prosecuting agency of any motion for modification
6806     of any determination made at any of the important criminal justice hearings provided in
6807     Subsections 77-38-2(5)(a) through (g) in advance of any requested court hearing or action so
6808     that the prosecuting agency may comply with the prosecuting agency's notification obligation.
6809          (7) (a) Notice to a victim of a crime shall be provided by the Board of Pardons and
6810     Parole for the important criminal justice hearing under Subsection 77-38-2(5)(h).
6811          (b) The board may provide notice in any reasonable manner, including telephonically,
6812     electronically, orally, or by means of a letter or form prepared for this purpose.
6813          (8) Prosecuting agencies and the Board of Pardons and Parole are required to give
6814     notice to a victim of a crime for the proceedings provided in Subsections 77-38-2(5)(a) through
6815     (g) only where the victim has responded to the initial notice, requested notice of subsequent
6816     proceedings, and provided a current address and telephone number if applicable.
6817          (9) To facilitate the payment of restitution and the notice of hearings regarding
6818     restitution, a victim who seeks restitution and notice of restitution hearings shall provide the
6819     court with the victim's current address and telephone number.
6820          (10) (a) Law enforcement and criminal justice agencies shall refer any requests for
6821     notice or information about crime victim rights from victims to the responsible prosecuting
6822     agency.
6823          (b) In a case in which the Board of Pardons and Parole is involved, the responsible
6824     prosecuting agency shall forward any request for notice the prosecuting agency has received
6825     from a victim to the Board of Pardons and Parole.
6826          (11) In all cases where the number of victims exceeds 10, the responsible prosecuting
6827     agency may send any notices required under this chapter in the prosecuting agency's discretion
6828     to a representative sample of the victims.
6829          (12) (a) A victim's address, telephone number, and victim impact statement maintained
6830     by a peace officer, prosecuting agency, Youth Parole Authority, [Division of Juvenile Justice
6831     Services] Division of Juvenile Justice and Youth Services, Department of Corrections, Utah

6832     State Courts, and Board of Pardons and Parole, for purposes of providing notice under this
6833     section, are classified as protected under Subsection 63G-2-305(10).
6834          (b) The victim's address, telephone number, and victim impact statement is available
6835     only to the following persons or entities in the performance of their duties:
6836          (i) a law enforcement agency, including the prosecuting agency;
6837          (ii) a victims' right committee as provided in Section 77-37-5;
6838          (iii) a governmentally sponsored victim or witness program;
6839          (iv) the Department of Corrections;
6840          (v) the Utah Office for Victims of Crime;
6841          (vi) the Commission on Criminal and Juvenile Justice;
6842          (vii) the Utah State Courts; and
6843          (viii) the Board of Pardons and Parole.
6844          (13) The notice provisions as provided in this section do not apply to misdemeanors as
6845     provided in Section 77-38-5 and to important juvenile justice hearings as provided in Section
6846     77-38-2.
6847          (14) (a) When a defendant is charged with a felony crime under Sections 76-5-301
6848     through 76-5-310.1 regarding kidnapping, human trafficking, and human smuggling; Sections
6849     76-5-401 through 76-5-413.2 regarding sexual offenses; or Section 76-10-1306 regarding
6850     aggravated exploitation of prostitution, the court may, during any court hearing where the
6851     defendant is present, issue a pretrial criminal no contact order:
6852          (i) prohibiting the defendant from harassing, telephoning, contacting, or otherwise
6853     communicating with the victim directly or through a third party;
6854          (ii) ordering the defendant to stay away from the residence, school, place of
6855     employment of the victim, and the premises of any of these, or any specified place frequented
6856     by the victim or any designated family member of the victim directly or through a third party;
6857     and
6858          (iii) ordering any other relief that the court considers necessary to protect and provide
6859     for the safety of the victim and any designated family or household member of the victim.
6860          (b) Violation of a pretrial criminal no contact order issued pursuant to this section is a
6861     third degree felony.
6862          (c) (i) The court shall provide to the victim a certified copy of any pretrial criminal no

6863     contact order that has been issued if the victim can be located with reasonable effort.
6864          (ii) The court shall also transmit the pretrial criminal no contact order to the statewide
6865     domestic violence network in accordance with Section 78B-7-113.
6866          (15) (a) When a case involving a victim may resolve before trial with a plea deal, the
6867     prosecutor shall notify the victim of that possibility as soon as practicable.
6868          (b) Upon the request of a victim described in Subsection (15)(a), the prosecutor shall
6869     explain the available details of an anticipated plea deal.
6870          Section 91. Section 77-41-102 (Superseded 07/01/24) is amended to read:
6871          77-41-102 (Superseded 07/01/24). Definitions.
6872          As used in this chapter:
6873          (1) "Bureau" means the Bureau of Criminal Identification of the Department of Public
6874     Safety established in section 53-10-201.
6875          (2) "Business day" means a day on which state offices are open for regular business.
6876          (3) "Certificate of eligibility" means a document issued by the Bureau of Criminal
6877     Identification showing that the offender has met the requirements of Section 77-41-112.
6878          (4) (a) "Convicted" means a plea or conviction of:
6879          (i) guilty;
6880          (ii) guilty with a mental condition; or
6881          (iii) no contest.
6882          (b) "Convicted" includes, unless otherwise specified, the period a plea is held in
6883     abeyance pursuant to a plea in abeyance agreement as defined in Section 77-2a-1.
6884          (c) "Convicted" does not include:
6885          (i) a withdrawn or dismissed plea in abeyance;
6886          (ii) a diversion agreement; or
6887          (iii) an adjudication of a minor for an offense under Section 80-6-701.
6888          (5) "Department" means the Department of Corrections.
6889          (6) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
6890     Justice and Youth Services.
6891          (7) "Employed" or "carries on a vocation" includes employment that is full time or part
6892     time, whether financially compensated, volunteered, or for the purpose of government or
6893     educational benefit.

6894          (8) "Indian Country" means:
6895          (a) all land within the limits of any Indian reservation under the jurisdiction of the
6896     United States government, regardless of the issuance of any patent, and includes rights-of-way
6897     running through the reservation;
6898          (b) all dependent Indian communities within the borders of the United States whether
6899     within the original or subsequently acquired territory, and whether or not within the limits of a
6900     state; and
6901          (c) all Indian allotments, including the Indian allotments to which the Indian titles have
6902     not been extinguished, including rights-of-way running through the allotments.
6903          (9) "Jurisdiction" means any state, Indian Country, United States Territory, or any
6904     property under the jurisdiction of the United States military, Canada, the United Kingdom,
6905     Australia, or New Zealand.
6906          (10) "Kidnap offender" means any individual, other than a natural parent of the victim:
6907          (a) who has been convicted in this state of a violation of:
6908          (i) Subsection 76-5-301(2)(c) or (d), kidnapping;
6909          (ii) Section 76-5-301.1, child kidnapping;
6910          (iii) Section 76-5-302, aggravated kidnapping;
6911          (iv) Section 76-5-308, human trafficking for labor;
6912          (v) Section 76-5-308.3, human smuggling;
6913          (vi) Section 76-5-308, human smuggling, when the individual smuggled is under 18
6914     years old;
6915          (vii) Section 76-5-308.5, human trafficking of a child for labor;
6916          (viii) Section 76-5-310, aggravated human trafficking;
6917          (ix) Section 76-5-310.1, aggravated human smuggling;
6918          (x) Section 76-5-311, human trafficking of a vulnerable adult for labor; or
6919          (xi) attempting, soliciting, or conspiring to commit any felony offense listed in
6920     Subsections (10)(a)(i) through (x);
6921          (b) (i) who has been convicted of any crime, or an attempt, solicitation, or conspiracy
6922     to commit a crime in another jurisdiction, including any state, federal, or military court that is
6923     substantially equivalent to the offenses listed in Subsection (10)(a); and
6924          (ii) who is:

6925          (A) a Utah resident; or
6926          (B) not a Utah resident, but who, in any 12-month period, is in this state for a total of
6927     10 or more days, regardless of whether or not the offender intends to permanently reside in this
6928     state;
6929          (c) (i) (A) who is required to register as a kidnap offender in any other jurisdiction of
6930     original conviction;
6931          (B) who is required to register as a kidnap offender by any state, federal, or military
6932     court; or
6933          (C) who would be required to register as a kidnap offender if residing in the
6934     jurisdiction of the conviction regardless of the date of the conviction or any previous
6935     registration requirements; and
6936          (ii) in any 12-month period, who is in this state for a total of 10 or more days,
6937     regardless of whether or not the offender intends to permanently reside in this state;
6938          (d) (i) (A) who is a nonresident regularly employed or working in this state; or
6939          (B) who is a student in this state; and
6940          (ii) (A) who was convicted of one or more offenses listed in Subsection (10), or any
6941     substantially equivalent offense in another jurisdiction; or
6942          (B) as a result of the conviction, who is required to register in the individual's state of
6943     residence;
6944          (e) who is found not guilty by reason of insanity in this state or in any other jurisdiction
6945     of one or more offenses listed in Subsection (10); or
6946          (f) (i) who is adjudicated under Section 80-6-701 for one or more offenses listed in
6947     Subsection (10)(a); and
6948          (ii) who has been committed to the division for secure care, as defined in Section
6949     80-1-102, for that offense if:
6950          (A) the individual remains in the division's custody until 30 days before the individual's
6951     21st birthday;
6952          (B) the juvenile court extended the juvenile court's jurisdiction over the individual
6953     under Section 80-6-605 and the individual remains in the division's custody until 30 days
6954     before the individual's 25th birthday; or
6955          (C) the individual is moved from the division's custody to the custody of the

6956     department before expiration of the division's jurisdiction over the individual.
6957          (11) "Natural parent" means a minor's biological or adoptive parent, and includes the
6958     minor's noncustodial parent.
6959          (12) "Offender" means a kidnap offender as defined in Subsection (10) or a sex
6960     offender as defined in Subsection (18).
6961          (13) "Online identifier" or "Internet identifier":
6962          (a) means any electronic mail, chat, instant messenger, social networking, or similar
6963     name used for Internet communication; and
6964          (b) does not include date of birth, social security number, PIN number, or Internet
6965     passwords.
6966          (14) "Primary residence" means the location where the offender regularly resides, even
6967     if the offender intends to move to another location or return to another location at any future
6968     date.
6969          (15) "Register" means to comply with the requirements of this chapter and
6970     administrative rules of the department made under this chapter.
6971          (16) "Registration website" means the Sex and Kidnap Offender Notification and
6972     Registration website described in Section 77-41-110 and the information on the website.
6973          (17) "Secondary residence" means any real property that the offender owns or has a
6974     financial interest in, or any location where, in any 12-month period, the offender stays
6975     overnight a total of 10 or more nights when not staying at the offender's primary residence.
6976          (18) "Sex offender" means any individual:
6977          (a) convicted in this state of:
6978          (i) a felony or class A misdemeanor violation of Section 76-4-401, enticing a minor;
6979          (ii) Section 76-5b-202, sexual exploitation of a vulnerable adult;
6980          (iii) Section 76-5-308.1, human trafficking for sexual exploitation;
6981          (iv) Section 76-5-308.5, human trafficking of a child for sexual exploitation;
6982          (v) Section 76-5-310, aggravated human trafficking for sexual exploitation;
6983          (vi) Section 76-5-311, human trafficking of a vulnerable adult for sexual exploitation;
6984          (vii) Section 76-5-401, unlawful sexual activity with a minor, except as provided in
6985     Subsection 76-5-401(3)(b) or (c);
6986          (viii) Section 76-5-401.1, sexual abuse of a minor, except as provided in Subsection

6987     76-5-401.1(3);
6988          (ix) Section 76-5-401.2, unlawful sexual conduct with a 16 or 17 year old;
6989          (x) Section 76-5-402, rape;
6990          (xi) Section 76-5-402.1, rape of a child;
6991          (xii) Section 76-5-402.2, object rape;
6992          (xiii) Section 76-5-402.3, object rape of a child;
6993          (xiv) a felony violation of Section 76-5-403, forcible sodomy;
6994          (xv) Section 76-5-403.1, sodomy on a child;
6995          (xvi) Section 76-5-404, forcible sexual abuse;
6996          (xvii) Section 76-5-404.1, sexual abuse of a child, or Section 76-5-404.3, aggravated
6997     sexual abuse of a child;
6998          (xviii) Section 76-5-405, aggravated sexual assault;
6999          (xix) Section 76-5-412, custodial sexual relations, when the individual in custody is
7000     younger than 18 years old, if the offense is committed on or after May 10, 2011;
7001          (xx) Section 76-5b-201, sexual exploitation of a minor;
7002          (xxi) Section 76-5b-201.1, aggravated sexual exploitation of a minor;
7003          (xxii) Section 76-5b-204, sexual extortion or aggravated sexual extortion;
7004          (xxiii) Section 76-7-102, incest;
7005          (xxiv) Section 76-9-702, lewdness, if the individual has been convicted of the offense
7006     four or more times;
7007          (xxv) Section 76-9-702.1, sexual battery, if the individual has been convicted of the
7008     offense four or more times;
7009          (xxvi) any combination of convictions of Section 76-9-702, lewdness, and of Section
7010     76-9-702.1, sexual battery, that total four or more convictions;
7011          (xxvii) Section 76-9-702.5, lewdness involving a child;
7012          (xxviii) a felony or class A misdemeanor violation of Section 76-9-702.7, voyeurism;
7013          (xxix) Section 76-10-1306, aggravated exploitation of prostitution; or
7014          (xxx) attempting, soliciting, or conspiring to commit any felony offense listed in this
7015     Subsection (18)(a);
7016          (b) (i) who has been convicted of any crime, or an attempt, solicitation, or conspiracy
7017     to commit a crime in another jurisdiction, including any state, federal, or military court that is

7018     substantially equivalent to the offenses listed in Subsection (18)(a); and
7019          (ii) who is:
7020          (A) a Utah resident; or
7021          (B) not a Utah resident, but who, in any 12-month period, is in this state for a total of
7022     10 or more days, regardless of whether the offender intends to permanently reside in this state;
7023          (c) (i) (A) who is required to register as a sex offender in any other jurisdiction of
7024     original conviction;
7025          (B) who is required to register as a sex offender by any state, federal, or military court;
7026     or
7027          (C) who would be required to register as a sex offender if residing in the jurisdiction of
7028     the original conviction regardless of the date of the conviction or any previous registration
7029     requirements; and
7030          (ii) who, in any 12-month period, is in the state for a total of 10 or more days,
7031     regardless of whether or not the offender intends to permanently reside in this state;
7032          (d) (i) (A) who is a nonresident regularly employed or working in this state; or
7033          (B) who is a student in this state; and
7034          (ii) (A) who was convicted of one or more offenses listed in Subsection (18)(a), or any
7035     substantially equivalent offense in any jurisdiction; or
7036          (B) who is, as a result of the conviction, required to register in the individual's
7037     jurisdiction of residence;
7038          (e) who is found not guilty by reason of insanity in this state, or in any other
7039     jurisdiction of one or more offenses listed in Subsection (18)(a); or
7040          (f) (i) who is adjudicated under Section 80-6-701 for one or more offenses listed in
7041     Subsection (18)(a); and
7042          (ii) who has been committed to the division for secure care, as defined in Section
7043     80-1-102, for that offense if:
7044          (A) the individual remains in the division's custody until 30 days before the individual's
7045     21st birthday;
7046          (B) the juvenile court extended the juvenile court's jurisdiction over the individual
7047     under Section 80-6-605 and the individual remains in the division's custody until 30 days
7048     before the individual's 25th birthday; or

7049          (C) the individual is moved from the division's custody to the custody of the
7050     department before expiration of the division's jurisdiction over the individual.
7051          (19) "Traffic offense" does not include a violation of Title 41, Chapter 6a, Part 5,
7052     Driving Under the Influence and Reckless Driving.
7053          (20) "Vehicle" means any motor vehicle, aircraft, or watercraft subject to registration in
7054     any jurisdiction.
7055          Section 92. Section 77-41-102 (Effective 07/01/24) is amended to read:
7056          77-41-102 (Effective 07/01/24). Definitions.
7057          As used in this chapter:
7058          (1) "Bureau" means the Bureau of Criminal Identification of the Department of Public
7059     Safety established in section 53-10-201.
7060          (2) "Business day" means a day on which state offices are open for regular business.
7061          (3) "Certificate of eligibility" means a document issued by the Bureau of Criminal
7062     Identification showing that the offender has met the requirements of Section 77-41-112.
7063          (4) (a) "Convicted" means a plea or conviction of:
7064          (i) guilty;
7065          (ii) guilty with a mental illness; or
7066          (iii) no contest.
7067          (b) "Convicted" includes, unless otherwise specified, the period a plea is held in
7068     abeyance pursuant to a plea in abeyance agreement as defined in Section 77-2a-1.
7069          (c) "Convicted" does not include:
7070          (i) a withdrawn or dismissed plea in abeyance;
7071          (ii) a diversion agreement; or
7072          (iii) an adjudication of a minor for an offense under Section 80-6-701.
7073          (5) "Department" means the Department of Public Safety.
7074          (6) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
7075     Justice and Youth Services.
7076          (7) "Employed" or "carries on a vocation" includes employment that is full time or part
7077     time, whether financially compensated, volunteered, or for the purpose of government or
7078     educational benefit.
7079          (8) "Indian Country" means:

7080          (a) all land within the limits of any Indian reservation under the jurisdiction of the
7081     United States government, regardless of the issuance of any patent, and includes rights-of-way
7082     running through the reservation;
7083          (b) all dependent Indian communities within the borders of the United States whether
7084     within the original or subsequently acquired territory, and whether or not within the limits of a
7085     state; and
7086          (c) all Indian allotments, including the Indian allotments to which the Indian titles have
7087     not been extinguished, including rights-of-way running through the allotments.
7088          (9) "Jurisdiction" means any state, Indian Country, United States Territory, or any
7089     property under the jurisdiction of the United States military, Canada, the United Kingdom,
7090     Australia, or New Zealand.
7091          (10) "Kidnap offender" means any individual, other than a natural parent of the victim:
7092          (a) who has been convicted in this state of a violation of:
7093          (i) Subsection 76-5-301(2)(c) or (d), kidnapping;
7094          (ii) Section 76-5-301.1, child kidnapping;
7095          (iii) Section 76-5-302, aggravated kidnapping;
7096          (iv) Section 76-5-308, human trafficking for labor;
7097          (v) Section 76-5-308.3, human smuggling;
7098          (vi) Section 76-5-308, human smuggling, when the individual smuggled is under 18
7099     years old;
7100          (vii) Section 76-5-308.5, human trafficking of a child for labor;
7101          (viii) Section 76-5-310, aggravated human trafficking;
7102          (ix) Section 76-5-310.1, aggravated human smuggling;
7103          (x) Section 76-5-311, human trafficking of a vulnerable adult for labor; or
7104          (xi) attempting, soliciting, or conspiring to commit any felony offense listed in
7105     Subsections (10)(a)(i) through (x);
7106          (b) (i) who has been convicted of any crime, or an attempt, solicitation, or conspiracy
7107     to commit a crime in another jurisdiction, including any state, federal, or military court that is
7108     substantially equivalent to the offenses listed in Subsection (10)(a); and
7109          (ii) who is:
7110          (A) a Utah resident; or

7111          (B) not a Utah resident, but who, in any 12-month period, is in this state for a total of
7112     10 or more days, regardless of whether or not the offender intends to permanently reside in this
7113     state;
7114          (c) (i) (A) who is required to register as a kidnap offender in any other jurisdiction of
7115     original conviction;
7116          (B) who is required to register as a kidnap offender by any state, federal, or military
7117     court; or
7118          (C) who would be required to register as a kidnap offender if residing in the
7119     jurisdiction of the conviction regardless of the date of the conviction or any previous
7120     registration requirements; and
7121          (ii) in any 12-month period, who is in this state for a total of 10 or more days,
7122     regardless of whether or not the offender intends to permanently reside in this state;
7123          (d) (i) (A) who is a nonresident regularly employed or working in this state; or
7124          (B) who is a student in this state; and
7125          (ii) (A) who was convicted of one or more offenses listed in Subsection (10), or any
7126     substantially equivalent offense in another jurisdiction; or
7127          (B) as a result of the conviction, who is required to register in the individual's state of
7128     residence;
7129          (e) who is found not guilty by reason of insanity in this state or in any other jurisdiction
7130     of one or more offenses listed in Subsection (10); or
7131          (f) (i) who is adjudicated under Section 80-6-701 for one or more offenses listed in
7132     Subsection (10)(a); and
7133          (ii) who has been committed to the division for secure care, as defined in Section
7134     80-1-102, for that offense if:
7135          (A) the individual remains in the division's custody until 30 days before the individual's
7136     21st birthday;
7137          (B) the juvenile court extended the juvenile court's jurisdiction over the individual
7138     under Section 80-6-605 and the individual remains in the division's custody until 30 days
7139     before the individual's 25th birthday; or
7140          (C) the individual is moved from the division's custody to the custody of the
7141     department before expiration of the division's jurisdiction over the individual.

7142          (11) "Natural parent" means a minor's biological or adoptive parent, and includes the
7143     minor's noncustodial parent.
7144          (12) "Offender" means a kidnap offender as defined in Subsection (10) or a sex
7145     offender as defined in Subsection (18).
7146          (13) "Online identifier" or "Internet identifier":
7147          (a) means any electronic mail, chat, instant messenger, social networking, or similar
7148     name used for Internet communication; and
7149          (b) does not include date of birth, social security number, PIN number, or Internet
7150     passwords.
7151          (14) "Primary residence" means the location where the offender regularly resides, even
7152     if the offender intends to move to another location or return to another location at any future
7153     date.
7154          (15) "Register" means to comply with the requirements of this chapter and
7155     administrative rules of the department made under this chapter.
7156          (16) "Registration website" means the Sex and Kidnap Offender Notification and
7157     Registration website described in Section 77-41-110 and the information on the website.
7158          (17) "Secondary residence" means any real property that the offender owns or has a
7159     financial interest in, or any location where, in any 12-month period, the offender stays
7160     overnight a total of 10 or more nights when not staying at the offender's primary residence.
7161          (18) "Sex offender" means any individual:
7162          (a) convicted in this state of:
7163          (i) a felony or class A misdemeanor violation of Section 76-4-401, enticing a minor;
7164          (ii) Section 76-5b-202, sexual exploitation of a vulnerable adult;
7165          (iii) Section 76-5-308.1, human trafficking for sexual exploitation;
7166          (iv) Section 76-5-308.5, human trafficking of a child for sexual exploitation;
7167          (v) Section 76-5-310, aggravated human trafficking for sexual exploitation;
7168          (vi) Section 76-5-311, human trafficking of a vulnerable adult for sexual exploitation;
7169          (vii) Section 76-5-401, unlawful sexual activity with a minor, except as provided in
7170     Subsection 76-5-401(3)(b) or (c);
7171          (viii) Section 76-5-401.1, sexual abuse of a minor, except as provided in Subsection
7172     76-5-401.1(3);

7173          (ix) Section 76-5-401.2, unlawful sexual conduct with a 16 or 17 year old;
7174          (x) Section 76-5-402, rape;
7175          (xi) Section 76-5-402.1, rape of a child;
7176          (xii) Section 76-5-402.2, object rape;
7177          (xiii) Section 76-5-402.3, object rape of a child;
7178          (xiv) a felony violation of Section 76-5-403, forcible sodomy;
7179          (xv) Section 76-5-403.1, sodomy on a child;
7180          (xvi) Section 76-5-404, forcible sexual abuse;
7181          (xvii) Section 76-5-404.1, sexual abuse of a child, or Section 76-5-404.3, aggravated
7182     sexual abuse of a child;
7183          (xviii) Section 76-5-405, aggravated sexual assault;
7184          (xix) Section 76-5-412, custodial sexual relations, when the individual in custody is
7185     younger than 18 years old, if the offense is committed on or after May 10, 2011;
7186          (xx) Section 76-5b-201, sexual exploitation of a minor;
7187          (xxi) Section 76-5b-201.1, aggravated sexual exploitation of a minor;
7188          (xxii) Section 76-5b-204, sexual extortion or aggravated sexual extortion;
7189          (xxiii) Section 76-7-102, incest;
7190          (xxiv) Section 76-9-702, lewdness, if the individual has been convicted of the offense
7191     four or more times;
7192          (xxv) Section 76-9-702.1, sexual battery, if the individual has been convicted of the
7193     offense four or more times;
7194          (xxvi) any combination of convictions of Section 76-9-702, lewdness, and of Section
7195     76-9-702.1, sexual battery, that total four or more convictions;
7196          (xxvii) Section 76-9-702.5, lewdness involving a child;
7197          (xxviii) a felony or class A misdemeanor violation of Section 76-9-702.7, voyeurism;
7198          (xxix) Section 76-10-1306, aggravated exploitation of prostitution; or
7199          (xxx) attempting, soliciting, or conspiring to commit any felony offense listed in this
7200     Subsection (18)(a);
7201          (b) (i) who has been convicted of any crime, or an attempt, solicitation, or conspiracy
7202     to commit a crime in another jurisdiction, including any state, federal, or military court that is
7203     substantially equivalent to the offenses listed in Subsection (18)(a); and

7204          (ii) who is:
7205          (A) a Utah resident; or
7206          (B) not a Utah resident, but who, in any 12-month period, is in this state for a total of
7207     10 or more days, regardless of whether the offender intends to permanently reside in this state;
7208          (c) (i) (A) who is required to register as a sex offender in any other jurisdiction of
7209     original conviction;
7210          (B) who is required to register as a sex offender by any state, federal, or military court;
7211     or
7212          (C) who would be required to register as a sex offender if residing in the jurisdiction of
7213     the original conviction regardless of the date of the conviction or any previous registration
7214     requirements; and
7215          (ii) who, in any 12-month period, is in the state for a total of 10 or more days,
7216     regardless of whether or not the offender intends to permanently reside in this state;
7217          (d) (i) (A) who is a nonresident regularly employed or working in this state; or
7218          (B) who is a student in this state; and
7219          (ii) (A) who was convicted of one or more offenses listed in Subsection (18)(a), or any
7220     substantially equivalent offense in any jurisdiction; or
7221          (B) who is, as a result of the conviction, required to register in the individual's
7222     jurisdiction of residence;
7223          (e) who is found not guilty by reason of insanity in this state, or in any other
7224     jurisdiction of one or more offenses listed in Subsection (18)(a); or
7225          (f) (i) who is adjudicated under Section 80-6-701 for one or more offenses listed in
7226     Subsection (18)(a); and
7227          (ii) who has been committed to the division for secure care, as defined in Section
7228     80-1-102, for that offense if:
7229          (A) the individual remains in the division's custody until 30 days before the individual's
7230     21st birthday;
7231          (B) the juvenile court extended the juvenile court's jurisdiction over the individual
7232     under Section 80-6-605 and the individual remains in the division's custody until 30 days
7233     before the individual's 25th birthday; or
7234          (C) the individual is moved from the division's custody to the custody of the

7235     department before expiration of the division's jurisdiction over the individual.
7236          (19) "Traffic offense" does not include a violation of Title 41, Chapter 6a, Part 5,
7237     Driving Under the Influence and Reckless Driving.
7238          (20) "Vehicle" means any motor vehicle, aircraft, or watercraft subject to registration in
7239     any jurisdiction.
7240          Section 93. Section 78A-6-212 is amended to read:
7241          78A-6-212. Information supplied to the Division of Juvenile Justice and Youth
7242     Services.
7243          (1) A juvenile probation officer shall render full and complete cooperation to the
7244     [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services in
7245     supplying the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth
7246     Services with all pertinent information relating to a juvenile offender committed to the
7247     [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services.
7248          (2) Information under Subsection (1) includes prior criminal history, social history,
7249     psychological evaluations, and identifying information specified by the [Division of Juvenile
7250     Justice Services] Division of Juvenile Justice and Youth Services.
7251          Section 94. Section 78B-7-804 is amended to read:
7252          78B-7-804. Sentencing and continuous protective orders for a domestic violence
7253     offense -- Modification -- Expiration.
7254          (1) Before a perpetrator who has been convicted of or adjudicated for a domestic
7255     violence offense may be placed on probation, the court shall consider the safety and protection
7256     of the victim and any member of the victim's family or household.
7257          (2) The court may condition probation or a plea in abeyance on the perpetrator's
7258     compliance with a sentencing protective order that includes:
7259          (a) an order enjoining the perpetrator from threatening to commit or committing acts of
7260     domestic violence against the victim or other family or household member;
7261          (b) an order prohibiting the perpetrator from harassing, telephoning, contacting, or
7262     otherwise communicating with the victim, directly or indirectly;
7263          (c) an order requiring the perpetrator to stay away from the victim's residence, school,
7264     place of employment, and the premises of any of these, or a specified place frequented
7265     regularly by the victim or any designated family or household member;

7266          (d) an order prohibiting the perpetrator from purchasing, using, or possessing a firearm
7267     or other specified weapon;
7268          (e) an order directing the perpetrator to surrender any weapons the perpetrator owns or
7269     possesses; and
7270          (f) an order imposing any other condition necessary to protect the victim and any other
7271     designated family or household member or to rehabilitate the perpetrator.
7272          (3) (a) Because of the serious, unique, and highly traumatic nature of domestic violence
7273     crimes, the high recidivism rate of violent offenders, and the demonstrated increased risk of
7274     continued acts of violence subsequent to the release of a perpetrator who is convicted of or
7275     adjudicated for domestic violence, it is the finding of the Legislature that domestic violence
7276     crimes warrant the issuance of continuous protective orders under this Subsection (3) because
7277     of the need to provide ongoing protection for the victim and to be consistent with the purposes
7278     of protecting victims' rights under Title 77, Chapter 38, Crime Victims, and Article I, Section
7279     28 of the Utah Constitution.
7280          (b) Except as provided in Subsection (6), if a perpetrator is convicted of a domestic
7281     violence offense resulting in a sentence of imprisonment, including jail, that is to be served
7282     after conviction, the court shall issue a continuous protective order at the time of the conviction
7283     or sentencing limiting the contact between the perpetrator and the victim unless:
7284          (i) the court determines by clear and convincing evidence that the victim does not a
7285     have a reasonable fear of future harm or abuse; and
7286          (ii) the court conducts a hearing.
7287          (c) (i) The court shall notify the perpetrator of the right to request a hearing.
7288          (ii) A victim has a right to request a hearing.
7289          (iii) If the perpetrator or the victim requests a hearing under this Subsection (3)(c), the
7290     court shall hold the hearing at the time determined by the court.
7291          (iv) The continuous protective order shall be in effect while the hearing is being
7292     scheduled and while the hearing is pending.
7293          (v) A prosecutor shall use reasonable efforts to notify a victim of a hearing described in
7294     Subsection (3)(b)(ii).
7295          (d) A continuous protective order is permanent in accordance with this Subsection (3)
7296     and may include:

7297          (i) an order enjoining the perpetrator from threatening to commit or committing acts of
7298     domestic violence against the victim or other family or household member;
7299          (ii) an order prohibiting the perpetrator from harassing, telephoning, contacting, or
7300     otherwise communicating with the victim, directly or indirectly;
7301          (iii) an order prohibiting the perpetrator from going to the victim's residence, school,
7302     place of employment, and the premises of any of these, or a specified place frequented
7303     regularly by the victim or any designated family or other household member;
7304          (iv) an order directing the perpetrator to pay restitution to the victim as may apply, and
7305     shall be enforced in accordance with Title 77, Chapter 38b, Crime Victims Restitution Act; and
7306          (v) any other order the court considers necessary to fully protect the victim and
7307     members of the victim's family or other household member.
7308          (4) A continuous protective order may be modified or dismissed only if the court
7309     determines by clear and convincing evidence that all requirements of Subsection (3) have been
7310     met and the victim does not have a reasonable fear of future harm or abuse.
7311          (5) Except as provided in Subsection (6), in addition to the process of issuing a
7312     continuous protective order described in Subsection (3), a district court may issue a continuous
7313     protective order at any time if the victim files a petition with the court, and after notice and
7314     hearing the court finds that a continuous protective order is necessary to protect the victim.
7315          (6) (a) Unless the juvenile court transfers jurisdiction of the offense to the district court
7316     under Section 80-6-504, a continuous protective order may not be issued under this section
7317     against a perpetrator who is a minor.
7318          (b) Unless the court sets an earlier date for expiration, a sentencing protective order
7319     issued under this section against a perpetrator who is a minor expires on the earlier of:
7320          (i) the day on which the juvenile court terminates jurisdiction; or
7321          (ii) in accordance with Section 80-6-807, the day on which the [Division of Juvenile
7322     Justice Services] Division of Juvenile Justice and Youth Services discharges the perpetrator.
7323          Section 95. Section 78B-7-805 is amended to read:
7324          78B-7-805. Sentencing protective orders and continuous protective orders for an
7325     offense that is not domestic violence -- Modification -- Expiration.
7326          (1) Before a perpetrator has been convicted of or adjudicated for an offense that is not
7327     domestic violence is placed on probation, the court may consider the safety and protection of

7328     the victim and any member of the victim's family or household.
7329          (2) The court may condition probation or a plea in abeyance on the perpetrator's
7330     compliance with a sentencing protective order that includes:
7331          (a) an order enjoining the perpetrator from threatening to commit or committing acts of
7332     domestic violence against the victim or other family or household member;
7333          (b) an order prohibiting the perpetrator from harassing, telephoning, contacting, or
7334     otherwise communicating with the victim, directly or indirectly;
7335          (c) an order requiring the perpetrator to stay away from the victim's residence, school,
7336     place of employment, and the premises of any of these, or a specified place frequented
7337     regularly by the victim or any designated family or household member;
7338          (d) an order prohibiting the perpetrator from purchasing, using, or possessing a firearm
7339     or other specified weapon;
7340          (e) an order directing the perpetrator to surrender any weapons the perpetrator owns or
7341     possesses; and
7342          (f) an order imposing any other condition necessary to protect the victim and any other
7343     designated family or household member or to rehabilitate the perpetrator.
7344          (3) (a) If a perpetrator is convicted of an offense that is not domestic violence resulting
7345     in a sentence of imprisonment that is to be served after conviction, the court may issue a
7346     continuous protective order at the time of the conviction or sentencing limiting the contact
7347     between the perpetrator and the victim if the court determines by clear and convincing evidence
7348     that the victim has a reasonable fear of future harm or abuse.
7349          (b) (i) The court shall notify the perpetrator of the right to request a hearing.
7350          (ii) If the perpetrator requests a hearing under this Subsection (3), the court shall hold
7351     the hearing at the time determined by the court and the continuous protective order shall be in
7352     effect while the hearing is being scheduled and while the hearing is pending.
7353          (c) Except as provided in Subsection (6), a continuous protective order is permanent in
7354     accordance with this Subsection (3)(c) and may include any order described in Subsection
7355     78B-7-804(3)(c).
7356          (4) A continuous protective order issued under this section may be modified or
7357     dismissed only in accordance with Subsection 78B-7-804(4).
7358          (5) Except as provided in Subsection (6), in addition to the process of issuing a

7359     continuous protective order described in Subsection (3)(a), a district court may issue a
7360     continuous protective order at any time in accordance with Subsection 78B-7-804(5).
7361          (6) (a) Unless the juvenile court transfers jurisdiction of the offense to the district court
7362     under Section 80-6-504, a continuous protective order may not be issued under this section
7363     against a perpetrator who is a minor.
7364          (b) Unless the court sets an earlier date for expiration, a sentencing protective order
7365     issued under this section against a perpetrator who is a minor expires on the earlier of:
7366          (i) the day on which the juvenile court terminates jurisdiction; or
7367          (ii) in accordance with Section 80-6-807, the day on which the [Division of Juvenile
7368     Justice Services] Division of Juvenile Justice and Youth Services discharges the perpetrator.
7369          Section 96. Section 78B-24-307 is amended to read:
7370          78B-24-307. Child-placing agency compliance.
7371          (1) [The Office of Licensing] The Division of Licensing and Background Checks,
7372     created in Section 26B-2-103, may investigate an allegation that a child-placing agency has
7373     failed to comply with this part and commence an action for injunctive or other relief or initiate
7374     administrative proceedings against the child-placing agency to enforce this part.
7375          (2) (a) The Office of Licensing may initiate a proceeding to determine whether a
7376     child-placing agency has failed to comply with this part.
7377          (b) If the Office of Licensing finds that the child-placing agency has failed to comply,
7378     the Office of Licensing may suspend or revoke the child-placing agency's license or take other
7379     action permitted by law of the state.
7380          Section 97. Section 78B-24-308 is amended to read:
7381          78B-24-308. Rulemaking authority.
7382          [The Office of Licensing] The Division of Licensing and Background Checks, created
7383     in Section 26B-2-103, may adopt rules under Title 63G, Chapter 3, Utah Administrative
7384     Rulemaking Act, to implement Sections 78B-24-303, 78B-24-304, 78B-24-305, and
7385     78B-24-306.
7386          Section 98. Section 80-2-301 is amended to read:
7387          80-2-301. Division responsibilities.
7388          (1) The division is the child, youth, and family services authority of the state.
7389          (2) The division shall:

7390          (a) administer services to minors and families, including:
7391          (i) child welfare services;
7392          (ii) domestic violence services; and
7393          (iii) all other responsibilities that the Legislature or the executive director of the
7394     department may assign to the division;
7395          (b) provide the following services:
7396          (i) financial and other assistance to an individual adopting a child with special needs
7397     under Sections 80-2-806 through 80-2-809, not to exceed the amount the division would
7398     provide for the child as a legal ward of the state;
7399          (ii) non-custodial and in-home services in accordance with Section 80-2-306,
7400     including:
7401          (A) services designed to prevent family break-up; and
7402          (B) family preservation services;
7403          (iii) reunification services to families whose children are in substitute care in
7404     accordance with this chapter, Chapter 2a, Removal and Protective Custody of a Child, and
7405     Chapter 3, Abuse, Neglect, and Dependency Proceedings;
7406          (iv) protective supervision of a family, upon court order, in an effort to eliminate abuse
7407     or neglect of a child in that family;
7408          (v) shelter care in accordance with this chapter, Chapter 2a, Removal and Protective
7409     Custody of a Child, and Chapter 3, Abuse, Neglect, and Dependency Proceedings;
7410          (vi) domestic violence services, in accordance with the requirements of federal law;
7411          (vii) protective services to victims of domestic violence and the victims' children, in
7412     accordance with this chapter, Chapter 2a, Removal and Protective Custody of a Child, and
7413     Chapter 3, Abuse, Neglect, and Dependency Proceedings;
7414          (viii) substitute care for dependent, abused, and neglected children;
7415          (ix) services for minors who are victims of human trafficking or human smuggling, as
7416     described in Sections 76-5-308 through 76-5-310.1, or who have engaged in prostitution or
7417     sexual solicitation, as defined in Sections 76-10-1302 and 76-10-1313; and
7418          (x) training for staff and providers involved in the administration and delivery of
7419     services offered by the division in accordance with this chapter and Chapter 2a, Removal and
7420     Protective Custody of a Child;

7421          (c) establish standards for all:
7422          (i) contract providers of out-of-home care for minors and families;
7423          (ii) facilities that provide substitute care for dependent, abused, or neglected children
7424     placed in the custody of the division; and
7425          (iii) direct or contract providers of domestic violence services described in Subsection
7426     (2)(b)(vi);
7427          (d) have authority to:
7428          (i) contract with a private, nonprofit organization to recruit and train foster care
7429     families and child welfare volunteers in accordance with Section 80-2-405; and
7430          (ii) approve facilities that meet the standards established under Subsection (2)(c) to
7431     provide substitute care for dependent, abused, or neglected children placed in the custody of the
7432     division;
7433          (e) cooperate with the federal government in the administration of child welfare and
7434     domestic violence programs and other human service activities assigned by the department;
7435          (f) in accordance with Subsection (5)(a), promote and enforce state and federal laws
7436     enacted for the protection of abused, neglected, or dependent children, in accordance with this
7437     chapter and Chapter 2a, Removal and Protective Custody of a Child, unless administration is
7438     expressly vested in another division or department of the state;
7439          (g) cooperate with the Workforce Development Division within the Department of
7440     Workforce Services in meeting the social and economic needs of an individual who is eligible
7441     for public assistance;
7442          (h) compile relevant information, statistics, and reports on child and family service
7443     matters in the state;
7444          (i) prepare and submit to the department, the governor, and the Legislature reports of
7445     the operation and administration of the division in accordance with the requirements of
7446     Sections 80-2-1102 and 80-2-1103;
7447          (j) within appropriations from the Legislature, provide or contract for a variety of
7448     domestic violence services and treatment methods;
7449          (k) enter into contracts for programs designed to reduce the occurrence or recurrence of
7450     abuse and neglect in accordance with Section 80-2-503;
7451          (l) seek reimbursement of funds the division expends on behalf of a child in the

7452     protective custody, temporary custody, or custody of the division, from the child's parent or
7453     guardian in accordance with an order for child support under Section 78A-6-356;
7454          (m) ensure regular, periodic publication, including electronic publication, regarding the
7455     number of children in the custody of the division who:
7456          (i) have a permanency goal of adoption; or
7457          (ii) have a final plan of termination of parental rights, under Section 80-3-409, and
7458     promote adoption of the children;
7459          (n) subject to Subsections (5) and (7), refer an individual receiving services from the
7460     division to the local substance abuse authority or other private or public resource for a
7461     court-ordered drug screening test;
7462          (o) report before November 30, 2020, and every third year thereafter, to the Social
7463     Services Appropriations Subcommittee regarding:
7464          (i) the daily reimbursement rate that is provided to licensed foster parents based on
7465     level of care;
7466          (ii) the amount of money spent on daily reimbursements for licensed foster parents
7467     during the previous fiscal year; and
7468          (iii) any recommended changes to the division's budget to support the daily
7469     reimbursement rates described in Subsection (2)(o)(i); and
7470          (p) perform other duties and functions required by law.
7471          (3) (a) The division may provide, directly or through contract, services that include the
7472     following:
7473          (i) adoptions;
7474          (ii) day-care services;
7475          (iii) out-of-home placements for minors;
7476          (iv) health-related services;
7477          (v) homemaking services;
7478          (vi) home management services;
7479          (vii) protective services for minors;
7480          (viii) transportation services; or
7481          (ix) domestic violence services.
7482          (b) The division shall monitor services provided directly by the division or through

7483     contract to ensure compliance with applicable law and rules made in accordance with Title
7484     63G, Chapter 3, Utah Administrative Rulemaking Act.
7485          (c) (i) Except as provided in Subsection (3)(c)(ii), if the division provides a service
7486     through a private contract, the division shall post the name of the service provider on the
7487     division's website.
7488          (ii) Subsection (3)(c)(i) does not apply to a foster parent placement.
7489          (4) (a) The division may:
7490          (i) receive gifts, grants, devises, and donations;
7491          (ii) encourage merchants and service providers to:
7492          (A) donate goods or services; or
7493          (B) provide goods or services at a nominal price or below cost;
7494          (iii) distribute goods to applicants or consumers of division services free or for a
7495     nominal charge and tax free; and
7496          (iv) appeal to the public for funds to meet needs of applicants or consumers of division
7497     services that are not otherwise provided by law, including Sub-for-Santa programs, recreational
7498     programs for minors, and requests for household appliances and home repairs.
7499          (b) If requested by the donor and subject to state and federal law, the division shall use
7500     a gift, grant, devise, donation, or proceeds from the gift, grant, devise, or donation for the
7501     purpose requested by the donor.
7502          (5) (a) In carrying out the requirements of Subsection (2)(f), the division shall:
7503          (i) cooperate with the juvenile courts, the [Division of Juvenile Justice Services]
7504     Division of Juvenile Justice and Youth Services, and with all public and private licensed child
7505     welfare agencies and institutions to develop and administer a broad range of services and
7506     support;
7507          (ii) take the initiative in all matters involving the protection of abused or neglected
7508     children, if adequate provisions have not been made or are not likely to be made; and
7509          (iii) make expenditures necessary for the care and protection of the children described
7510     in Subsection (5)(a)(ii), within the division's budget.
7511          (b) If an individual is referred to a local substance abuse authority or other private or
7512     public resource for court-ordered drug screening under Subsection (2)(n), the court shall order
7513     the individual to pay all costs of the tests unless:

7514          (i) the cost of the drug screening is specifically funded or provided for by other federal
7515     or state programs;
7516          (ii) the individual is a participant in a drug court; or
7517          (iii) the court finds that the individual is an indigent individual.
7518          (6) Except to the extent provided by rules made in accordance with Title 63G, Chapter
7519     3, Utah Administrative Rulemaking Act, the division is not required to investigate domestic
7520     violence in the presence of a child, as described in Section 76-5-114.
7521          (7) (a) Except as provided in Subsection (7)(b), the division may not:
7522          (i) require a parent who has a child in the custody of the division to pay for some or all
7523     of the cost of any drug testing the parent is required to undergo; or
7524          (ii) refer an individual who is receiving services from the division for drug testing by
7525     means of a hair, fingernail, or saliva test that is administered to detect the presence of drugs.
7526          (b) Notwithstanding Subsection (7)(a)(ii), the division may refer an individual who is
7527     receiving services from the division for drug testing by means of a saliva test if:
7528          (i) the individual consents to drug testing by means of a saliva test; or
7529          (ii) the court, based on a finding that a saliva test is necessary in the circumstances,
7530     orders the individual to complete drug testing by means of a saliva test.
7531          Section 99. Section 80-2-703 is amended to read:
7532          80-2-703. Conflict child protective services investigations -- Authority of
7533     investigators.
7534          (1) (a) The department, through the [Office of Quality and Design created in Section
7535     62A-18-103] Division of Continuous Quality and Improvement, shall conduct an independent
7536     child protective service investigation to investigate reports of abuse or neglect if:
7537          (i) the report occurs while the child is in the custody of the division; or
7538          (ii) the executive director of the department determines that, if the division conducts
7539     the investigation, the division would have an actual or potential conflict of interest in the
7540     results of the investigation.
7541          (b) If a report is made while a child is in the custody of the division that indicates the
7542     child is abused or neglected:
7543          (i) the attorney general may, in accordance with Section 67-5-16, and with the consent
7544     of the department, employ a child protective services investigator to conduct a conflict

7545     investigation of the report; or
7546          (ii) a law enforcement officer, as defined in Section 53-13-103, may, with the consent
7547     of the department, conduct a conflict investigation of the report.
7548          (c) Subsection (1)(b)(ii) does not prevent a law enforcement officer from, without the
7549     consent of the department, conducting a criminal investigation of abuse or neglect under Title
7550     53, Public Safety Code.
7551          (2) An investigator described in Subsection (1) may also investigate allegations of
7552     abuse or neglect of a child by a department employee or a licensed substitute care provider.
7553          (3) An investigator described in Subsection (1), if not a law enforcement officer, shall
7554     have the same rights, duties, and authority of a child welfare caseworker to:
7555          (a) make a thorough investigation under Section 80-2-701 upon receiving a report of
7556     alleged abuse or neglect of a child, with the primary purpose of the investigation being the
7557     protection of the child;
7558          (b) make an inquiry into the child's home environment, emotional, or mental health, the
7559     nature and extent of the child's injuries, and the child's physical safety;
7560          (c) make a written report of the investigator's investigation, including determination
7561     regarding whether the alleged abuse or neglect is supported, unsupported, or without merit, and
7562     forward a copy of the report to the division within the time mandates for investigations
7563     established by the division; and
7564          (d) immediately consult with school authorities to verify the child's status in
7565     accordance with Sections 53G-6-201 through 53G-6-206 if a report is based on or includes an
7566     allegation of educational neglect.
7567          Section 100. Section 80-2-1001 is amended to read:
7568          80-2-1001. Management Information System -- Contents -- Classification of
7569     records -- Access.
7570          (1) The division shall develop and implement a Management Information System that
7571     meets the requirements of this section and the requirements of federal law and regulation.
7572          (2) The Management Information System shall:
7573          (a) contain all key elements of each family's current child and family plan, including:
7574          (i) the dates and number of times the plan has been administratively or judicially
7575     reviewed;

7576          (ii) the number of times the parent failed the child and family plan; and
7577          (iii) the exact length of time the child and family plan has been in effect; and
7578          (b) alert child welfare caseworkers regarding deadlines for completion of and
7579     compliance with policy, including child and family plans.
7580          (3) For a child welfare case, the Management Information System shall provide each
7581     child welfare caseworker and the [Office of Licensing] Division of Licensing and Background
7582     Checks created in Section 26B-2-103, exclusively for the purposes of foster parent licensure
7583     and monitoring, with a complete history of each child in the child welfare caseworker's
7584     caseload, including:
7585          (a) a record of all past action taken by the division with regard to the child and the
7586     child's siblings;
7587          (b) the complete case history and all reports and information in the control or keeping
7588     of the division regarding the child and the child's siblings;
7589          (c) the number of times the child has been in the protective custody, temporary
7590     custody, and custody of the division;
7591          (d) the cumulative period of time the child has been in the custody of the division;
7592          (e) a record of all reports of abuse or neglect received by the division with regard to the
7593     child's parent or guardian including:
7594          (i) for each report, documentation of the:
7595          (A) latest status; or
7596          (B) final outcome or determination; and
7597          (ii) information that indicates whether each report was found to be:
7598          (A) supported;
7599          (B) unsupported;
7600          (C) substantiated;
7601          (D) unsubstantiated; or
7602          (E) without merit;
7603          (f) the number of times the child's parent failed any child and family plan; and
7604          (g) the number of different child welfare caseworkers who have been assigned to the
7605     child in the past.
7606          (4) For child protective services cases, the Management Information System shall:

7607          (a) monitor the compliance of each case with:
7608          (i) division rule;
7609          (ii) state law; and
7610          (iii) federal law and regulation; and
7611          (b) include the age and date of birth of the alleged perpetrator at the time the abuse or
7612     neglect is alleged to have occurred, in order to ensure accuracy regarding the identification of
7613     the alleged perpetrator.
7614          (5) Information or a record contained in the Management Information System is:
7615          (a) a private, controlled, or protected record under Title 63G, Chapter 2, Government
7616     Records Access and Management Act; and
7617          (b) available only:
7618          (i) to a person or government entity with statutory authorization under Title 63G,
7619     Chapter 2, Government Records Access and Management Act, to review the information or
7620     record;
7621          (ii) to a person who has specific statutory authorization to access the information or
7622     record for the purpose of assisting the state with state or federal requirements to maintain
7623     information solely for the purpose of protecting minors and providing services to families in
7624     need;
7625          (iii) to the extent required by Title IV(b) or IV(e) of the Social Security Act:
7626          (A) to comply with abuse and neglect registry checks requested by other states; or
7627          (B) to the United States Department of Health and Human Services for purposes of
7628     maintaining an electronic national registry of supported or substantiated cases of abuse and
7629     neglect;
7630          (iv) to the department, upon the approval of the executive director of the department,
7631     on a need-to-know basis;
7632          (v) as provided in Subsection (6) or Section 80-2-1002; or
7633          (vi) to a citizen review panel for the purpose of fulfilling the panel's duties as described
7634     in Section 80-2-1101.
7635          (6) (a) The division may allow a division contract provider, court clerk designated by
7636     the Administrative Office of the Courts, the Office of Guardian Ad Litem, or Indian tribe to
7637     have limited access to the Management Information System.

7638          (b) A division contract provider or Indian tribe has access only to information about a
7639     person who is currently receiving services from the specific contract provider or Indian tribe.
7640          (c) A court clerk may only have access to information necessary to comply with
7641     Subsection 78B-7-202(2).
7642          (d) (i) The Office of Guardian Ad Litem may only access:
7643          (A) the information that is entered into the Management Information System on or after
7644     July 1, 2004, and relates to a child or family where the Office of Guardian Ad Litem is
7645     appointed by a court to represent the interests of the child; or
7646          (B) any abuse or neglect referral about a child or family where the office has been
7647     appointed by a court to represent the interests of the child, regardless of the date that the
7648     information is entered into the Management Information System.
7649          (ii) The division may use the information in the Management Information System to
7650     screen an individual as described in Subsection 80-2-1002(4)(b)(ii)(A) at the request of the
7651     Office of Guardian Ad Litem.
7652          (e) A contract provider or designated representative of the Office of Guardian Ad
7653     Litem or an Indian tribe who requests access to information contained in the Management
7654     Information System shall:
7655          (i) take all necessary precautions to safeguard the security of the information contained
7656     in the Management Information System;
7657          (ii) train its employees regarding:
7658          (A) requirements for protecting the information contained in the Management
7659     Information System under this chapter and under Title 63G, Chapter 2, Government Records
7660     Access and Management Act; and
7661          (B) the criminal penalties under Sections 63G-2-801 and 80-2-1005 for improper
7662     release of information; and
7663          (iii) monitor its employees to ensure that the employees protect the information
7664     contained in the Management Information System as required by law.
7665          (7) The division shall take:
7666          (a) all necessary precautions, including password protection and other appropriate and
7667     available technological techniques, to prevent unauthorized access to or release of information
7668     contained in the Management Information System; and

7669          (b) reasonable precautions to ensure that the division's contract providers comply with
7670     Subsection (6).
7671          Section 101. Section 80-2-1002 is amended to read:
7672          80-2-1002. Licensing Information System -- Contents -- Classification of records
7673     -- Access -- Unlawful release -- Penalty.
7674          (1) (a) The division shall maintain a sub-part of the Management Information System
7675     as the Licensing Information System to be used:
7676          (i) for licensing purposes; or
7677          (ii) as otherwise provided by law.
7678          (b) Notwithstanding Subsection (1)(a), the department's access to information in the
7679     Management Information System for the licensure and monitoring of a foster parent is
7680     governed by Sections 80-2-1001 and 26B-2-121.
7681          (2) The Licensing Information System shall include only the following information:
7682          (a) the name and other identifying information of the alleged perpetrator in a supported
7683     finding, without identifying the alleged perpetrator as a perpetrator or alleged perpetrator;
7684          (b) a notation to the effect that an investigation regarding the alleged perpetrator
7685     described in Subsection (2)(a) is pending;
7686          (c) the information described in Subsection (3);
7687          (d) consented-to supported findings by an alleged perpetrator under Subsection
7688     80-2-708(3)(a)(iii);
7689          (e) a finding from the juvenile court under Section 80-3-404; and
7690          (f) the information in the licensing part of the division's Management Information
7691     System as of May 6, 2002.
7692          (3) Subject to Section 80-2-1003, upon receipt of a finding from the juvenile court
7693     under Section 80-3-404, the division shall:
7694          (a) promptly amend the Licensing Information System to include the finding; and
7695          (b) enter the finding in the Management Information System.
7696          (4) Information or a record contained in the Licensing Information System is:
7697          (a) a protected record under Title 63G, Chapter 2, Government Records Access and
7698     Management Act; and
7699          (b) notwithstanding Title 63G, Chapter 2, Government Records Access and

7700     Management Act, accessible only:
7701          (i) to the [Office of Licensing] Division of Licensing and Background Checks created
7702     in Section 26B-2-103:
7703          (A) for licensing purposes; or
7704          (B) as otherwise specifically provided for by law;
7705          (ii) to the division to:
7706          (A) screen an individual at the request of the Office of Guardian Ad Litem at the time
7707     the individual seeks a paid or voluntary position with the Office of Guardian Ad Litem and
7708     annually throughout the time that the individual remains with the Office of Guardian Ad Litem;
7709     and
7710          (B) respond to a request for information from an individual whose name is listed in the
7711     Licensing Information System;
7712          (iii) to a person designated by the Department of Health and Human Services, only for
7713     the following purposes:
7714          (A) licensing a child care program or provider;
7715          (B) determining whether an individual associated with a child care facility, program, or
7716     provider, who is exempt from being licensed or certified by the Department of Health and
7717     Human Services under Title 26B, Chapter 2, Part 4, Child Care Licensing, has a supported
7718     finding of a severe type of child abuse or neglect; or
7719          (C) determining whether an individual who is seeking an emergency medical services
7720     license has a supported finding of a severe type of child abuse or neglect;
7721          (iv) to a person designated by the Department of Workforce Services and approved by
7722     the Department of Health and Human Services for the purpose of qualifying a child care
7723     provider under Section 35A-3-310.5;
7724          (v) as provided in Section 26B-2-121; or
7725          (vi) to the department or another person, as provided in this chapter.
7726          (5) A person designated by the Department of Health and Human Services or the
7727     Department of Workforce Services under Subsection (4) shall adopt measures to:
7728          (a) protect the security of the Licensing Information System; and
7729          (b) strictly limit access to the Licensing Information System to persons allowed access
7730     by statute.

7731          (6) The department shall approve a person allowed access by statute to information or a
7732     record contained in the Licensing Information System and provide training to the person with
7733     respect to:
7734          (a) accessing the Licensing Information System;
7735          (b) maintaining strict security; and
7736          (c) the criminal provisions of Sections 63G-2-801 and 80-2-1005 pertaining to the
7737     improper release of information.
7738          (7) (a) Except as authorized by this chapter, a person may not request another person to
7739     obtain or release any other information in the Licensing Information System to screen for
7740     potential perpetrators of abuse or neglect.
7741          (b) A person who requests information knowing that the request is a violation of this
7742     Subsection (7) is subject to the criminal penalties described in Sections 63G-2-801 and
7743     80-2-1005.
7744          Section 102. Section 80-5-102 is amended to read:
7745          80-5-102. Definitions.
7746          As used in this chapter:
7747          (1) "Account" means the Juvenile Justice Reinvestment Restricted Account created in
7748     Section 80-5-302.
7749          (2) (a) "Adult" means an individual who is 18 years old or older.
7750          (b) "Adult" does not include a juvenile offender.
7751          (3) "Aftercare services" means the same as the term "aftercare" is defined in 45 C.F.R.
7752     1351.1.
7753          (4) "Authority" means the Youth Parole Authority created in Section 80-5-701.
7754          (5) "Control" means the authority to detain, restrict, and supervise a juvenile offender
7755     in a manner consistent with public safety and the well-being of the juvenile offender and
7756     division employees.
7757          (6) "Director" means the director of the [Division of Juvenile Justice Services]
7758     Division of Juvenile Justice and Youth Services.
7759          (7) "Discharge" means the same as that term is defined in Section 80-6-102.
7760          (8) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
7761     Justice and Youth Services created in Section 80-5-103.

7762          (9) "Homeless youth" means a child, other than an emancipated minor:
7763          (a) who is a runaway; or
7764          (b) who is:
7765          (i) not accompanied by the child's parent or guardian; and
7766          (ii) without care, as defined in Section 80-5-602.
7767          (10) "Observation and assessment program" means a nonresidential service program
7768     operated or purchased by the division that is responsible only for diagnostic assessment of
7769     minors, including for substance use disorder, mental health, psychological, and sexual behavior
7770     risk assessments.
7771          (11) "Performance based contracting" means a system of contracting with service
7772     providers for the provision of residential or nonresidential services that:
7773          (a) provides incentives for the implementation of evidence-based juvenile justice
7774     programs or programs rated as effective for reducing recidivism by a standardized tool in
7775     accordance with Section 63M-7-208; and
7776          (b) provides a premium rate allocation for a minor who receives the evidence-based
7777     dosage of treatment and successfully completes the program within three months.
7778          (12) "Rescission" means the same as that term is defined in Section 80-6-102.
7779          (13) "Restitution" means the same as that term is defined in Section 80-6-102.
7780          (14) "Revocation" means the same as that term is defined in Section 80-6-102.
7781          (15) "Temporary custody" means the same as that term is defined in Section 80-6-102.
7782          (16) "Temporary homeless youth shelter" means a facility that:
7783          (a) provides temporary shelter to homeless youth; and
7784          (b) is licensed by the Department of Health and Human Services, created in Section
7785     26B-1-201, as a residential support program.
7786          (17) "Termination" means the same as that term is defined in Section 80-6-102.
7787          (18) "Victim" means the same as that term is defined in Section 80-6-102.
7788          (19) "Work program" means a nonresidential public or private service work project
7789     established and administered by the division for juvenile offenders for the purpose of
7790     rehabilitation, education, and restitution to victims.
7791          (20) (a) "Youth services" means services provided in an effort to resolve family
7792     conflict:

7793          (i) for families in crisis when a minor is ungovernable or a runaway; or
7794          (ii) involving a minor and the minor's parent or guardian.
7795          (b) "Youth services" include efforts to:
7796          (i) resolve family conflict;
7797          (ii) maintain or reunite minors with the minors' families; and
7798          (iii) divert minors from entering or escalating in the juvenile justice system.
7799          (c) "Youth services" may provide:
7800          (i) crisis intervention;
7801          (ii) short-term shelter;
7802          (iii) time-out placement; and
7803          (iv) family counseling.
7804          (21) "Youth services center" means a center established by, or under contract with, the
7805     division to provide youth services.
7806          Section 103. Section 80-5-103 is amended to read:
7807          80-5-103. Creation of division -- Jurisdiction.
7808          (1) There is created the [Division of Juvenile Justice Services] Division of Juvenile
7809     Justice and Youth Services within the department.
7810          (2) The division shall be under the administration and supervision of the executive
7811     director of the department.
7812          (3) The division has jurisdiction over all minors committed to the division under
7813     Sections 80-6-703 and 80-6-705.
7814          Section 104. Section 80-5-401 is amended to read:
7815          80-5-401. Youth services for prevention and early intervention -- Program
7816     standards -- Program services.
7817          (1) The division shall establish and operate prevention and early intervention youth
7818     services programs which shall include evidence-informed and research-informed interventions
7819     to:
7820          (a) help youth and families avoid entry into the juvenile justice system; and
7821          (b) improve attendance and academic achievement.
7822          (2) The division shall adopt statewide policies and procedures, including minimum
7823     standards for the organization and operation of youth services programs.

7824          (3) The division shall establish housing, programs, and procedures to ensure that
7825     minors who are receiving services under this section and who are not committed to the division
7826     are served separately from minors who are committed to the division.
7827          (4) The division may enter into contracts with state and local governmental entities and
7828     private providers to provide the youth services.
7829          (5) The division shall establish and administer juvenile receiving centers and other
7830     programs to provide temporary custody, care, risk-needs assessments, evaluations, and control
7831     for nonadjudicated and adjudicated minors placed with the division.
7832          (6) The division shall prioritize use of evidence-based juvenile justice programs and
7833     practices.
7834          (7) Receiving services under this section does not establish commitment of the minor
7835     receiving services to the division.
7836          (8) UCA 80-6-703
7837          Section 105. Section 80-6-102 is amended to read:
7838          80-6-102. Definitions.
7839          As used in this chapter:
7840          (1) "Aftercare services" means the same as the term "aftercare" is defined in 45 C.F.R.
7841     1351.1.
7842          (2) "Authority" means the Youth Parole Authority created in Section 80-5-701.
7843          (3) "Commission" means the State Commission on Criminal and Juvenile Justice
7844     created in Section 63M-7-201.
7845          (4) "Compensatory service" means service or unpaid work performed by a minor in
7846     lieu of the payment of a fine, fee, or restitution.
7847          (5) "Control" means the same as that term is defined in Section 80-5-102.
7848          (6) "Detention hearing" means a proceeding under Section 80-6-207 to determine
7849     whether a minor should remain in detention.
7850          (7) "Detention guidelines" means standards, established by the division in accordance
7851     with Subsection 80-5-202(1)(a), for the admission of a minor to detention.
7852          (8) "Discharge" means a written order of the authority that removes a juvenile offender
7853     from the authority's jurisdiction.
7854          (9) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile

7855     Justice and Youth Services created in Section 80-5-103.
7856          (10) "Family-based setting" means a home that is licensed to allow a minor to reside at
7857     the home, including a foster home, proctor care, or residential care by a professional parent.
7858          (11) "Formal referral" means a written report from a peace officer, or other person,
7859     informing the juvenile court that:
7860          (a) an offense committed by a minor is, or appears to be, within the juvenile court's
7861     jurisdiction; and
7862          (b) the minor's case must be reviewed by a juvenile probation officer or a prosecuting
7863     attorney.
7864          (12) "Material loss" means an uninsured:
7865          (a) property loss;
7866          (b) out-of-pocket monetary loss for property that is stolen, damaged, or destroyed;
7867          (c) lost wages because of an injury, time spent as a witness, or time spent assisting the
7868     police or prosecution; or
7869          (d) medical expense.
7870          (13) "Referral" means a formal referral, a referral to the juvenile court under Section
7871     53G-8-211, or a citation issued to a minor for which the juvenile court receives notice under
7872     Section 80-6-302.
7873          (14) "Rescission" means a written order of the authority that rescinds a date for parole.
7874          (15) "Restitution" means money or services that the juvenile court, or a juvenile
7875     probation officer if the minor agrees to a nonjudicial adjustment, orders a minor to pay or
7876     render to a victim for the minor's wrongful act or conduct.
7877          (16) "Revocation" means a written order of the authority that, after a hearing and
7878     determination under Section 80-6-806:
7879          (a) terminates supervision of a juvenile offender's parole; and
7880          (b) directs a juvenile offender to return to secure care.
7881          (17) "Temporary custody" means the control and responsibility of a minor, before an
7882     adjudication under Section 80-6-701, until the minor is released to a parent, guardian,
7883     responsible adult, or to an appropriate agency.
7884          (18) "Termination" means a written order of the authority that terminates a juvenile
7885     offender from parole.

7886          (19) (a) "Victim" means a person that the juvenile court determines suffered a material
7887     loss as a result of a minor's wrongful act or conduct.
7888          (b) "Victim" includes:
7889          (i) any person directly harmed by the minor's wrongful act or conduct in the course of
7890     the scheme, conspiracy, or pattern if the minor's wrongful act or conduct is an offense that
7891     involves an element of a scheme, a conspiracy, or a pattern of criminal activity; and
7892          (ii) the Utah Office for Victims of Crime.
7893          (20) "Violent felony" means the same as that term is defined in Section 76-3-203.5.
7894          (21) "Work program" means the same as that term is defined in Section 80-5-102.
7895          (22) "Youth services" means the same as that term is defined in Section 80-5-102.
7896          Section 106. Effective date.
7897          (1) Except as provided in Subsection (2), this bill takes effect on May 1, 2024.
7898          (2) The actions affecting the following sections take effect on July 1, 2024:
7899          (a) Section 26B-1-204 (Effective 07/01/24);
7900          (b) Section 26B-2-241 (Effective 07/01/24);
7901          (c) Section 53-2d-404 (Effective 07/01/24);
7902          (d) Section 53-2d-503 (Effective 07/01/24);
7903          (e) Section 53-2d-703 (Effective 07/01/24);
7904          (f) Section 63I-1-226 (Effective 07/01/24); and
7905          (g) Section 77-41-102 (Effective (07/01/24).