Senator Michael S. Kennedy proposes the following substitute bill:


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     General Description:
9          This bill clarifies and amends provisions affecting the Department of Health and
10     Human Services.
11     Highlighted Provisions:
12          This bill:
13          ▸     defines terms;
14          ▸     makes technical and corresponding amendments;
15          ▸     clarifies provisions that the Department of Health and Human Services has
16     identified as not applicable or incongruous after the 2023 recodification pertaining
17     to health and human services;
18          ▸     creates the Division of Health Access within the Department of Health and Human
19     Services;
20          ▸     removes the authority of the chair of the Utah Substance Use and Mental Health
21     Advisory Council to establish the goals and budget for an application for a federal
22     grant, in a situation where the six-member committee comprised of individuals from
23     the Department of Health and Human Services and local health departments is
24     unable to agree by two-thirds majority on the goals and budget for a reviewable
25     application for a federal grant;

26          ▸     modifies the prescribed procedures for the Department of Health and Family
27     Services' review of an individual's appeal of the Compassionate Use Board's denial
28     of the individual's application for a medical cannabis card;
29          ▸     creates the Office of Licensing within the Division of Licensing and Background
30     Checks;
31          ▸     creates the Office of Background Processing within the Division of Licensing and
32     Background Checks;
33          ▸     removes education, experience, and knowledge requirements to serve as the director
34     of Division of Licensing and Background Checks;
35          ▸     modifies the definition of "applicant" for individual's seeking approval to have
36     direct access to children or vulnerable adults;
37          ▸     modifies the terms of background checks and ongoing fingerprint monitoring to
38     which an applicant must consent in connection with applying to the Office of
39     Background Processing for direct access to children or vulnerable adults;
40          ▸     requires the Office of Background Processing to search the Sex and Kidnap
41     Offender Registry as part of its duties in performing a background check;
42          ▸     prescribes other procedures for the Office of Background Processing to follow in
43     performing a background check;
44          ▸     modifies the parameters under which an applicant with a criminal history, or an
45     applicant who is listed on a child abuse and neglect registry of any state, is screened
46     by the Office of Background Processing or may qualify for direct access to children
47     and vulnerable adults;
48          ▸     modifies the numerical limit of foster children who may reside in a home, and
49     establishes when those limits may be exceeded;
50          ▸     reduces from two years (i.e. 730 days) to 180 days the length of time a certification
51     for direct patient access is valid before renewal is required;
52          ▸     modifies the definition of "rural county" to mean counties of the first through third
53     classes (i.e. counties with populations less than 175,000) and no longer to mean
54     counties with a population less than 50,000;
55          ▸     modifies the definition of "rural hospital" as a result of modifying the definition of
56     "rural county;"

57          ▸     removes the requirement that the executive director of the Department of Health
58     and Human Services consider the advice of the chairman of the Department of
59     Pathology at the University of Utah and the dean of the law school at the University
60     of Utah;
61          ▸     requires that a county executive obtain the approval of the state's chief medical
62     examiner before appointing a county medical examiner;
63          ▸     clarifies which records of a medical examiner are subject to production by the
64     medical examiner, when a portion of the medical examiner's record relates to an
65     issue of public health or safety;
66          ▸     permits a medical examiner, prior to taking required steps pertaining to
67     identification of an unidentified body, to release the unidentified body to the county
68     in which the body was found;
69          ▸     removes the requirement that a county or funeral director adopt the identification
70     number the medical examiner assigned to an unidentified body;
71          ▸     removes the requirement that a county inform the medical examiner of certain
72     information pertaining to the county's disposition of an unidentified body;
73          ▸     removes the requirement that a medical examiner maintain a file for unidentified
74     bodies;
75          ▸     expands the scope of individuals from whom a psychological autopsy examiner may
76     gather information regarding a decedent's death; and
77          ▸     expands the scope of information a psychological autopsy examiner may gather
78     regarding a decedent's death.
79     Money Appropriated in this Bill:
80          None
81     Other Special Clauses:
82          This bill provides a special effective date.
83     Utah Code Sections Affected:
84     AMENDS:
85          4-41a-102, as last amended by Laws of Utah 2023, Chapters 273, 313 and 327
86          4-41a-1001, as last amended by Laws of Utah 2023, Chapter 317 and renumbered and
87     amended by Laws of Utah 2023, Chapters 273, 307 and last amended by

88     Coordination Clause, Laws of Utah 2023, Chapter 307
89          4-41a-1102, as last amended by Laws of Utah 2023, Chapter 317 and renumbered and
90     amended by Laws of Utah 2023, Chapters 273, 307 and last amended by
91     Coordination Clause, Laws of Utah 2023, Chapter 307
92          4-41a-1202, as last amended by Laws of Utah 2023, Chapter 317 and renumbered and
93     amended by Laws of Utah 2023, Chapters 273, 307 and last amended by
94     Coordination Clause, Laws of Utah 2023, Chapter 307
95          17-43-203, as last amended by Laws of Utah 2004, Chapter 80
96          17-43-301, as last amended by Laws of Utah 2023, Chapters 15, 327
97          26A-1-112, as last amended by Laws of Utah 2011, Chapter 297
98          26A-1-113, as last amended by Laws of Utah 2022, Chapter 415
99          26A-1-120, as last amended by Laws of Utah 2002, Chapter 249
100          26B-1-202, as last amended by Laws of Utah 2023, Chapter 302
101          26B-1-204 (Superseded 07/01/24), as last amended by Laws of Utah 2023, Chapters
102     249, 305
103          26B-1-204 (Effective 07/01/24), as last amended by Laws of Utah 2023, Chapters 249,
104     305 and 310
105          26B-1-207, as last amended by Laws of Utah 2023, Chapter 272
106          26B-1-237, as renumbered and amended by Laws of Utah 2023, Chapter 305
107          26B-1-324, as last amended by Laws of Utah 2023, Chapter 270 and renumbered and
108     amended by Laws of Utah 2023, Chapter 305
109          26B-1-414, as last amended by Laws of Utah 2023, Chapter 249 and renumbered and
110     amended by Laws of Utah 2023, Chapter 305
111          26B-1-421, as last amended by Laws of Utah 2023, Chapters 273, 317 and renumbered
112     and amended by Laws of Utah 2023, Chapter 305
113          26B-1-422.1, as enacted by Laws of Utah 2023, Chapter 269 and last amended by
114     Coordination Clause, Laws of Utah 2023, Chapter 305
115          26B-1-435, as enacted by Laws of Utah 2023, Chapter 273
116          26B-1-435.1, as enacted by Laws of Utah 2023, Chapter 273
117          26B-1-502, as renumbered and amended by Laws of Utah 2023, Chapter 305
118          26B-2-101, as last amended by Laws of Utah 2023, Chapter 305

119          26B-2-103, as renumbered and amended by Laws of Utah 2023, Chapter 305
120          26B-2-104, as renumbered and amended by Laws of Utah 2023, Chapter 305
121          26B-2-120, as last amended by Laws of Utah 2023, Chapter 344 and renumbered and
122     amended by Laws of Utah 2023, Chapter 305
123          26B-2-122, as renumbered and amended by Laws of Utah 2023, Chapter 305
124          26B-2-128, as renumbered and amended by Laws of Utah 2023, Chapter 305
125          26B-2-201, as last amended by Laws of Utah 2023, Chapter 301 and renumbered and
126     amended by Laws of Utah 2023, Chapter 305
127          26B-2-202, as renumbered and amended by Laws of Utah 2023, Chapter 305
128          26B-2-204, as last amended by Laws of Utah 2023, Chapter 301 and renumbered and
129     amended by Laws of Utah 2023, Chapter 305
130          26B-2-238, as renumbered and amended by Laws of Utah 2023, Chapter 305
131          26B-2-239, as renumbered and amended by Laws of Utah 2023, Chapter 305
132          26B-2-240, as renumbered and amended by Laws of Utah 2023, Chapter 305
133          26B-2-241 (Superseded 07/01/24), as renumbered and amended by Laws of Utah
134     2023, Chapter 305
135          26B-2-241 (Effective 07/01/24), as last amended by Laws of Utah 2023, Chapter 310
136     and renumbered and amended by Laws of Utah 2023, Chapter 305
137          26B-3-114, as renumbered and amended by Laws of Utah 2023, Chapter 306
138          26B-3-212, as last amended by Laws of Utah 2023, Chapter 316 and renumbered and
139     amended by Laws of Utah 2023, Chapter 306
140          26B-4-118 (Superseded 07/01/24), as renumbered and amended by Laws of Utah
141     2023, Chapter 307
142          26B-4-136 (Superseded 07/01/24), as last amended by Laws of Utah 2023, Chapter 16
143     and renumbered and amended by Laws of Utah 2023, Chapter 307
144          26B-4-152 (Superseded 07/01/24), as renumbered and amended by Laws of Utah
145     2023, Chapter 307
146          26B-4-154 (Superseded 07/01/24), as renumbered and amended by Laws of Utah
147     2023, Chapter 307
148          26B-4-201, as last amended by Laws of Utah 2023, Chapters 273, 317 and renumbered
149     and amended by Laws of Utah 2023, Chapter 307

150          26B-4-202, as last amended by Laws of Utah 2023, Chapters 273, 317 and renumbered
151     and amended by Laws of Utah 2023, Chapter 307 and last amended by
152     Coordination Clause, Laws of Utah 2023, Chapter 307
153          26B-4-213, as last amended by Laws of Utah 2023, Chapters 273, 317 and renumbered
154     and amended by Laws of Utah 2023, Chapter 307 and last amended by
155     Coordination Clause, Laws of Utah 2023, Chapter 307
156          26B-4-214, as last amended by Laws of Utah 2023, Chapter 317 and renumbered and
157     amended by Laws of Utah 2023, Chapter 307
158          26B-4-222, as last amended by Laws of Utah 2023, Chapters 273, 281 and renumbered
159     and amended by Laws of Utah 2023, Chapter 307
160          26B-4-245, as enacted by Laws of Utah 2023, Chapter 273
161          26B-4-701, as renumbered and amended by Laws of Utah 2023, Chapter 307
162          26B-5-101, as last amended by Laws of Utah 2023, Chapter 308
163          26B-5-403, as renumbered and amended by Laws of Utah 2023, Chapter 308
164          26B-6-401, as renumbered and amended by Laws of Utah 2023, Chapter 308
165          26B-7-213, as renumbered and amended by Laws of Utah 2023, Chapter 308
166          26B-7-215, as renumbered and amended by Laws of Utah 2023, Chapter 308
167          26B-8-201, as renumbered and amended by Laws of Utah 2023, Chapter 306
168          26B-8-202, as renumbered and amended by Laws of Utah 2023, Chapter 306
169          26B-8-203, as renumbered and amended by Laws of Utah 2023, Chapter 306
170          26B-8-205, as renumbered and amended by Laws of Utah 2023, Chapter 306
171          26B-8-207, as renumbered and amended by Laws of Utah 2023, Chapter 306
172          26B-8-210, as renumbered and amended by Laws of Utah 2023, Chapter 306
173          26B-8-217, as renumbered and amended by Laws of Utah 2023, Chapter 306
174          26B-8-221, as renumbered and amended by Laws of Utah 2023, Chapter 306
175          26B-8-223, as renumbered and amended by Laws of Utah 2023, Chapter 306
176          26B-8-225, as renumbered and amended by Laws of Utah 2023, Chapter 306
177          26B-8-227, as renumbered and amended by Laws of Utah 2023, Chapter 306
178          26B-8-229, as renumbered and amended by Laws of Utah 2023, Chapter 306
179          34A-6-107, as renumbered and amended by Laws of Utah 1997, Chapter 375
180          53-2a-802, as last amended by Laws of Utah 2022, Chapter 447

181          53-2d-404 (Effective 07/01/24), as renumbered and amended by Laws of Utah 2023,
182     Chapters 307, 310
183          53-2d-503 (Effective 07/01/24), as renumbered and amended by Laws of Utah 2023,
184     Chapters 307, 310
185          53-2d-703 (Effective 07/01/24), as last amended by Laws of Utah 2023, Chapter 16
186     and renumbered and amended by Laws of Utah 2023, Chapters 307, 310
187          53-10-404, as last amended by Laws of Utah 2021, Chapter 262
188          53-10-407, as last amended by Laws of Utah 2021, Chapter 262
189          53E-10-301, as last amended by Laws of Utah 2021, Chapter 379
190          53G-8-211, as last amended by Laws of Utah 2023, Chapter 161
191          53G-8-213, as enacted by Laws of Utah 2023, Chapter 161
192          53G-10-406, as last amended by Laws of Utah 2022, Chapter 447
193          58-17b-309.7, as last amended by Laws of Utah 2023, Chapter 328
194          58-17b-620, as last amended by Laws of Utah 2023, Chapter 328
195          63B-3-102, as last amended by Laws of Utah 2014, Chapter 196
196          63B-3-301, as last amended by Laws of Utah 2023, Chapter 369
197          63B-4-102, as last amended by Laws of Utah 2014, Chapter 196
198          63B-11-702, as last amended by Laws of Utah 2003, Chapter 171
199          63I-1-226 (Superseded 07/01/24), as last amended by Laws of Utah 2023, Chapters
200     249, 269, 270, 275, 332, 335, 420, and 495 and repealed and reenacted by Laws of
201     Utah 2023, Chapter 329
202          63I-1-226 (Effective 07/01/24), as last amended by Laws of Utah 2023, Chapters 249,
203     269, 270, 275, 310, 332, 335, 420, and 495 and repealed and reenacted by Laws of
204     Utah 2023, Chapter 329 and last amended by Coordination Clause, Laws of Utah
205     2023, Chapters 329, 332
206          63M-7-208, as last amended by Laws of Utah 2023, Chapter 161
207          63M-7-401, as last amended by Laws of Utah 2021, Chapter 173
208          63M-7-601, as last amended by Laws of Utah 2023, Chapter 150
209          63M-7-702, as last amended by Laws of Utah 2023, Chapter 150
210          63M-7-802, as enacted by Laws of Utah 2023, Chapter 155
211          67-5b-101, as last amended by Laws of Utah 2016, Chapter 290

212          76-3-401.5, as enacted by Laws of Utah 2021, Chapter 37 and last amended by
213     Coordination Clause, Laws of Utah 2021, Chapter 261
214          76-5-101, as last amended by Laws of Utah 2022, Chapter 181
215          76-5-413, as last amended by Laws of Utah 2022, Chapters 181, 255
216          76-8-311.5, as renumbered and amended by Laws of Utah 2021, Chapter 261
217          77-16b-102, as last amended by Laws of Utah 2021, Chapter 262
218          77-38-3, as last amended by Laws of Utah 2023, Chapter 426
219          77-41-102 (Superseded 07/01/24), as last amended by Laws of Utah 2023, Chapter 123
220          77-41-102 (Effective 07/01/24), as last amended by Laws of Utah 2023, Chapters 123,
221     128
222          78A-6-212, as renumbered and amended by Laws of Utah 2021, Chapter 261
223          78B-7-804, as last amended by Laws of Utah 2023, Chapters 237, 426
224          78B-7-805, as last amended by Laws of Utah 2021, Chapter 159 and last amended by
225     Coordination Clause, Laws of Utah 2021, Chapter 159
226          78B-24-307, as last amended by Laws of Utah 2023, Chapter 330
227          78B-24-308, as last amended by Laws of Utah 2023, Chapter 330
228          80-2-301, as last amended by Laws of Utah 2023, Chapter 280
229          80-2-703, as renumbered and amended by Laws of Utah 2022, Chapter 334
230          80-2-1001, as last amended by Laws of Utah 2023, Chapters 309, 330
231          80-2-1002, as last amended by Laws of Utah 2023, Chapter 330
232          80-3-409, as last amended by Laws of Utah 2023, Chapters 309, 320
233          80-5-102, as last amended by Laws of Utah 2022, Chapter 255
234          80-5-103, as renumbered and amended by Laws of Utah 2021, Chapter 261
235          80-5-401, as last amended by Laws of Utah 2023, Chapter 93
236          80-6-102, as last amended by Laws of Utah 2022, Chapter 155
237     

238     Be it enacted by the Legislature of the state of Utah:
239          Section 1. Section 4-41a-102 is amended to read:
240          4-41a-102. Definitions.
241          As used in this chapter:
242          (1) "Adulterant" means any poisonous or deleterious substance in a quantity that may

243     be injurious to health, including:
244          (a) pesticides;
245          (b) heavy metals;
246          (c) solvents;
247          (d) microbial life;
248          (e) artificially derived cannabinoid;
249          (f) toxins; or
250          (g) foreign matter.
251          (2) "Advertise" or "advertising" means information provided by a person in any
252     medium:
253          (a) to the public; and
254          (b) that is not age restricted to an individual who is at least 21 years old.
255          [(2)] (3) "Advisory board" means the Medical Cannabis Policy Advisory Board created
256     in Section 26B-1-435.
257          [(3)] (4) (a) "Artificially derived cannabinoid" means a chemical substance that is
258     created by a chemical reaction that changes the molecular structure of any chemical substance
259     derived from the cannabis plant.
260          (b) "Artificially derived cannabinoid" does not include:
261          (i) a naturally occurring chemical substance that is separated from the cannabis plant
262     by a chemical or mechanical extraction process; or
263          (ii) a cannabinoid that is produced by decarboxylation from a naturally occurring
264     cannabinoid acid without the use of a chemical catalyst.
265          [(4)] (5) "Cannabis Research Review Board" means the Cannabis Research Review
266     Board created in Section 26B-1-420.
267          [(5)] (6) "Cannabis" means the same as that term is defined in Section 26B-4-201.
268          [(6)] (7) "Cannabis concentrate" means:
269          (a) the product of any chemical or physical process applied to naturally occurring
270     biomass that concentrates or isolates the cannabinoids contained in the biomass; and
271          (b) any amount of a natural cannabinoid or artificially derived cannabinoid in an
272     artificially derived cannabinoid's purified state.
273          [(7)] (8) "Cannabis cultivation byproduct" means any portion of a cannabis plant that is

274     not intended to be sold as a cannabis plant product.
275          [(8)] (9) "Cannabis cultivation facility" means a person that:
276          (a) possesses cannabis;
277          (b) grows or intends to grow cannabis; and
278          (c) sells or intends to sell cannabis to a cannabis cultivation facility, a cannabis
279     processing facility, or a medical cannabis research licensee.
280          [(9)] (10) "Cannabis cultivation facility agent" means an individual who:
281          holds a valid cannabis production establishment agent registration card with a cannabis
282     cultivation facility designation.
283          [(10)] (11) "Cannabis derivative product" means a product made using cannabis
284     concentrate.
285          [(11)] (12) "Cannabis plant product" means any portion of a cannabis plant intended to
286     be sold in a form that is recognizable as a portion of a cannabis plant.
287          [(12)] (13) "Cannabis processing facility" means a person that:
288          (a) acquires or intends to acquire cannabis from a cannabis production establishment;
289          (b) possesses cannabis with the intent to manufacture a cannabis product;
290          (c) manufactures or intends to manufacture a cannabis product from unprocessed
291     cannabis or a cannabis extract; and
292          (d) sells or intends to sell a cannabis product to a medical cannabis pharmacy or a
293     medical cannabis research licensee.
294          [(13)] (14) "Cannabis processing facility agent" means an individual who:
295          holds a valid cannabis production establishment agent registration card with a cannabis
296     processing facility designation.
297          [(14)] (15) "Cannabis product" means the same as that term is defined in Section
298     26B-4-201.
299          [(15)] (16) "Cannabis production establishment" means a cannabis cultivation facility,
300     a cannabis processing facility, or an independent cannabis testing laboratory.
301          [(16)] (17) "Cannabis production establishment agent" means a cannabis cultivation
302     facility agent, a cannabis processing facility agent, or an independent cannabis testing
303     laboratory agent.
304          [(17)] (18) "Cannabis production establishment agent registration card" means a

305     registration card that the department issues that:
306          (a) authorizes an individual to act as a cannabis production establishment agent; and
307          (b) designates the type of cannabis production establishment for which an individual is
308     authorized to act as an agent.
309          [(18)] (19) "Community location" means a public or private elementary or secondary
310     school, a church, a public library, a public playground, or a public park.
311          [(19)] (20) "Cultivation space" means, quantified in square feet, the horizontal area in
312     which a cannabis cultivation facility cultivates cannabis, including each level of horizontal area
313     if the cannabis cultivation facility hangs, suspends, stacks, or otherwise positions plants above
314     other plants in multiple levels.
315          [(20)] (21) "Delivery address" means:
316          (a) for a medical cannabis cardholder who is not a facility, the medical cannabis
317     cardholder's home address; or
318          (b) for a medical cannabis cardholder that is a facility, the facility's address.
319          [(21)] (22) "Department" means the Department of Agriculture and Food.
320          [(22)] (23) "Family member" means a parent, step-parent, spouse, child, sibling,
321     step-sibling, uncle, aunt, nephew, niece, first cousin, mother-in-law, father-in-law,
322     brother-in-law, sister-in-law, son-in-law, daughter-in-law, grandparent, or grandchild.
323          [(23)] (24) "Home delivery medical cannabis pharmacy" means a medical cannabis
324     pharmacy that the department authorizes, as part of the pharmacy's license, to deliver medical
325     cannabis shipments to a delivery address to fulfill electronic orders that the state central patient
326     portal facilitates.
327          [(24)] (25) (a) "Independent cannabis testing laboratory" means a person that:
328          (i) conducts a chemical or other analysis of cannabis or a cannabis product; or
329          (ii) acquires, possesses, and transports cannabis or a cannabis product with the intent to
330     conduct a chemical or other analysis of the cannabis or cannabis product.
331          (b) "Independent cannabis testing laboratory" includes a laboratory that the department
332     or a research university operates in accordance with Subsection 4-41a-201(14).
333          [(25)] (26) "Independent cannabis testing laboratory agent" means an individual who:
334          holds a valid cannabis production establishment agent registration card with an
335     independent cannabis testing laboratory designation.

336          [(26)] (27) "Inventory control system" means a system described in Section 4-41a-103.
337          [(27)] (28) "Licensing board" or "board" means the Cannabis Production Establishment
338     Licensing Advisory Board created in Section 4-41a-201.1.
339          [(28)] (29) "Medical cannabis" means the same as that term is defined in Section
340     26B-4-201.
341          [(29)] (30) "Medical cannabis card" means the same as that term is defined in Section
342     26B-4-201.
343          [(30)] (31) "Medical cannabis courier" means a courier that:
344          (a) the department licenses in accordance with Section 4-41a-1201; and
345          (b) contracts with a home delivery medical cannabis pharmacy to deliver medical
346     cannabis shipments to fulfill electronic orders that the state central patient portal facilitates.
347          [(31)] (32) "Medical cannabis courier agent" means an individual who:
348          (a) is an employee of a medical cannabis courier; and
349          (b) who holds a valid medical cannabis courier agent registration card.
350          [(32)] (33) "Medical cannabis pharmacy" means the same as that term is defined in
351     Section 26B-4-201.
352          [(33)] (34) "Medical cannabis pharmacy agent" means the same as that term is defined
353     in Section 26B-4-201.
354          [(34)] (35) "Medical cannabis research license" means a license that the department
355     issues to a research university for the purpose of obtaining and possessing medical cannabis for
356     academic research.
357          [(35)] (36) "Medical cannabis research licensee" means a research university that the
358     department licenses to obtain and possess medical cannabis for academic research, in
359     accordance with Section 4-41a-901.
360          [(36)] (37) "Medical cannabis shipment" means a shipment of medical cannabis or a
361     medical cannabis product that a home delivery medical cannabis pharmacy or a medical
362     cannabis courier delivers to a delivery address to fulfill an electronic medical cannabis order
363     that the state central patient portal facilitates.
364          [(37)] (38) "Medical cannabis treatment" means the same as that term is defined in
365     Section 26B-4-201.
366          [(38)] (39) "Medicinal dosage form" means the same as that term is defined in Section

367     26B-4-201.
368          [(39)] (40) "Pharmacy medical provider" means the same as that term is defined in
369     Section 26B-4-201.
370          [(40)] (41) "Qualified medical provider" means the same as that term is defined in
371     Section 26B-4-201.
372          [(41)] (42) "Qualified Production Enterprise Fund" means the fund created in Section
373     4-41a-104.
374          [(42)] (43) "Recommending medical provider" means the same as that term is defined
375     in Section 26B-4-201.
376          [(43)] (44) "Research university" means the same as that term is defined in Section
377     53B-7-702 and a private, nonprofit college or university in the state that:
378          (a) is accredited by the Northwest Commission on Colleges and Universities;
379          (b) grants doctoral degrees; and
380          (c) has a laboratory containing or a program researching a schedule I controlled
381     substance described in Section 58-37-4.
382          [(44)] (45) "State electronic verification system" means the system described in Section
383     26B-4-202.
384          (46) "Targeted marketing" means the promotion by a medical cannabis pharmacy of a
385     medical cannabis product, medical cannabis brand, or a medical cannabis device using any of
386     the following methods:
387          (a) electronic communication to an individual who is at least 21 years old and has
388     requested to receive promotional information from the medical cannabis pharmacy;
389          (b) an in-person marketing event that is:
390          (i) held inside a medical cannabis pharmacy; and
391          (ii) in an area where only a medical cannabis cardholder may access the event; or
392          (c) other marketing material that is physically available or digitally displayed in:
393          (i) a medical cannabis pharmacy; and
394          (ii) an area where only a medical cannabis cardholder has access.
395          [(45)] (47) "Tetrahydrocannabinol" or "THC" means the same as that term is defined in
396     Section 4-41-102.
397          [(46)] (48) "THC analog" means the same as that term is defined in Section 4-41-102.

398          [(47)] (49) "Total composite tetrahydrocannabinol" means all detectable forms of
399     tetrahydrocannabinol.
400          [(48)] (50) "Total tetrahydrocannabinol" or "total THC" means the same as that term is
401     defined in Section 4-41-102.
402          Section 2. Section 4-41a-1001 is amended to read:
403          4-41a-1001. Medical cannabis pharmacy -- License -- Eligibility.
404          (1) A person may not operate as a medical cannabis pharmacy without a license that
405     the department issues under this part.
406          (2) (a) (i) Subject to Subsections (4) and (5) and to Section 4-41a-1005, the department
407     shall issue a license to operate a medical cannabis pharmacy in accordance with Title 63G,
408     Chapter 6a, Utah Procurement Code.
409          (ii) The department may not issue a license to operate a medical cannabis pharmacy to
410     an applicant who is not eligible for a license under this section.
411          (b) An applicant is eligible for a license under this section if the applicant submits to
412     the department:
413          (i) subject to Subsection (2)(c), a proposed name and address where the applicant will
414     operate the medical cannabis pharmacy;
415          (ii) the name and address of an individual who:
416          (A) for a publicly traded company, has a financial or voting interest of 10% or greater
417     in the proposed medical cannabis pharmacy;
418          (B) for a privately held company, a financial or voting interest in the proposed medical
419     cannabis pharmacy; or
420          (C) has the power to direct or cause the management or control of a proposed medical
421     cannabis pharmacy;
422          (iii) for each application that the applicant submits to the department, a statement from
423     the applicant that the applicant will obtain and maintain:
424          (A) a performance bond in the amount of $100,000 issued by a surety authorized to
425     transact surety business in the state; or
426          (B) a liquid cash account in the amount of $100,000 with a financial institution;
427          (iv) an operating plan that:
428          (A) complies with Section 4-41a-1004;

429          (B) includes operating procedures to comply with the operating requirements for a
430     medical cannabis pharmacy described in this part and with a relevant municipal or county law
431     that is consistent with Section 4-41a-1106; and
432          (C) the department approves;
433          (v) an application fee in an amount that, subject to Subsection 4-41a-104(5), the
434     department sets in accordance with Section 63J-1-504; and
435          (vi) a description of any investigation or adverse action taken by any licensing
436     jurisdiction, government agency, law enforcement agency, or court in any state for any
437     violation or detrimental conduct in relation to any of the applicant's cannabis-related operations
438     or businesses.
439          (c) (i) A person may not locate a medical cannabis pharmacy:
440          (A) within 200 feet of a community location; or
441          (B) in or within 600 feet of a district that the relevant municipality or county has zoned
442     as primarily residential.
443          (ii) The proximity requirements described in Subsection (2)(c)(i) shall be measured
444     from the nearest entrance to the medical cannabis pharmacy establishment by following the
445     shortest route of ordinary pedestrian travel to the property boundary of the community location
446     or residential area.
447          (iii) The department may grant a waiver to reduce the proximity requirements in
448     Subsection (2)(c)(i) by up to 20% if the department determines that it is not reasonably feasible
449     for the applicant to [site] cite the proposed medical cannabis pharmacy without the waiver.
450          (iv) An applicant for a license under this section shall provide evidence of compliance
451     with the proximity requirements described in Subsection (2)(c)(i).
452          (d) The department may not issue a license to an eligible applicant that the department
453     has selected to receive a license until the selected eligible applicant complies with the bond or
454     liquid cash requirement described in Subsection (2)(b)(iii).
455          (e) If the department receives more than one application for a medical cannabis
456     pharmacy within the same city or town, the department shall consult with the local land use
457     authority before approving any of the applications pertaining to that city or town.
458          (3) If the department selects an applicant for a medical cannabis pharmacy license
459     under this section, the department shall:

460          (a) charge the applicant an initial license fee in an amount that, subject to Subsection
461     4-41a-104(5), the department sets in accordance with Section 63J-1-504;
462          (b) notify the Department of Public Safety of the license approval and the names of
463     each individual described in Subsection (2)(b)(ii); and
464          (c) charge the licensee a fee in an amount that, subject to Subsection 4-41a-104(5), the
465     department sets in accordance with Section 63J-1-504, for any change in location, ownership,
466     or company structure.
467          (4) The department may not issue a license to operate a medical cannabis pharmacy to
468     an applicant if an individual described in Subsection (2)(b)(ii):
469          (a) has been convicted under state or federal law of:
470          (i) a felony; or
471          (ii) after December 3, 2018, a misdemeanor for drug distribution;
472          (b) is younger than 21 years old; or
473          (c) after September 23, 2019, until January 1, 2023, is actively serving as a legislator.
474          (5) (a) If an applicant for a medical cannabis pharmacy license under this section holds
475     another license under this chapter, the department may not give preference to the applicant
476     based on the applicant's status as a holder of the license.
477          (b) If an applicant for a medical cannabis pharmacy license under this section holds a
478     license to operate a cannabis cultivation facility under this section, the department may give
479     consideration to the applicant's status as a holder of the license if:
480          (i) the applicant demonstrates that a decrease in costs to patients is more likely to result
481     from the applicant's vertical integration than from a more competitive marketplace; and
482          (ii) the department finds multiple other factors, in addition to the existing license, that
483     support granting the new license.
484          (6) [(a)] The department may revoke a license under this part:
485          [(i)] (a) if the medical cannabis pharmacy does not begin operations within one year
486     after the day on which the department issues an announcement of the department's intent to
487     award a license to the medical cannabis pharmacy;
488          [(ii)] (b) after the third the same violation of this chapter in any of the licensee's
489     licensed cannabis production establishments or medical cannabis pharmacies;
490          [(iii)] (c) if an individual described in Subsection (2)(b)(ii) is convicted, while the

491     license is active, under state or federal law of:
492          [(A)] (i) a felony; or
493          [(B)] (ii) after December 3, 2018, a misdemeanor for drug distribution;
494          [(iv)] (d) if the licensee fails to provide the information described in Subsection
495     (2)(b)(vi) at the time of application, or fails to supplement the information described in
496     Subsection (2)(b)(vi) with any investigation or adverse action that occurs after the submission
497     of the application within 14 calendar days after the licensee receives notice of the investigation
498     or adverse action;
499          [(v)] (e) if the medical cannabis pharmacy demonstrates a willful or reckless disregard
500     for the requirements of this chapter or the rules the department makes in accordance with this
501     chapter; or
502          [(vi)] (f) if, after a change of ownership described in Subsection (11)(c), the
503     department determines that the medical cannabis pharmacy no longer meets the minimum
504     standards for licensure and operation of the medical cannabis pharmacy described in this
505     chapter.
506          [(b) The department shall rescind a notice of an intent to issue a license under this part
507     to an applicant or revoke a license issued under this part if the associated medical cannabis
508     pharmacy does not begin operation on or before June 1, 2021.]
509          (7) (a) A person who receives a medical cannabis pharmacy license under this chapter,
510     if the municipality or county where the licensed medical cannabis pharmacy will be located
511     requires a local land use permit, shall submit to the department a copy of the licensee's
512     approved application for the land use permit within 120 days after the day on which the
513     department issues the license.
514          (b) If a licensee fails to submit to the department a copy the licensee's approved land
515     use permit application in accordance with Subsection (7)(a), the department may revoke the
516     licensee's license.
517          (8) The department shall deposit the proceeds of a fee imposed by this section into the
518     Qualified Production Enterprise Fund.
519          (9) The department shall begin accepting applications under this part on or before
520     March 1, 2020.
521          (10) (a) The department's authority to issue a license under this section is plenary and is

522     not subject to review.
523          (b) Notwithstanding Subsection (2), the decision of the department to award a license
524     to an applicant is not subject to:
525          (i) Title 63G, Chapter 6a, Part 16, Protests; or
526          (ii) Title 63G, Chapter 6a, Part 17, Procurement Appeals Board.
527          (11) (a) A medical cannabis pharmacy license is not transferrable or assignable.
528          (b) A medical cannabis pharmacy shall report in writing to the department no later than
529     10 business days before the date of any change of ownership of the medical cannabis
530     pharmacy.
531          (c) If the ownership of a medical cannabis pharmacy changes by 50% or more:
532          (i) concurrent with the report described in Subsection (11)(b), the medical cannabis
533     pharmacy shall submit a new application described in Subsection (2)(b), subject to Subsection
534     (2)(c);
535          (ii) within 30 days of the submission of the application, the department shall:
536          (A) conduct an application review; and
537          (B) award a license to the medical cannabis pharmacy for the remainder of the term of
538     the medical cannabis pharmacy's license before the ownership change if the medical cannabis
539     pharmacy meets the minimum standards for licensure and operation of the medical cannabis
540     pharmacy described in this chapter; and
541          (iii) if the department approves the license application, notwithstanding Subsection (3),
542     the medical cannabis pharmacy shall pay a license fee that the department sets in accordance
543     with Section 63J-1-504 in an amount that covers the board's cost of conducting the application
544     review.
545          Section 3. Section 4-41a-1102 is amended to read:
546          4-41a-1102. Dispensing -- Amount a medical cannabis pharmacy may dispense --
547     Reporting -- Form of cannabis or cannabis product.
548          (1) (a) A medical cannabis pharmacy may not sell a product other than:
549          (i) cannabis in a medicinal dosage form that the medical cannabis pharmacy acquired
550     from another medical cannabis pharmacy or a cannabis processing facility that is licensed
551     under Section 4-41a-201;
552          (ii) a cannabis product in a medicinal dosage form that the medical cannabis pharmacy

553     acquired from another medical cannabis pharmacy or a cannabis processing facility that is
554     licensed under Section 4-41a-201;
555          (iii) a medical cannabis device; or
556          (iv) educational material related to the medical use of cannabis.
557          (b) A medical cannabis pharmacy may only sell an item listed in Subsection (1)(a) to
558     an individual with:
559          (i) (A) a medical cannabis card; or
560          (B) a Department of Health and Human Services registration described in Subsection
561     26B-4-213(10); and
562          (ii) a corresponding government issued photo identification.
563          (c) Notwithstanding Subsection (1)(a), a medical cannabis pharmacy may not sell a
564     cannabis-based drug that the United States Food and Drug Administration has approved.
565          (d) Notwithstanding Subsection (1)(b), a medical cannabis pharmacy may not sell a
566     medical cannabis device or medical cannabis product to an individual described in Subsection
567     26B-4-213(2)(a)(i)(B) or to a minor described in Subsection 26B-4-213(2)(c) unless the
568     individual or minor has the approval of the Compassionate Use Board in accordance with
569     Subsection 26B-1-421(5).
570          (2) A medical cannabis pharmacy:
571          (a) may dispense to a medical cannabis cardholder, in any one 28-day period, up to the
572     legal dosage limit of:
573          (i) unprocessed cannabis that:
574          (A) is in a medicinal dosage form; and
575          (B) carries a label clearly displaying the amount of tetrahydrocannabinol and
576     cannabidiol in the cannabis; and
577          (ii) a cannabis product that is in a medicinal dosage form; and
578          (b) may not dispense:
579          (i) more medical cannabis than described in Subsection (2)(a); or
580          (ii) any medical cannabis to an individual whose recommending medical provider did
581     not recommend directions of use and dosing guidelines, until the individual consults with the
582     pharmacy medical provider in accordance with Subsection 26B-4-231(5) [any medical
583     cannabis].

584          (3) (a) A medical cannabis pharmacy shall:
585          (i) (A) access the state electronic verification system before dispensing cannabis or a
586     cannabis product to a medical cannabis cardholder in order to determine if the cardholder or,
587     where applicable, the associated patient has met the maximum amount of medical cannabis
588     described in Subsection (2); and
589          (B) if the verification in Subsection (3)(a)(i) indicates that the individual has met the
590     maximum amount described in Subsection (2), decline the sale, and notify the recommending
591     medical provider who made the underlying recommendation;
592          (ii) submit a record to the state electronic verification system each time the medical
593     cannabis pharmacy dispenses medical cannabis to a medical cannabis cardholder;
594          (iii) ensure that the pharmacy medical provider who is a licensed pharmacist reviews
595     each medical cannabis transaction before dispensing the medical cannabis to the cardholder in
596     accordance with pharmacy practice standards;
597          (iv) package any medical cannabis that is in a container that:
598          (A) complies with Subsection 4-41a-602(1)(b) or, if applicable, provisions related to a
599     container for unprocessed cannabis flower in the definition of "medicinal dosage form" in
600     Section 26B-4-201;
601          (B) is tamper-resistant and tamper-evident; and
602          (C) provides an opaque bag or box for the medical cannabis cardholder's use in
603     transporting the container in public;
604          (v) for a product that is a cube that is designed for ingestion through chewing or
605     holding in the mouth for slow dissolution, include a separate, off-label warning about the risks
606     of over-consumption; and
607          (vi) beginning January 1, 2024, for a cannabis product that is cannabis flower,
608     vaporizer cartridges, or concentrate, provide the product's terpene profiles collected under
609     Subsection 4-41a-602(4) at or before the point of sale.
610          (b) A medical cannabis cardholder transporting or possessing the container described
611     in Subsection (3)(a)(iv) in public shall keep the container within the opaque bag or box that the
612     medical cannabis pharmacist provides.
613          (4) (a) Except as provided in Subsection (4)(b), a medical cannabis pharmacy may not
614     sell medical cannabis in the form of a cigarette or a medical cannabis device that is

615     intentionally designed or constructed to resemble a cigarette.
616          (b) A medical cannabis pharmacy may sell a medical cannabis device that warms
617     cannabis material into a vapor without the use of a flame and that delivers cannabis to an
618     individual's respiratory system.
619          (5) (a) A medical cannabis pharmacy may not give, at no cost, a product that the
620     medical cannabis pharmacy is allowed to sell under Subsection (1)(a)(i), (ii), or (iii).
621          (b) A medical cannabis pharmacy may give, at no cost, educational material related to
622     the medical use of cannabis.
623          (6) A medical cannabis pharmacy may purchase and store medical cannabis devices
624     regardless of whether the seller has a cannabis-related license under this chapter or Title 26B,
625     Utah Health and Human Services Code.
626          Section 4. Section 4-41a-1202 is amended to read:
627          4-41a-1202. Home delivery of medical cannabis shipments -- Medical cannabis
628     couriers -- License.
629          (1) The department shall make rules, in accordance with Title 63G, Chapter 3, Utah
630     Administrative Rulemaking Act, to ensure the safety, security, and efficiency of a home
631     delivery medical cannabis pharmacy's fulfillment of electronic medical cannabis orders that the
632     state central patient portal facilitates, including rules regarding the safe and controlled delivery
633     of medical cannabis shipments.
634          (2) A person may not operate as a medical cannabis courier without a license that the
635     department issues under this section.
636          (3) (a) Subject to Subsections (5) and (6), the department shall issue a license to
637     operate as a medical cannabis courier to an applicant who is eligible for a license under this
638     section.
639          (b) An applicant is eligible for a license under this section if the applicant submits to
640     the department:
641          (i) the name and address of an individual who:
642          (A) has a financial or voting interest of 10% or greater in the proposed medical
643     cannabis courier; or
644          (B) has the power to direct or cause the management or control of a proposed cannabis
645     production establishment;

646          (ii) an operating plan that includes operating procedures to comply with the operating
647     requirements for a medical cannabis courier described in this chapter; and
648          (iii) an application fee in an amount that, subject to Subsection 4-41a-104(5), the
649     department sets in accordance with Section 63J-1-504.
650          (4) If the department determines that an applicant is eligible for a license under this
651     section, the department shall:
652          (a) charge the applicant an initial license fee in an amount that, subject to Subsection
653     4-41a-104(5), the department sets in accordance with Section 63J-1-504; and
654          (b) notify the Department of Public Safety of the license approval and the names of
655     each individual described in Subsection (3)(b)(i).
656          (5) The department may not issue a license to operate as a medical cannabis courier to
657     an applicant if an individual described in Subsection (3)(b)(i):
658          (a) has been convicted under state or federal law of:
659          (i) a felony; or
660          (ii) after September 23, 2019, a misdemeanor for drug distribution; or
661          (b) is younger than 21 years old.
662          (6) The department may revoke a license under this part if:
663          (a) the medical cannabis courier does not begin operations within one year after the day
664     on which the department issues the initial license;
665          (b) the medical cannabis courier makes the same violation of this chapter three times;
666          (c) an individual described in Subsection (3)(b)(i) is convicted, while the license is
667     active, under state or federal law of:
668          (i) a felony; or
669          (ii) after September 23, 2019, a misdemeanor for drug distribution; or
670          (d) after a change of ownership described in Subsection (15)(c), the department
671     determines that the medical cannabis courier no longer meets the minimum standards for
672     licensure and operation of the medical cannabis courier described in this chapter.
673          (7) The department shall deposit the proceeds of a fee imposed by this section in the
674     Qualified Production Enterprise Fund.
675          [(8) The department shall begin accepting applications under this section on or before
676     July 1, 2020.]

677          [(9)] (8) The department's authority to issue a license under this section is plenary and
678     is not subject to review.
679          [(10)] (9) Each applicant for a license as a medical cannabis courier shall submit, at the
680     time of application, from each individual who has a financial or voting interest of 10% or
681     greater in the applicant or who has the power to direct or cause the management or control of
682     the applicant:
683          (a) a fingerprint card in a form acceptable to the Department of Public Safety;
684          (b) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the
685     registration of the individual's fingerprints in the Federal Bureau of Investigation Next
686     Generation Identification System's Rap Back Service; and
687          (c) consent to a fingerprint background check by:
688          (i) the Bureau of Criminal Identification; and
689          (ii) the Federal Bureau of Investigation.
690          [(11)] (10) The Bureau of Criminal Identification shall:
691          (a) check the fingerprints the applicant submits under Subsection [(10)] (9) against the
692     applicable state, regional, and national criminal records databases, including the Federal
693     Bureau of Investigation Next Generation Identification System;
694          (b) report the results of the background check to the department;
695          (c) maintain a separate file of fingerprints that applicants submit under Subsection
696     [(10)] (9) for search by future submissions to the local and regional criminal records databases,
697     including latent prints;
698          (d) request that the fingerprints be retained in the Federal Bureau of Investigation Next
699     Generation Identification System's Rap Back Service for search by future submissions to
700     national criminal records databases, including the Next Generation Identification System and
701     latent prints; and
702          (e) establish a privacy risk mitigation strategy to ensure that the department only
703     receives notifications for an individual with whom the department maintains an authorizing
704     relationship.
705          [(12)] (11) The department shall:
706          (a) assess an individual who submits fingerprints under Subsection [(10)] (9) a fee in
707     an amount that the department sets in accordance with Section 63J-1-504 for the services that

708     the Bureau of Criminal Identification or another authorized agency provides under this section;
709     and
710          (b) remit the fee described in Subsection [(12)(a)] (11)(a) to the Bureau of Criminal
711     Identification.
712          [(13)] (12) The department shall renew a license under this section every year if, at the
713     time of renewal:
714          (a) the licensee meets the requirements of this section; and
715          (b) the licensee pays the department a license renewal fee in an amount that, subject to
716     Subsection 4-41a-104(5), the department sets in accordance with Section 63J-1-504.
717          [(14)] (13) A person applying for a medical cannabis courier license shall submit to the
718     department a proposed operating plan that complies with this section and that includes:
719          (a) a description of the physical characteristics of any proposed facilities, including a
720     floor plan and an architectural elevation, and delivery vehicles;
721          (b) a description of the credentials and experience of each officer, director, or owner of
722     the proposed medical cannabis courier;
723          (c) the medical cannabis courier's employee training standards;
724          (d) a security plan; and
725          (e) storage and delivery protocols, both short and long term, to ensure that medical
726     cannabis shipments are stored and delivered in a manner that is sanitary and preserves the
727     integrity of the cannabis.
728          [(15)] (14) (a) A medical cannabis courier license is not [transferrable] transferable or
729     assignable.
730          (b) A medical cannabis courier shall report in writing to the department no later than
731     10 business days before the date of any change of ownership of the medical cannabis courier.
732          (c) If the ownership of a medical cannabis courier changes by 50% or more:
733          (i) concurrent with the report described in Subsection [(15)(b)] (14)(b), the medical
734     cannabis courier shall submit a new application described in Subsection (3)(b);
735          (ii) within 30 days of the submission of the application, the department shall:
736          (A) conduct an application review; and
737          (B) award a license to the medical cannabis courier for the remainder of the term of the
738     medical cannabis courier's license before the ownership change if the medical cannabis courier

739     meets the minimum standards for licensure and operation of the medical cannabis courier
740     described in this chapter; and
741          (iii) if the department approves the license application, notwithstanding Subsection (4),
742     the medical cannabis courier shall pay a license fee that the department sets in accordance with
743     Section 63J-1-504 in an amount that covers the board's cost of conducting the application
744     review.
745          [(16)] (15) (a) Except as provided in Subsection(16)(b), a person may not advertise
746     regarding the transportation of medical cannabis.
747          (b) Notwithstanding Subsection [(15)(a)] (14)(a) and subject to Section 4-41a-109, a
748     licensed home delivery medical cannabis pharmacy or a licensed medical cannabis courier may
749     advertise:
750          (i) a green cross;
751          (ii) the pharmacy's or courier's name and logo; and
752          (iii) that the pharmacy or courier is licensed to transport medical cannabis shipments.
753          Section 5. Section 17-43-203 is amended to read:
754          17-43-203. Definition of "public funds" -- Responsibility for oversight of public
755     funds -- Substance abuse programs and services.
756          (1) As used in this section, "public funds":
757          (a) means:
758          (i) federal money received from the department or the [Department of Health]
759     Department of Health and Human Services; and
760          (ii) state money appropriated by the Legislature to the department, the [Department of
761     Health] Department of Health and Human Services, a county governing body, or a local
762     substance abuse authority for the purposes of providing substance abuse programs or services;
763     and
764          (b) includes that federal and state money:
765          (i) even after the money has been transferred by a local substance abuse authority to a
766     private provider under an annual or otherwise ongoing contract to provide comprehensive
767     substance abuse programs or services for the local substance abuse authority; and
768          (ii) while in the possession of the private provider.
769          (2) Each local substance abuse authority is responsible for oversight of all public funds

770     received by it, to determine that those public funds are utilized in accordance with federal and
771     state law, the rules and policies of the department and the [Department of Health] Department
772     of Health and Human Services, and the provisions of any contract between the local substance
773     abuse authority and the department, the [Department of Health] Department of Health and
774     Human Services, or a private provider. That oversight includes requiring that neither the
775     contract provider, as described in Subsection (1), nor any of its employees:
776          (a) violate any applicable federal or state criminal law;
777          (b) knowingly violate any applicable rule or policy of the department or [Department
778     of Health] Department of Health and Human Services, or any provision of contract between the
779     local substance abuse authority and the department, the [Department of Health] Department of
780     Health and Human Services, or the private provider;
781          (c) knowingly keep any false account or make any false entry or erasure in any account
782     of or relating to the public funds;
783          (d) fraudulently alter, falsify, conceal, destroy, or obliterate any account of or relating
784     to public funds;
785          (e) fail to ensure competent oversight for lawful disbursement of public funds;
786          (f) appropriate public funds for an unlawful use or for a use that is not in compliance
787     with contract provisions; or
788          (g) knowingly or intentionally use public funds unlawfully or in violation of a
789     governmental contract provision, or in violation of state policy.
790          (3) Each local substance abuse authority that knows or reasonably should know of any
791     of the circumstances described in Subsection (2), and that fails or refuses to take timely
792     corrective action in good faith shall, in addition to any other penalties provided by law, be
793     required to make full and complete repayment to the state of all public funds improperly used
794     or expended.
795          (4) Any public funds required to be repaid to the state by a local substance abuse
796     authority under Subsection (3), based upon the actions or failure of the contract provider, may
797     be recovered by the local substance abuse authority from its contract provider, in addition to
798     the local substance abuse authority's costs and attorney's fees.
799          Section 6. Section 17-43-301 is amended to read:
800          17-43-301. Local mental health authorities -- Responsibilities.

801          (1) As used in this section:
802          (a) "Assisted outpatient treatment" means the same as that term is defined in Section
803     26B-5-301.
804          (b) "Crisis worker" means the same as that term is defined in Section 26B-5-610.
805          (c) "Local mental health crisis line" means the same as that term is defined in Section
806     26B-5-610.
807          (d) "Mental health therapist" means the same as that term is defined in Section
808     58-60-102.
809          (e) "Public funds" means the same as that term is defined in Section 17-43-303.
810          (f) "Statewide mental health crisis line" means the same as that term is defined in
811     Section 26B-5-610.
812          (2) (a) (i) In each county operating under a county executive-council form of
813     government under Section 17-52a-203, the county legislative body is the local mental health
814     authority, provided however that any contract for plan services shall be administered by the
815     county executive.
816          (ii) In each county operating under a council-manager form of government under
817     Section 17-52a-204, the county manager is the local mental health authority.
818          (iii) In each county other than a county described in Subsection (2)(a)(i) or (ii), the
819     county legislative body is the local mental health authority.
820          (b) Within legislative appropriations and county matching funds required by this
821     section, under the direction of the division, each local mental health authority shall:
822          (i) provide mental health services to individuals within the county; and
823          (ii) cooperate with efforts of the division to promote integrated programs that address
824     an individual's substance use, mental health, and physical healthcare needs, as described in
825     Section 26B-5-102.
826          (c) Within legislative appropriations and county matching funds required by this
827     section, each local mental health authority shall cooperate with the efforts of the department to
828     promote a system of care, as defined in Section [26B-1-102] 26B-5-101, for minors with or at
829     risk for complex emotional and behavioral needs, as described in Section 26B-1-202.
830          (3) (a) By executing an interlocal agreement under Title 11, Chapter 13, Interlocal
831     Cooperation Act, two or more counties may join to:

832          (i) provide mental health prevention and treatment services; or
833          (ii) create a united local health department that combines substance use treatment
834     services, mental health services, and local health department services in accordance with
835     Subsection (4).
836          (b) The legislative bodies of counties joining to provide services may establish
837     acceptable ways of apportioning the cost of mental health services.
838          (c) Each agreement for joint mental health services shall:
839          (i) (A) designate the treasurer of one of the participating counties or another person as
840     the treasurer for the combined mental health authorities and as the custodian of money
841     available for the joint services; and
842          (B) provide that the designated treasurer, or other disbursing officer authorized by the
843     treasurer, may make payments from the money available for the joint services upon audit of the
844     appropriate auditing officer or officers representing the participating counties;
845          (ii) provide for the appointment of an independent auditor or a county auditor of one of
846     the participating counties as the designated auditing officer for the combined mental health
847     authorities;
848          (iii) (A) provide for the appointment of the county or district attorney of one of the
849     participating counties as the designated legal officer for the combined mental health
850     authorities; and
851          (B) authorize the designated legal officer to request and receive the assistance of the
852     county or district attorneys of the other participating counties in defending or prosecuting
853     actions within their counties relating to the combined mental health authorities; and
854          (iv) provide for the adoption of management, clinical, financial, procurement,
855     personnel, and administrative policies as already established by one of the participating
856     counties or as approved by the legislative body of each participating county or interlocal board.
857          (d) An agreement for joint mental health services may provide for:
858          (i) joint operation of services and facilities or for operation of services and facilities
859     under contract by one participating local mental health authority for other participating local
860     mental health authorities; and
861          (ii) allocation of appointments of members of the mental health advisory council
862     between or among participating counties.

863          (4) A county governing body may elect to combine the local mental health authority
864     with the local substance abuse authority created in Part 2, Local Substance Abuse Authorities,
865     and the local health department created in Title 26A, Chapter 1, Part 1, Local Health
866     Department Act, to create a united local health department under Section 26A-1-105.5. A local
867     mental health authority that joins with a united local health department shall comply with this
868     part.
869          (5) (a) Each local mental health authority is accountable to the department and the state
870     with regard to the use of state and federal funds received from those departments for mental
871     health services, regardless of whether the services are provided by a private contract provider.
872          (b) Each local mental health authority shall comply, and require compliance by its
873     contract provider, with all directives issued by the department regarding the use and
874     expenditure of state and federal funds received from those departments for the purpose of
875     providing mental health programs and services. The department shall ensure that those
876     directives are not duplicative or conflicting, and shall consult and coordinate with local mental
877     health authorities with regard to programs and services.
878          (6) (a) Each local mental health authority shall:
879          (i) review and evaluate mental health needs and services, including mental health needs
880     and services for:
881          (A) an individual incarcerated in a county jail or other county correctional facility; and
882          (B) an individual who is a resident of the county and who is court ordered to receive
883     assisted outpatient treatment under Section 26B-5-351;
884          (ii) in accordance with Subsection (6)(b), annually prepare and submit to the division a
885     plan approved by the county legislative body for mental health funding and service delivery,
886     either directly by the local mental health authority or by contract;
887          (iii) establish and maintain, either directly or by contract, programs licensed under Title
888     26B, Chapter 2, Part 1, Human Services Programs and Facilities;
889          (iv) appoint, directly or by contract, a full-time or part-time director for mental health
890     programs and prescribe the director's duties;
891          (v) provide input and comment on new and revised rules established by the division;
892          (vi) establish and require contract providers to establish administrative, clinical,
893     personnel, financial, procurement, and management policies regarding mental health services

894     and facilities, in accordance with the rules of the division, and state and federal law;
895          (vii) establish mechanisms allowing for direct citizen input;
896          (viii) annually contract with the division to provide mental health programs and
897     services in accordance with the provisions of Title 26B, Chapter 5, Health Care - Substance
898     Use and Mental Health;
899          (ix) comply with all applicable state and federal statutes, policies, audit requirements,
900     contract requirements, and any directives resulting from those audits and contract requirements;
901          (x) provide funding equal to at least 20% of the state funds that it receives to fund
902     services described in the plan;
903          (xi) comply with the requirements and procedures of Title 11, Chapter 13, Interlocal
904     Cooperation Act, Title 17B, Chapter 1, Part 6, Fiscal Procedures for Special Districts, and Title
905     51, Chapter 2a, Accounting Reports from Political Subdivisions, Interlocal Organizations, and
906     Other Local Entities Act; and
907          (xii) take and retain physical custody of minors committed to the physical custody of
908     local mental health authorities by a judicial proceeding under Title 26B, Chapter 5, Part 4,
909     Commitment of Persons Under Age 18.
910          (b) Each plan under Subsection (6)(a)(ii) shall include services for adults, youth, and
911     children, which shall include:
912          (i) inpatient care and services;
913          (ii) residential care and services;
914          (iii) outpatient care and services;
915          (iv) 24-hour crisis care and services;
916          (v) psychotropic medication management;
917          (vi) psychosocial rehabilitation, including vocational training and skills development;
918          (vii) case management;
919          (viii) community supports, including in-home services, housing, family support
920     services, and respite services;
921          (ix) consultation and education services, including case consultation, collaboration
922     with other county service agencies, public education, and public information; and
923          (x) services to persons incarcerated in a county jail or other county correctional facility.
924          (7) (a) If a local mental health authority provides for a local mental health crisis line

925     under the plan for 24-hour crisis care and services described in Subsection (6)(b)(iv), the local
926     mental health authority shall:
927          (i) collaborate with the statewide mental health crisis line described in Section
928     26B-5-610;
929          (ii) ensure that each individual who answers calls to the local mental health crisis line:
930          (A) is a mental health therapist or a crisis worker; and
931          (B) meets the standards of care and practice established by the Division of Integrated
932     Healthcare, in accordance with Section 26B-5-610; and
933          (iii) ensure that when necessary, based on the local mental health crisis line's capacity,
934     calls are immediately routed to the statewide mental health crisis line to ensure that when an
935     individual calls the local mental health crisis line, regardless of the time, date, or number of
936     individuals trying to simultaneously access the local mental health crisis line, a mental health
937     therapist or a crisis worker answers the call without the caller first:
938          (A) waiting on hold; or
939          (B) being screened by an individual other than a mental health therapist or crisis
940     worker.
941          (b) If a local mental health authority does not provide for a local mental health crisis
942     line under the plan for 24-hour crisis care and services described in Subsection (6)(b)(iv), the
943     local mental health authority shall use the statewide mental health crisis line as a local crisis
944     line resource.
945          (8) Before disbursing any public funds, each local mental health authority shall require
946     that each entity that receives any public funds from a local mental health authority agrees in
947     writing that:
948          (a) the entity's financial records and other records relevant to the entity's performance
949     of the services provided to the mental health authority shall be subject to examination by:
950          (i) the division;
951          (ii) the local mental health authority director;
952          (iii) (A) the county treasurer and county or district attorney; or
953          (B) if two or more counties jointly provide mental health services under an agreement
954     under Subsection (3), the designated treasurer and the designated legal officer;
955          (iv) the county legislative body; and

956          (v) in a county with a county executive that is separate from the county legislative
957     body, the county executive;
958          (b) the county auditor may examine and audit the entity's financial and other records
959     relevant to the entity's performance of the services provided to the local mental health
960     authority; and
961          (c) the entity will comply with the provisions of Subsection (5)(b).
962          (9) A local mental health authority may receive property, grants, gifts, supplies,
963     materials, contributions, and any benefit derived therefrom, for mental health services. If those
964     gifts are conditioned upon their use for a specified service or program, they shall be so used.
965          (10) Public funds received for the provision of services pursuant to the local mental
966     health plan may not be used for any other purpose except those authorized in the contract
967     between the local mental health authority and the provider for the provision of plan services.
968          (11) A local mental health authority shall provide assisted outpatient treatment
969     services, as described in Section 26B-5-350, to a resident of the county who has been ordered
970     under Section 26B-5-351 to receive assisted outpatient treatment.
971          Section 7. Section 26A-1-112 is amended to read:
972          26A-1-112. Appointment of personnel.
973          (1) All local health department personnel shall be hired by the local health officer or
974     the local health officer's designee in accordance with the merit system, personnel policies, and
975     compensation plans approved by the board and ratified pursuant to Subsection (2). The
976     personnel shall have qualifications for their positions equivalent to those approved for
977     comparable positions in the Departments of [Health] Health and Human Services and
978     Environmental Quality.
979          (2) The merit system, personnel policies, and compensation plans approved under
980     Subsection (1) shall be ratified by all the counties participating in the local health department.
981          (3) Subject to the local merit system, employees of the local health department may be
982     removed by the local health officer for cause. A hearing shall be granted if requested by the
983     employee.
984          Section 8. Section 26A-1-113 is amended to read:
985          26A-1-113. Right of entry to regulated premises by representatives for inspection.
986          (1) Upon presenting proper identification, authorized representatives of local health

987     departments may enter upon the premises of properties regulated by local health departments to
988     perform routine inspections to insure compliance with rules, standards, regulations, and
989     ordinances as adopted by the Departments of [Health] Health and Human Services and
990     Environmental Quality, local boards of health, county or municipal governing bodies, or
991     administered by the Division of Professional Licensing under Title 15A, Chapter 1, Part 2,
992     State Construction Code Administration Act.
993          (2) Section 58-56-9 does not apply to health inspectors acting under this section.
994          (3) This section does not authorize local health departments to inspect private
995     dwellings.
996          Section 9. Section 26A-1-120 is amended to read:
997          26A-1-120. County attorney or district attorney to represent and advise
998     department, board, officers, and employees.
999          (1) Except as otherwise provided in this section, the county attorney of the county in
1000     which the headquarters of the local health department is located shall serve as legal advisor to
1001     the local health department in all civil matters involving the local health department.
1002          (2) The county attorney of the county where a civil claim arises shall bring any action
1003     requested by a local health department to abate a condition that exists in violation of, or to
1004     restrain or enjoin any action which is in violation of the public health laws and rules of the
1005     Departments of [Health] Health and Human Services and Environmental Quality, the
1006     standards, regulations, orders, and notices, of a local health department, and other laws,
1007     ordinances, and rules pertaining to health and sanitary matters.
1008          (3) (a) The district attorney or county attorney having criminal jurisdiction shall
1009     prosecute criminal violations of the public health laws and rules of the Departments of [Health]
1010     Health and Human Services and Environmental Quality, the standards, regulations, orders, and
1011     notices, of a local health department, and other laws and rules pertaining to health and sanitary
1012     matters.
1013          (b) Violations of local ordinances relating to public health matters shall be prosecuted
1014     by the prosecuting attorney of the jurisdiction enacting the ordinance.
1015          (4) The county attorney of a county where an action arises shall, if requested by the
1016     county attorney designated in Subsection (1):
1017          (a) act as legal adviser to the local health department and the board with respect to the

1018     action; and
1019          (b) defend all actions and proceedings brought in that county against the local health
1020     department, the board, or the officers and employees of the local health department.
1021          Section 10. Section 26B-1-202 is amended to read:
1022          26B-1-202. Department authority and duties.
1023          The department may, subject to applicable restrictions in state law and in addition to all
1024     other authority and responsibility granted to the department by law:
1025          (1) adopt rules, in accordance with Title 63G, Chapter 3, Utah Administrative
1026     Rulemaking Act, and not inconsistent with law, as the department may consider necessary or
1027     desirable for providing health and social services to the people of this state;
1028          (2) establish and manage client trust accounts in the department's institutions and
1029     community programs, at the request of the client or the client's legal guardian or representative,
1030     or in accordance with federal law;
1031          (3) purchase, as authorized or required by law, services that the department is
1032     responsible to provide for legally eligible persons;
1033          (4) conduct adjudicative proceedings for clients and providers in accordance with the
1034     procedures of Title 63G, Chapter 4, Administrative Procedures Act;
1035          (5) establish eligibility standards for the department's programs, not inconsistent with
1036     state or federal law or regulations;
1037          (6) take necessary steps, including legal action, to recover money or the monetary value
1038     of services provided to a recipient who was not eligible;
1039          (7) set and collect fees for the department's services;
1040          (8) license agencies, facilities, and programs, except as otherwise allowed, prohibited,
1041     or limited by law;
1042          (9) acquire, manage, and dispose of any real or personal property needed or owned by
1043     the department, not inconsistent with state law;
1044          (10) receive gifts, grants, devises, and donations; gifts, grants, devises, donations, or
1045     the proceeds thereof, may be credited to the program designated by the donor, and may be used
1046     for the purposes requested by the donor, as long as the request conforms to state and federal
1047     policy; all donated funds shall be considered private, nonlapsing funds and may be invested
1048     under guidelines established by the state treasurer;

1049          (11) accept and employ volunteer labor or services; the department is authorized to
1050     reimburse volunteers for necessary expenses, when the department considers that
1051     reimbursement to be appropriate;
1052          (12) carry out the responsibility assigned in the workforce services plan by the State
1053     Workforce Development Board;
1054          (13) carry out the responsibility assigned by [Section 62A-5a-105] Section 26B-1-430
1055     with respect to coordination of services for students with a disability;
1056          (14) provide training and educational opportunities for the department's staff;
1057          (15) collect child support payments and any other money due to the department;
1058          (16) apply the provisions of Title 78B, Chapter 12, Utah Child Support Act, to parents
1059     whose child lives out of the home in a department licensed or certified setting;
1060          (17) establish policy and procedures, within appropriations authorized by the
1061     Legislature, in cases where the Division of Child and Family Services or the [Division of
1062     Juvenile Justice Services] Division of Juvenile Justice and Youth Services is given custody of a
1063     minor by the juvenile court under Title 80, Utah Juvenile Code, or the department is ordered to
1064     prepare an attainment plan for a minor found not competent to proceed under Section
1065     80-6-403, including:
1066          (a) designation of interagency teams for each juvenile court district in the state;
1067          (b) delineation of assessment criteria and procedures;
1068          (c) minimum requirements, and timeframes, for the development and implementation
1069     of a collaborative service plan for each minor placed in department custody; and
1070          (d) provisions for submittal of the plan and periodic progress reports to the court;
1071          (18) carry out the responsibilities assigned to the department by statute;
1072          (19) examine and audit the expenditures of any public funds provided to a local
1073     substance abuse authority, a local mental health authority, a local area agency on aging, and any
1074     person, agency, or organization that contracts with or receives funds from those authorities or
1075     agencies. Those local authorities, area agencies, and any person or entity that contracts with or
1076     receives funds from those authorities or area agencies, shall provide the department with any
1077     information the department considers necessary. The department is further authorized to issue
1078     directives resulting from any examination or audit to a local authority, an area agency, and
1079     persons or entities that contract with or receive funds from those authorities with regard to any

1080     public funds. If the department determines that it is necessary to withhold funds from a local
1081     mental health authority or local substance abuse authority based on failure to comply with state
1082     or federal law, policy, or contract provisions, the department may take steps necessary to
1083     ensure continuity of services. For purposes of this Subsection (19) "public funds" means the
1084     same as that term is defined in Section [62A-15-102] 26B-5-101;
1085          (20) in accordance with Subsection 26B-2-104(1)(d), accredit one or more agencies
1086     and persons to provide intercountry adoption services;
1087          (21) within legislative appropriations, promote and develop a system of care and
1088     stabilization services:
1089          (a) in compliance with Title 63G, Chapter 6a, Utah Procurement Code; and
1090          (b) that encompasses the department, department contractors, and the divisions,
1091     offices, or institutions within the department, to:
1092          (i) navigate services, funding resources, and relationships to the benefit of the children
1093     and families whom the department serves;
1094          (ii) centralize department operations, including procurement and contracting;
1095          (iii) develop policies that govern business operations and that facilitate a system of care
1096     approach to service delivery;
1097          (iv) allocate resources that may be used for the children and families served by the
1098     department or the divisions, offices, or institutions within the department, subject to the
1099     restrictions in Section 63J-1-206;
1100          (v) create performance-based measures for the provision of services; and
1101          (vi) centralize other business operations, including data matching and sharing among
1102     the department's divisions, offices, and institutions;
1103          (22) ensure that any training or certification required of a public official or public
1104     employee, as those terms are defined in Section 63G-22-102, complies with Title 63G, Chapter
1105     22, State Training and Certification Requirements, if the training or certification is required:
1106          (a) under this title;
1107          (b) by the department; or
1108          (c) by an agency or division within the department;
1109          (23) enter into cooperative agreements with the Department of Environmental Quality
1110     to delineate specific responsibilities to assure that assessment and management of risk to

1111     human health from the environment are properly administered;
1112          (24) consult with the Department of Environmental Quality and enter into cooperative
1113     agreements, as needed, to ensure efficient use of resources and effective response to potential
1114     health and safety threats from the environment, and to prevent gaps in protection from potential
1115     risks from the environment to specific individuals or population groups;
1116          (25) to the extent authorized under state law or required by federal law, promote and
1117     protect the health and wellness of the people within the state;
1118          (26) establish, maintain, and enforce rules authorized under state law or required by
1119     federal law to promote and protect the public health or to prevent disease and illness;
1120          (27) investigate the causes of epidemic, infectious, communicable, and other diseases
1121     affecting the public health;
1122          (28) provide for the detection and reporting of communicable, infectious, acute,
1123     chronic, or any other disease or health hazard which the department considers to be dangerous,
1124     important, or likely to affect the public health;
1125          (29) collect and report information on causes of injury, sickness, death, and disability
1126     and the risk factors that contribute to the causes of injury, sickness, death, and disability within
1127     the state;
1128          (30) collect, prepare, publish, and disseminate information to inform the public
1129     concerning the health and wellness of the population, specific hazards, and risks that may affect
1130     the health and wellness of the population and specific activities which may promote and protect
1131     the health and wellness of the population;
1132          (31) abate nuisances when necessary to eliminate sources of filth and infectious and
1133     communicable diseases affecting the public health;
1134          (32) make necessary sanitary and health investigations and inspections in cooperation
1135     with local health departments as to any matters affecting the public health;
1136          (33) establish laboratory services necessary to support public health programs and
1137     medical services in the state;
1138          (34) establish and enforce standards for laboratory services which are provided by any
1139     laboratory in the state when the purpose of the services is to protect the public health;
1140          (35) cooperate with the Labor Commission to conduct studies of occupational health
1141     hazards and occupational diseases arising in and out of employment in industry, and make

1142     recommendations for elimination or reduction of the hazards;
1143          (36) cooperate with the local health departments, the Department of Corrections, the
1144     Administrative Office of the Courts, the [Division of Juvenile Justice Services] Division of
1145     Juvenile Justice and Youth Services, and the Crime Victim Reparations and Assistance Board
1146     to conduct testing for HIV infection of alleged sexual offenders, convicted sexual offenders,
1147     and any victims of a sexual offense;
1148          (37) investigate the causes of maternal and infant mortality;
1149          (38) establish, maintain, and enforce a procedure requiring the blood of adult
1150     pedestrians and drivers of motor vehicles killed in highway accidents be examined for the
1151     presence and concentration of alcohol, and provide the Commissioner of Public Safety with
1152     monthly statistics reflecting the results of these examinations, with necessary safeguards so that
1153     information derived from the examinations is not used for a purpose other than the compilation
1154     of these statistics;
1155          (39) establish qualifications for individuals permitted to draw blood under Subsection
1156     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
1157     issue permits to individuals the department finds qualified, which permits may be terminated or
1158     revoked by the department;
1159          (40) establish a uniform public health program throughout the state which includes
1160     continuous service, employment of qualified employees, and a basic program of disease
1161     control, vital and health statistics, sanitation, public health nursing, and other preventive health
1162     programs necessary or desirable for the protection of public health;
1163          (41) conduct health planning for the state;
1164          (42) monitor the costs of health care in the state and foster price competition in the
1165     health care delivery system;
1166          (43) establish methods or measures for health care providers, public health entities, and
1167     health care insurers to coordinate among themselves to verify the identity of the individuals the
1168     providers serve;
1169          (44) designate Alzheimer's disease and related dementia as a public health issue and,
1170     within budgetary limitations, implement a state plan for Alzheimer's disease and related
1171     dementia by incorporating the plan into the department's strategic planning and budgetary
1172     process;

1173          (45) coordinate with other state agencies and other organizations to implement the state
1174     plan for Alzheimer's disease and related dementia;
1175          (46) ensure that any training or certification required of a public official or public
1176     employee, as those terms are defined in Section 63G-22-102, complies with Title 63G, Chapter
1177     22, State Training and Certification Requirements, if the training or certification is required by
1178     the agency or under this [title, Title 26, Utah Health Code, or Title 62A, Utah Human Services
1179     Code] Title 26B, Utah Health and Human Services Code;
1180          (47) oversee public education vision screening as described in Section 53G-9-404; and
1181          (48) issue code blue alerts in accordance with Title 35A, Chapter 16, Part 7, Code Blue
1182     Alert.
1183          Section 11. Section 26B-1-204 (Superseded 07/01/24) is amended to read:
1184          26B-1-204 (Superseded 07/01/24). Creation of boards, divisions, and offices --
1185     Power to organize department.
1186          (1) The executive director shall make rules in accordance with Title 63G, Chapter 3,
1187     Utah Administrative Rulemaking Act, and not inconsistent with law for:
1188          (a) the administration and government of the department;
1189          (b) the conduct of the department's employees; and
1190          (c) the custody, use, and preservation of the records, papers, books, documents, and
1191     property of the department.
1192          (2) The following policymaking boards, councils, and committees are created within
1193     the Department of Health and Human Services:
1194          (a) Board of Aging and Adult Services;
1195          (b) Utah State Developmental Center Board;
1196          (c) Health Facility Committee;
1197          (d) State Emergency Medical Services Committee;
1198          (e) Air Ambulance Committee;
1199          (f) Health Data Committee;
1200          (g) Utah Health Care Workforce Financial Assistance Program Advisory Committee;
1201          (h) Child Care Provider Licensing Committee;
1202          (i) Primary Care Grant Committee;
1203          (j) Adult Autism Treatment Program Advisory Committee;

1204          (k) Youth Electronic Cigarette, Marijuana, and Other Drug Prevention Committee; and
1205          (l) any boards, councils, or committees that are created by statute in this title.
1206          (3) The following divisions are created within the Department of Health and Human
1207     Services:
1208          (a) relating to operations:
1209          (i) the Division of Finance and Administration;
1210          (ii) the Division of Licensing and Background Checks;
1211          (iii) the Division of Customer Experience;
1212          (iv) the Division of Data, Systems, and Evaluation; and
1213          (v) the Division of Continuous Quality and Improvement;
1214          (b) relating to healthcare administration:
1215          (i) the Division of Integrated Healthcare, which shall include responsibility for:
1216          (A) the state's medical assistance programs; and
1217          (B) behavioral health programs described in Chapter 5, Health Care - Substance Use
1218     and Mental Health;
1219          (ii) the Division of Aging and Adult Services; and
1220          (iii) the Division of Services for People with Disabilities; [and]
1221          (c) relating to community health and well-being:
1222          (i) the Division of Child and Family Services;
1223          (ii) the Division of Family Health;
1224          (iii) the Division of Population Health;
1225          (iv) the Division of Juvenile Justice and Youth Services; and
1226          (v) the Office of Recovery Services[.]; and
1227          (d) relating to clinical services, the Division of Health Access.
1228          (4) The executive director may establish offices [and bureaus] to facilitate management
1229     of the department as required by, and in accordance with this title.
1230          (5) From July 1, 2022, through June 30, 2023, the executive director may adjust the
1231     organizational structure relating to the department, including the organization of the
1232     department's divisions and offices, notwithstanding the organizational structure described in
1233     this title.
1234          Section 12. Section 26B-1-204 (Effective 07/01/24) is amended to read:

1235          26B-1-204 (Effective 07/01/24). Creation of boards, divisions, and offices -- Power
1236     to organize department.
1237          (1) The executive director shall make rules in accordance with Title 63G, Chapter 3,
1238     Utah Administrative Rulemaking Act, and not inconsistent with law for:
1239          (a) the administration and government of the department;
1240          (b) the conduct of the department's employees; and
1241          (c) the custody, use, and preservation of the records, papers, books, documents, and
1242     property of the department.
1243          (2) The following policymaking boards, councils, and committees are created within
1244     the Department of Health and Human Services:
1245          (a) Board of Aging and Adult Services;
1246          (b) Utah State Developmental Center Board;
1247          (c) Health Facility Committee;
1248          (d) Health Data Committee;
1249          (e) Utah Health Care Workforce Financial Assistance Program Advisory Committee;
1250          (f) Child Care Provider Licensing Committee;
1251          (g) Primary Care Grant Committee;
1252          (h) Adult Autism Treatment Program Advisory Committee;
1253          (i) Youth Electronic Cigarette, Marijuana, and Other Drug Prevention Committee; and
1254          (j) any boards, councils, or committees that are created by statute in this title.
1255          (3) The following divisions are created within the Department of Health and Human
1256     Services:
1257          (a) relating to operations:
1258          (i) the Division of Finance and Administration;
1259          (ii) the Division of Licensing and Background Checks;
1260          (iii) the Division of Customer Experience;
1261          (iv) the Division of Data, Systems, and Evaluation; and
1262          (v) the Division of Continuous Quality and Improvement;
1263          (b) relating to healthcare administration:
1264          (i) the Division of Integrated Healthcare, which shall include responsibility for:
1265          (A) the state's medical assistance programs; and

1266          (B) behavioral health programs described in Chapter 5, Health Care - Substance Use
1267     and Mental Health;
1268          (ii) the Division of Aging and Adult Services; and
1269          (iii) the Division of Services for People with Disabilities; [and]
1270          (c) relating to community health and well-being:
1271          (i) the Division of Child and Family Services;
1272          (ii) the Division of Family Health;
1273          (iii) the Division of Population Health;
1274          (iv) the Division of Juvenile Justice and Youth Services; and
1275          (v) the Office of Recovery Services[.]; and
1276          (d) relating to clinical services, the Division of Health Access.
1277          (4) The executive director may establish offices [and bureaus] to facilitate management
1278     of the department as required by, and in accordance with this title.
1279          (5) From July 1, 2022, through June 30, 2023, the executive director may adjust the
1280     organizational structure relating to the department, including the organization of the
1281     department's divisions and offices, notwithstanding the organizational structure described in
1282     this title.
1283          Section 13. Section 26B-1-207 is amended to read:
1284          26B-1-207. Policymaking responsibilities -- Regulations for local health
1285     departments prescribed by department -- Local standards not more stringent than
1286     federal or state standards -- Consultation with local health departments -- Committee to
1287     evaluate health policies and to review federal grants.
1288          (1) In establishing public health policy, the department shall consult with the local
1289     health departments established under Title 26A, Chapter 1, Local Health Departments.
1290          (2) (a) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
1291     the department may prescribe by administrative rule made in accordance with Title 63G,
1292     Chapter 3, Utah Administrative Rulemaking Act, reasonable requirements not inconsistent
1293     with law for a local health department as defined in Section 26A-1-102.
1294          (b) Except where specifically allowed by federal law or state statute, a local health
1295     department, as defined in Section 26A-1-102, may not establish standards or regulations that
1296     are more stringent than those established by federal law, state statute, or administrative rule

1297     adopted in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
1298          (c) Nothing in this Subsection (2), limits the ability of a local health department to
1299     make standards and regulations in accordance with Subsection 26A-1-121(1)(a) for:
1300          (i) emergency rules made in accordance with Section 63G-3-304; or
1301          (ii) items not regulated under federal law, state statute, or state administrative rule.
1302          (3) (a) As used in this Subsection (3):
1303          (i) "Committee" means the committee established under Subsection (3)(b).
1304          (ii) "Exempt application" means an application for a federal grant that meets the
1305     criteria established under Subsection [(3)(c)(iii)] (3)(c)(iv).
1306          (iii) "Expedited application" means an application for a federal grant that meets the
1307     criteria established under Subsection [(3)(c)(iv)] (3)(c)(v).
1308          (iv) "Federal grant" means a grant from the federal government that could provide
1309     funds for local health departments to help them fulfill their duties and responsibilities.
1310          (v) "Reviewable application" means an application for a federal grant that is not an
1311     exempt application.
1312          (b) The department shall establish a committee consisting of:
1313          (i) the executive director, or the executive director's designee;
1314          (ii) two representatives of the department, appointed by the executive director; and
1315          (iii) three representatives of local health departments, appointed by all local health
1316     departments.
1317          (c) The committee shall:
1318          (i) evaluate the allocation of public health resources between the department and local
1319     health departments, including whether funds allocated by contract were allocated in accordance
1320     with the formula described in Section 26A-1-116;
1321          (ii) evaluate policies and rules that affect local health departments in accordance with
1322     Subsection (3)(g);
1323          (iii) consider department policy and rule changes proposed by the department or local
1324     health departments;
1325          (iv) establish criteria by which an application for a federal grant may be judged to
1326     determine whether it should be exempt from the requirements under Subsection (3)(d); and
1327          (v) establish criteria by which an application for a federal grant may be judged to

1328     determine whether committee review under Subsection (3)(d)(i) should be delayed until after
1329     the application is submitted because the application is required to be submitted under a
1330     timetable that makes committee review before it is submitted impracticable if the submission
1331     deadline is to be met.
1332          (d) (i) The committee shall review the goals and budget for each reviewable
1333     application:
1334          (A) before the application is submitted, except for an expedited application; and
1335          (B) for an expedited application, after the application is submitted but before funds
1336     from the federal grant for which the application was submitted are disbursed or encumbered.
1337          (ii) Funds from a federal grant under a reviewable application may not be disbursed or
1338     encumbered before the goals and budget for the federal grant are established by[: (A)] a
1339     two-thirds vote of the committee, following the committee review under Subsection (3)(d)(i)[;
1340     or].
1341          [(B) if two-thirds of the committee cannot agree on the goals and budget, the chair of
1342     the health advisory council, after consultation with the committee in a manner that the
1343     committee determines.]
1344          (e) An exempt application is exempt from the requirements of Subsection (3)(d).
1345          (f) The department may use money from a federal grant to pay administrative costs
1346     incurred in implementing this Subsection (3).
1347          (g) When evaluating a policy or rule that affects a local health department, the
1348     committee shall determine:
1349          (i) whether the department has the authority to promulgate the policy or rule;
1350          (ii) an estimate of the cost a local health department will bear to comply with the policy
1351     or rule;
1352          (iii) whether there is any funding provided to a local health department to implement
1353     the policy or rule; and
1354          (iv) whether the policy or rule is still needed.
1355          (h) Before November 1 of each year, the department shall provide a report to the
1356     Administrative Rules Review and General Oversight Committee regarding the determinations
1357     made under Subsection (3)(g).
1358          Section 14. Section 26B-1-237 is amended to read:

1359          26B-1-237. Office of Internal Audit.
1360          The [Utah] Office of Internal Audit:
1361          (1) may not be placed within [the] a division;
1362          (2) shall be placed directly under, and report directly to, the executive director of the
1363     Department of Health and Human Services; and
1364          (3) shall have full access to all records of the [division] department.
1365          Section 15. Section 26B-1-324 is amended to read:
1366          26B-1-324. Statewide Behavioral Health Crisis Response Account -- Creation --
1367     Administration -- Permitted uses -- Reporting.
1368          (1) There is created a restricted account within the General Fund known as the
1369     "Statewide Behavioral Health Crisis Response Account," consisting of:
1370          (a) money appropriated or otherwise made available by the Legislature; and
1371          (b) contributions of money, property, or equipment from federal agencies, political
1372     subdivisions of the state, or other persons.
1373          (2) (a) Subject to appropriations by the Legislature and any contributions to the account
1374     described in Subsection (1)(b), the division shall disburse funds in the account only for the
1375     purpose of support or implementation of services or enhancements of those services in order to
1376     rapidly, efficiently, and effectively deliver 988 services in the state.
1377          (b) Funds distributed from the account to county local mental health and substance
1378     abuse authorities for the provision of crisis services are not subject to the 20% county match
1379     described in Sections 17-43-201 and 17-43-301.
1380          (c) After consultation with the Behavioral Health Crisis Response Commission created
1381     in Section 63C-18-202, and local substance use authorities and local mental health authorities
1382     described in Sections 17-43-201 and 17-43-301, the division shall expend funds from the
1383     account on any of the following programs:
1384          (i) the Statewide Mental Health Crisis Line, as defined in Section 26B-5-610, including
1385     coordination with 911 emergency service, as defined in Section 69-2-102, and coordination
1386     with local substance abuse authorities as described in Section 17-43-201, and local mental
1387     health authorities, described in Section 17-43-301;
1388          (ii) mobile crisis outreach teams as defined in Section 26B-5-609, distributed in
1389     accordance with rules made by the division in accordance with Title 63G, Chapter 3, Utah

1390     Administrative Rulemaking Act;
1391          (iii) behavioral health receiving centers as defined in Section 26B-5-114;
1392          (iv) stabilization services as described in Section [26B-1-102] 26B-5-101;
1393          (v) mental health crisis services, as defined in Section 26B-5-101, provided by local
1394     substance abuse authorities as described in Section 17-43-201 and local mental health
1395     authorities described in Section 17-43-301 to provide prolonged mental health services for up
1396     to 90 days after the day on which an individual experiences a mental health crisis as defined in
1397     Section 26B-5-101;
1398          (vi) crisis intervention training for first responders, as that term is defined in Section
1399     78B-4-501;
1400          (vii) crisis worker certification training for first responders, as that term is defined in
1401     Section 78B-4-501;
1402          (viii) frontline support for the SafeUT Crisis Line; or
1403          (ix) suicide prevention gatekeeper training for first responders, as that term is defined
1404     in Section 78B-4-501.
1405          (d) If the Legislature appropriates money to the account for a purpose described in
1406     Subsection (2)(c), the division shall use the appropriation for that purpose.
1407          (3) Subject to appropriations by the Legislature and any contributions to the account
1408     described in Subsection (1)(b), the division may expend funds in the account for administrative
1409     costs that the division incurs related to administering the account.
1410          (4) The division director shall submit and make available to the public a report before
1411     December of each year to the Behavioral Health Crisis Response Commission, as defined in
1412     Section 63C-18-202, the Social Services Appropriations Subcommittee, and the Legislative
1413     Management Committee that includes:
1414          (a) the amount of each disbursement from the account;
1415          (b) the recipient of each disbursement, the goods and services received, and a
1416     description of the project funded by the disbursement;
1417          (c) any conditions placed by the division on the disbursements from the account;
1418          (d) the anticipated expenditures from the account for the next fiscal year;
1419          (e) the amount of any unexpended funds carried forward;
1420          (f) the number of Statewide Mental Health Crisis Line calls received;

1421          (g) the progress towards accomplishing the goals of providing statewide mental health
1422     crisis service; and
1423          (h) other relevant justification for ongoing support from the account.
1424          (5) Notwithstanding Subsection (2)(c), allocations made to local substance use
1425     authorities and local mental health authorities for behavioral health receiving centers or mobile
1426     crisis outreach teams before the end of fiscal year 2023 shall be maintained through fiscal year
1427     2027, subject to appropriation.
1428          (6) (a) As used in this Subsection (6):
1429          (i) "Health benefit plan" means the same as that term is defined in Section 31A-1-301.
1430          (ii) "Mental health service provider" means a behavioral health receiving center or
1431     mobile crisis outreach team.
1432          (b) The department shall coordinate with each mental health service provider that
1433     receives state funds to determine which health benefit plans, if any, have not contracted or have
1434     refused to contract with the mental health service provider at usual and customary rates for the
1435     services provided by the mental health service provider.
1436          (c) In each year that the department identifies a health benefit plan that meets the
1437     description in Subsection (6)(b), the department shall provide a report on the information
1438     gathered under Subsection (6)(b) to the Health and Human Services Interim Committee at or
1439     before the committee's October meeting.
1440          Section 16. Section 26B-1-414 is amended to read:
1441          26B-1-414. Child Care Provider Licensing Committee -- Duties.
1442          (1) (a) The Child Care [Center] Provider Licensing Committee shall be comprised of
1443     12 members appointed by the governor with the advice and consent of the Senate in accordance
1444     with this Subsection (1).
1445          (b) The governor shall appoint three members who:
1446          (i) have at least five years of experience as an owner in or director of a for profit or
1447     not-for-profit center based child care as defined in Section 26B-2-401; and
1448          (ii) hold an active license as a child care center from the department to provide center
1449     based child care as defined in Section 26B-2-401.
1450          (c) The governor shall appoint two members who hold an active license as a residential
1451     child care provider and one member who is a certified residential child care provider.

1452          (d) (i) The governor shall appoint one member to represent each of the following:
1453          (A) a parent with a child in a licensed center based child care facility;
1454          (B) a parent with a child in a residential based child care facility;
1455          (C) a child development expert from the state system of higher education;
1456          (D) except as provided in Subsection (1)(f), a pediatrician licensed in the state;
1457          (E) a health care provider; and
1458          (F) an architect licensed in the state.
1459          (ii) Except as provided in Subsection (1)(d)(i)(C), a member appointed under
1460     Subsection (1)(d)(i) may not be an employee of the state or a political subdivision of the state.
1461          (e) At least one member described in Subsection (1)(b) shall at the time of appointment
1462     reside in a county that is not a county of the first class.
1463          (f) For the appointment described in Subsection (1)(d)(i)(D), the governor may appoint
1464     a health care professional who specializes in pediatric health if:
1465          (i) the health care professional is licensed under:
1466          (A) Title 58, Chapter 31b, Nurse Practice Act, as an advanced practice nurse
1467     practitioner; or
1468          (B) Title 58, Chapter 70a, Utah Physician Assistant Act; and
1469          (ii) before appointing a health care professional under this Subsection (1)(f), the
1470     governor:
1471          (A) sends a notice to a professional physician organization in the state regarding the
1472     opening for the appointment described in Subsection (1)(d)(i)(D); and
1473          (B) receives no applications from a pediatrician who is licensed in the state for the
1474     appointment described in Subsection (1)(d)(i)(D) within 90 days after the day on which the
1475     governor sends the notice described in Subsection (1)(f)(ii)(A).
1476          (2) (a) Except as required by Subsection (2)(b), as terms of current members expire, the
1477     governor shall appoint each new member or reappointed member to a four-year term ending
1478     June 30.
1479          (b) Notwithstanding the requirements of Subsection (2)(a), the governor shall, at the
1480     time of appointment or reappointment, adjust the length of terms to ensure that the terms of
1481     members are staggered so that approximately half of the licensing committee is appointed
1482     every two years.

1483          (c) Upon the expiration of the term of a member of the licensing committee, the
1484     member shall continue to hold office until a successor is appointed and qualified.
1485          (d) A member may not serve more than two consecutive terms.
1486          (e) Members of the licensing committee shall annually select one member to serve as
1487     chair who shall establish the agenda for licensing committee meetings.
1488          (3) When a vacancy occurs in the membership for any reason, the governor, with the
1489     advice and consent of the Senate, shall appoint a replacement for the unexpired term.
1490          (4) (a) The licensing committee shall meet at least every two months.
1491          (b) The director may call additional meetings:
1492          (i) at the director's discretion;
1493          (ii) upon the request of the chair; or
1494          (iii) upon the written request of three or more members.
1495          (5) Seven members of the licensing committee constitute a quorum for the transaction
1496     of business.
1497          (6) A member appointed under Subsection (1)(b) may not vote on any action proposed
1498     by the licensing committee regarding residential child care.
1499          (7) A member appointed under Subsection (1)(c) may not vote on any action proposed
1500     by the licensing committee regarding center based child care.
1501          (8) A member of the licensing committee may not receive compensation or benefits for
1502     the member's service, but may receive per diem and travel expenses as allowed in:
1503          (a) Section 63A-3-106;
1504          (b) Section 63A-3-107; and
1505          (c) rules made by the Division of Finance in accordance with Sections 63A-3-106 and
1506     63A-3-107.
1507          (9) The licensing committee shall:
1508          (a) in concurrence with the department and in accordance with Title 63G, Chapter 3,
1509     Utah Administrative Rulemaking Act, make rules that govern center based child care and
1510     residential child care, as those terms are defined in Section 26B-2-401, as necessary to protect
1511     qualifying children's common needs for a safe and healthy environment, to provide for:
1512          (i) adequate facilities and equipment; and
1513          (ii) competent caregivers considering the age of the children and the type of program

1514     offered by the licensee
1515          (b) in concurrence with the department and in accordance with Title 63G, Chapter 3,
1516     Utah Administrative Rulemaking Act, make rules necessary to carry out the purposes of
1517     Chapter 2, Part 4, Child Care Licensing, that govern center based child care and residential
1518     child care, as those terms are defined in Section 26B-2-401, in the following areas:
1519          (i) requirements for applications, the application process, and compliance with other
1520     applicable statutes and rules;
1521          (ii) documentation, policies, and procedures that providers shall have in place in order
1522     to be licensed, in accordance with this Subsection (9);
1523          (iii) categories, classifications, and duration of initial and ongoing licenses;
1524          (iv) changes of ownership or name, changes in licensure status, and changes in
1525     operational status;
1526          (v) license expiration and renewal, contents, and posting requirements;
1527          (vi) procedures for inspections, complaint resolution, disciplinary actions, and other
1528     procedural measures to encourage and ensure compliance with statute and rule; and
1529          (vii) guidelines necessary to ensure consistency and appropriateness in the regulation
1530     and discipline of licensees;
1531          (c) advise the department on the administration of a matter affecting center based child
1532     care or residential child care, as those terms are defined in Section 26B-2-401;
1533          (d) advise and assist the department in conducting center based child care provider
1534     seminars and residential child care seminars; and
1535          (e) perform other duties as provided in Section 26B-2-402.
1536          (10) (a) The licensing committee may not enforce the rules adopted under this section.
1537          (b) the department shall enforce the rules adopted under this section in accordance with
1538     Section 26B-2-402.
1539          Section 17. Section 26B-1-421 is amended to read:
1540          26B-1-421. Compassionate Use Board.
1541          (1) The definitions in Section 26B-4-201 apply to this section.
1542          (2) (a) The department shall establish a Compassionate Use Board consisting of:
1543          (i) seven qualified medical providers that the executive director appoints and the
1544     Senate confirms:

1545          (A) who are knowledgeable about the medicinal use of cannabis;
1546          (B) who are physicians licensed under Title 58, Chapter 67, Utah Medical Practice Act,
1547     or Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; and
1548          (C) who are board certified by the American Board of Medical Specialties or an
1549     American Osteopathic Association Specialty Certifying Board in the specialty of neurology,
1550     pain medicine and pain management, medical oncology, psychiatry, infectious disease, internal
1551     medicine, pediatrics, family medicine, or gastroenterology; and
1552          (ii) as a nonvoting member and the chair of the Compassionate Use Board, the
1553     executive director or the director's designee.
1554          (b) In appointing the seven qualified medical providers described in Subsection (2)(a),
1555     the executive director shall ensure that at least two have a board certification in pediatrics.
1556          (3) (a) Of the members of the Compassionate Use Board that the executive director
1557     first appoints:
1558          (i) three shall serve an initial term of two years; and
1559          (ii) the remaining members shall serve an initial term of four years.
1560          (b) After an initial term described in Subsection (3)(a) expires:
1561          (i) each term is four years; and
1562          (ii) each board member is eligible for reappointment.
1563          (c) A member of the Compassionate Use Board may serve until a successor is
1564     appointed.
1565          (d) Four members constitute a quorum of the Compassionate Use Board.
1566          (4) A member of the Compassionate Use Board may receive:
1567          (a) notwithstanding Section 63A-3-106, compensation or benefits for the member's
1568     service; and
1569          (b) travel expenses in accordance with Section 63A-3-107 and rules made by the
1570     Division of Finance in accordance with Section 63A-3-107.
1571          (5) The Compassionate Use Board shall:
1572          (a) review and recommend for department approval a petition to the board regarding an
1573     individual described in Subsection 26B-4-213(2)(a), a minor described in Subsection
1574     26B-4-213(2)(c), or an individual who is not otherwise qualified to receive a medical cannabis
1575     card to obtain a medical cannabis card for compassionate use, for the standard or a reduced

1576     period of validity, if:
1577          (i) for an individual who is not otherwise qualified to receive a medical cannabis card,
1578     the individual's qualified medical provider is actively treating the individual for an intractable
1579     condition that:
1580          (A) substantially impairs the individual's quality of life; and
1581          (B) has not, in the qualified medical provider's professional opinion, adequately
1582     responded to conventional treatments;
1583          (ii) the qualified medical provider:
1584          (A) recommends that the individual or minor be allowed to use medical cannabis; and
1585          (B) provides a letter, relevant treatment history, and notes or copies of progress notes
1586     describing relevant treatment history including rationale for considering the use of medical
1587     cannabis; and
1588          (iii) the Compassionate Use Board determines that:
1589          (A) the recommendation of the individual's qualified medical provider is justified; and
1590          (B) based on available information, it may be in the best interests of the individual to
1591     allow the use of medical cannabis;
1592          (b) when a qualified medical provider recommends that an individual described in
1593     Subsection 26B-4-213(2)(a)(i)(B) or a minor described in Subsection 26B-4-213(2)(c) be
1594     allowed to use a medical cannabis device or medical cannabis product to vaporize a medical
1595     cannabis treatment, review and approve or deny the use of the medical cannabis device or
1596     medical cannabis product;
1597          (c) unless no petitions are pending:
1598          (i) meet to receive or review compassionate use petitions at least quarterly; and
1599          (ii) if there are more petitions than the board can receive or review during the board's
1600     regular schedule, as often as necessary;
1601          (d) except as provided in Subsection (6), complete a review of each petition and
1602     recommend to the department approval or denial of the applicant for qualification for a medical
1603     cannabis card within 90 days after the day on which the board received the petition;
1604          (e) consult with the department regarding the criteria described in Subsection (6); and
1605          (f) report, before November 1 of each year, to the Health and Human Services Interim
1606     Committee:

1607          (i) the number of compassionate use recommendations the board issued during the past
1608     year; and
1609          (ii) the types of conditions for which the board recommended compassionate use.
1610          (6) The department shall make rules, in consultation with the Compassionate Use
1611     Board and in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to
1612     establish a process and criteria for a petition to the board to automatically qualify for expedited
1613     final review and approval or denial by the department in cases where, in the determination of
1614     the department and the board:
1615          (a) time is of the essence;
1616          (b) engaging the full review process would be unreasonable in light of the petitioner's
1617     physical condition; and
1618          (c) sufficient factors are present regarding the petitioner's safety.
1619          (7) (a) (i) The department shall review:
1620          (A) any compassionate use for which the Compassionate Use Board recommends
1621     approval under Subsection (5)(d) to determine whether the board properly exercised the board's
1622     discretion under this section; and
1623          (B) any expedited petitions the department receives under the process described in
1624     Subsection (6).
1625          (ii) If the department determines that the Compassionate Use Board properly exercised
1626     the board's discretion in recommending approval under Subsection (5)(d) or that the expedited
1627     petition merits approval based on the criteria established in accordance with Subsection (6), the
1628     department shall:
1629          (A) issue the relevant medical cannabis card; and
1630          (B) provide for the renewal of the medical cannabis card in accordance with the
1631     recommendation of the qualified medical provider described in Subsection (5)(a).
1632          (b) [(i)] If the Compassionate Use Board recommends denial under Subsection (5)(d),
1633     the individual seeking to obtain a medical cannabis card may petition the department to review
1634     the board's decision.
1635          [(ii) If the department determines that the Compassionate Use Board's recommendation
1636     for denial under Subsection (5)(d) was arbitrary or capricious:]
1637          [(A) the department shall notify the Compassionate Use Board of the department's

1638     determination; and]
1639          [(B) the board shall reconsider the Compassionate Use Board's refusal to recommend
1640     approval under this section.]
1641          (c) In reviewing the Compassionate Use Board's recommendation for approval or
1642     denial under Subsection (5)(d) in accordance with this Subsection (7), the department shall
1643     presume the board properly exercised the board's discretion unless the department determines
1644     that the board's recommendation was arbitrary or capricious.
1645          (8) Any individually identifiable health information contained in a petition that the
1646     Compassionate Use Board or department receives under this section is a protected record in
1647     accordance with Title 63G, Chapter 2, Government Records Access and Management Act.
1648          (9) The Compassionate Use Board shall annually report the board's activity to the
1649     Cannabis Research Review Board and the advisory board.
1650          Section 18. Section 26B-1-422.1 is amended to read:
1651          26B-1-422.1. Reports.
1652          (1) (a) On or before August 1 of each year, the [council] Early Childhood Utah
1653     Advisory Council created in Section 26B-1-422 shall provide an annual report to the executive
1654     director, the executive director of the Department of Workforce Services, and the state
1655     superintendent.
1656          (b) The annual report shall include:
1657          (i) a statewide assessment concerning the availability of high-quality pre-kindergarten
1658     services for children from low-income households;
1659          (ii) a statewide strategic report addressing the activities mandated by the Improving
1660     Head Start for School Readiness Act of 2007, 42 U.S.C. Sec. 9837b, including:
1661          (A) identifying opportunities for and barriers to collaboration and coordination among
1662     federally-funded and state-funded child health and development, child care, and early
1663     childhood education programs and services, including collaboration and coordination among
1664     state agencies responsible for administering such programs;
1665          (B) evaluating the overall participation of children in existing federal, state, and local
1666     child care programs and early childhood health, development, family support, and education
1667     programs;
1668          (C) recommending statewide professional development and career advancement plans

1669     for early childhood educators and service providers in the state, including an analysis of the
1670     capacity and effectiveness of programs at two- and four-year public and private institutions of
1671     higher education that support the development of early childhood educators; and
1672          (D) recommending improvements to the state's early learning standards and
1673     high-quality comprehensive early learning standards; and
1674          (iii) the recommendations described in Subsection 26B-1-422(4)(e).
1675          (2) In addition to the annual report described in Subsection (1)(a), on or before August
1676     1, 2024, and at least every five years thereafter, the council shall provide to the executive
1677     director, the executive director of the Department of Workforce Services, and the state
1678     superintendent, a statewide needs assessment concerning the quality and availability of early
1679     childhood education, health, and development programs and services for children in early
1680     childhood.
1681          Section 19. Section 26B-1-435 is amended to read:
1682          26B-1-435. Medical Cannabis Policy Advisory Board creation - Membership.
1683          (1) There is created within the department the Medical Cannabis Policy Advisory
1684     Board.
1685          (2) (a) The advisory board shall consist of the following members:
1686          (i) appointed by the executive director:
1687          (A) a qualified medical provider who has at least 100 patients who have a medical
1688     cannabis patient card at the time of appointment;
1689          (B) a medical research professional;
1690          (C) a mental health specialist;
1691          (D) an individual who represents an organization that advocates for medical cannabis
1692     patients;
1693          (E) an individual who holds a medical cannabis patient card; and
1694          (F) a member of the general public who does not hold a medical cannabis card; and
1695          (ii) appointed by the commissioner of the Department of Agriculture and Food:
1696          (A) an individual who owns or operates a licensed cannabis cultivation facility, as
1697     defined in Section 4-41a-102;
1698          (B) an individual who owns or operates a licensed medical cannabis pharmacy; and
1699          (C) a law enforcement officer.

1700          (b) The commissioner of the Department of Agriculture and Food shall ensure that at
1701     least one individual appointed under Subsection (2)(a)(ii)(A) or (B) also owns or operates a
1702     licensed cannabis processing facility.
1703          (3) (a) Subject to Subsection (3)(b), a member of the advisory board shall serve for a
1704     four year term.
1705          (b) When appointing the initial membership of the advisory board, the executive
1706     director and the commissioner of the Department of Agriculture and Food shall coordinate to
1707     appoint four advisory board members to serve a term of two years to ensure that approximately
1708     half of the board is appointed every two years.
1709          (4) (a) If an advisory board member is no longer able to serve as a member, a new
1710     member shall be appointed in the same manner as the original appointment.
1711          (b) A member appointed in accordance with Subsection (4)(a) shall serve for the
1712     remainder of the unexpired term of the original appointment.
1713          (5) (a) A majority of the advisory board members constitutes a quorum.
1714          (b) The action of a majority of a quorum constitutes an action of the advisory board.
1715          (c) The advisory board shall annually designate one of the advisory board's members to
1716     serve as chair for a one-year period.
1717          (6) An advisory board member may not receive compensation or benefits for the
1718     member's service on the advisory board but may receive per diem and reimbursement for travel
1719     expenses incurred as an advisory board member in accordance with:
1720          (a) Sections 63A-3-106 and 63A-3-107; and
1721          (b) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
1722     63A-3-107.
1723          (7) The department shall:
1724          (a) provide staff support for the advisory board; and
1725          (b) assist the advisory board in conducting meetings.
1726          Section 20. Section 26B-1-435.1 is amended to read:
1727          26B-1-435.1. Medical Cannabis Policy Advisory Board duties.
1728          (1) The advisory board may recommend:
1729          (a) to the department or the Department of Agriculture and Food changes to current or
1730     proposed medical cannabis rules or statutes;

1731          (b) to the appropriate legislative committee whether the advisory board supports a
1732     change to medical cannabis statutes.
1733          (2) The advisory board shall:
1734          (a) review any draft rule that is authorized under [this chapter] Chapter 4, Part 2,
1735     Cannabinoid Research and Medical Cannabis, or Title 4, Chapter 41a, Cannabis Production
1736     Establishments and Pharmacies;
1737          (b) consult with the Department of Agriculture and Food regarding the issuance of an
1738     additional:
1739          (i) cultivation facility license under Section 4-41a-205; or
1740          (ii) pharmacy license under Section 4-41a-1005;
1741          (c) consult with the department regarding cannabis patient education;
1742          (d) consult regarding the reasonableness of any fees set by the department or the Utah
1743     Department of Agriculture and Food that pertain to the medical cannabis program; and
1744          (e) consult regarding any issue pertaining to medical cannabis when asked by the
1745     department or the Utah Department of Agriculture and Food.
1746          Section 21. Section 26B-1-502 is amended to read:
1747          26B-1-502. Initial review.
1748          (1) Within seven days after the day on which the department knows that a qualified
1749     individual has died or is an individual described in Subsection 26B-1-501(7)(h), a person
1750     designated by the department shall:
1751          (a) (i) for a death, complete a deceased client report form, created by the department; or
1752          (ii) for an individual described in Subsection 26B-1-501(7)(h), complete a near fatality
1753     client report form, created by the department; and
1754          (b) forward the completed client report form to the director of the office or division
1755     that has jurisdiction over the region or facility.
1756          (2) The director of the office or division described in Subsection (1) shall, upon receipt
1757     of a near fatality client report form or a deceased client report form, immediately provide a
1758     copy of the form to:
1759          (a) the executive director; and
1760          (b) the fatality review coordinator or the fatality review coordinator's designee.
1761          (3) Within 10 days after the day on which the fatality review coordinator or the fatality

1762     review coordinator's designee receives a copy of the near fatality client report form or the
1763     deceased client report form, the fatality review coordinator or the fatality review coordinator's
1764     designee shall request a copy of all relevant department case records regarding the individual
1765     who is the subject of the client report form.
1766          (4) Each person who receives a request for a record described in Subsection (3) shall
1767     provide a copy of the record to the fatality review coordinator or the fatality review
1768     coordinator's designee, by a secure method, within seven days after the day on which the
1769     request is made.
1770          (5) Within 30 days after the day on which the fatality review coordinator or the fatality
1771     review coordinator's designee receives the case records requested under Subsection (3), the
1772     fatality review coordinator, or the fatality review coordinator's designee, shall:
1773          (a) review the client report form, the case files, and other relevant information received
1774     by the fatality review coordinator; and
1775          (b) make a recommendation to the director of the Division of Continuous Quality and
1776     Improvement regarding whether a formal review of the death or near fatality should be
1777     conducted.
1778          (6) (a) In accordance with Subsection (6)(b), within seven days after the day on which
1779     the fatality review coordinator or the fatality review coordinator's designee makes the
1780     recommendation described in Subsection (5)(b), the director of the Division of Continuous
1781     Quality and Improvement or the director's designee shall determine whether to order that a
1782     review of the death or near fatality be conducted.
1783          (b) The director of the Division of Continuous Quality and Improvement or the
1784     director's designee shall order that a formal review of the death or near fatality be conducted if:
1785          (i) at the time of the near fatality or the death, the qualified individual is:
1786          (A) an individual described in Subsection [26B-1-501(6)(a)] 26B-1-501(7)(a) or (b),
1787     unless:
1788          (I) the near fatality or the death is due to a natural cause; or
1789          (II) the director of the Division of Continuous Quality and Improvement or the
1790     director's designee determines that the near fatality or the death was not in any way related to
1791     services that were provided by, or under the direction of, the department or a division of the
1792     department; or

1793          (B) a child in foster care or substitute care, unless the near fatality or the death is due
1794     to:
1795          (I) a natural cause; or
1796          (II) an accident;
1797          (ii) it appears, based on the information provided to the director of the Division of
1798     Continuous Quality and Improvement or the director's designee, that:
1799          (A) a provision of law, rule, policy, or procedure relating to the qualified individual or
1800     the individual's family may not have been complied with;
1801          (B) the near fatality or the fatality was not responded to properly;
1802          (C) a law, rule, policy, or procedure may need to be changed; or
1803          (D) additional training is needed;
1804          (iii) (A) the death is caused by suicide; or
1805          (B) the near fatality is caused by attempted suicide; or
1806          (iv) the director of the Division of Continuous Quality and Improvement or the
1807     director's designee determines that another reason exists to order that a review of the near
1808     fatality or the death be conducted.
1809          Section 22. Section 26B-2-101 is amended to read:
1810          26B-2-101. Definitions.
1811          As used in this part:
1812          (1) "Adoption services" means the same as that term is defined in Section 80-2-801.
1813          (2) "Adult day care" means nonresidential care and supervision:
1814          (a) for three or more adults for at least four but less than 24 hours a day; and
1815          (b) that meets the needs of functionally impaired adults through a comprehensive
1816     program that provides a variety of health, social, recreational, and related support services in a
1817     protective setting.
1818          (3) "Applicant" means a person that applies for an initial license or a license renewal
1819     under this part.
1820          (4) (a) "Associated with the licensee" means that an individual is:
1821          (i) affiliated with a licensee as an owner, director, member of the governing body,
1822     employee, agent, provider of care, department contractor, or volunteer; or
1823          (ii) applying to become affiliated with a licensee in a capacity described in Subsection

1824     (4)(a)(i).
1825          (b) "Associated with the licensee" does not include:
1826          (i) service on the following bodies, unless that service includes direct access to a child
1827     or a vulnerable adult:
1828          (A) a local mental health authority described in Section 17-43-301;
1829          (B) a local substance abuse authority described in Section 17-43-201; or
1830          (C) a board of an organization operating under a contract to provide mental health or
1831     substance use programs, or services for the local mental health authority or substance abuse
1832     authority; or
1833          (ii) a guest or visitor whose access to a child or a vulnerable adult is directly supervised
1834     at all times.
1835          (5) (a) "Boarding school" means a private school that:
1836          (i) uses a regionally accredited education program;
1837          (ii) provides a residence to the school's students:
1838          (A) for the purpose of enabling the school's students to attend classes at the school; and
1839          (B) as an ancillary service to educating the students at the school;
1840          (iii) has the primary purpose of providing the school's students with an education, as
1841     defined in Subsection (5)(b)(i); and
1842          (iv) (A) does not provide the treatment or services described in Subsection [(38)(a)]
1843     (39)(a); or
1844          (B) provides the treatment or services described in Subsection [(38)(a)] (39)(a) on a
1845     limited basis, as described in Subsection (5)(b)(ii).
1846          (b) (i) For purposes of Subsection (5)(a)(iii), "education" means a course of study for
1847     one or more grades from kindergarten through grade 12.
1848          (ii) For purposes of Subsection (5)(a)(iv)(B), a private school provides the treatment or
1849     services described in Subsection [(38)(a)] (39(a) on a limited basis if:
1850          (A) the treatment or services described in Subsection [(38)(a)] (39)(a) are provided
1851     only as an incidental service to a student; and
1852          (B) the school does not:
1853          (I) specifically solicit a student for the purpose of providing the treatment or services
1854     described in Subsection [(38)(a)] (39)(a); or

1855          (II) have a primary purpose of providing the treatment or services described in
1856     Subsection [(38)(a)] (39)(a).
1857          (c) "Boarding school" does not include a therapeutic school.
1858          (6) "Certification" means a less restrictive level of licensure issued by the department.
1859          [(6)] (7) "Child" means an individual under 18 years old.
1860          [(7)] (8) "Child placing" means receiving, accepting, or providing custody or care for
1861     any child, temporarily or permanently, for the purpose of:
1862          (a) finding a person to adopt the child;
1863          (b) placing the child in a home for adoption; or
1864          (c) foster home placement.
1865          [(8)] (9) "Child-placing agency" means a person that engages in child placing.
1866          [(9)] (10) "Client" means an individual who receives or has received services from a
1867     licensee.
1868          [(10)] (11) (a) "Congregate care program" means any of the following that provide
1869     services to a child:
1870          (i) an outdoor youth program;
1871          (ii) a residential support program;
1872          (iii) a residential treatment program; or
1873          (iv) a therapeutic school.
1874          (b) "Congregate care program" does not include a human services program that:
1875          (i) is licensed to serve adults; and
1876          (ii) is approved by the office to service a child for a limited time.
1877          [(11)] (12) "Day treatment" means specialized treatment that is provided to:
1878          (a) a client less than 24 hours a day; and
1879          (b) four or more persons who:
1880          (i) are unrelated to the owner or provider; and
1881          (ii) have emotional, psychological, developmental, physical, or behavioral
1882     dysfunctions, impairments, or chemical dependencies.
1883          [(12)] (13) "Department contractor" means an individual who:
1884          (a) provides services under a contract with the department; and
1885          (b) due to the contract with the department, has or will likely have direct access to a

1886     child or vulnerable adult.
1887          [(13)] (14) "Direct access" means that an individual has, or likely will have:
1888          (a) contact with or access to a child or vulnerable adult that provides the individual
1889     with an opportunity for personal communication or touch; or
1890          (b) an opportunity to view medical, financial, or other confidential personal identifying
1891     information of the child, the child's parents or legal guardians, or the vulnerable adult.
1892          [(14)] (15) "Directly supervised" means that an individual is being supervised under
1893     the uninterrupted visual and auditory surveillance of another individual who has a current
1894     background [screening] check approval issued by the office.
1895          [(15)] (16) "Director" means the director of the office.
1896          [(16)] (17) "Domestic violence" means the same as that term is defined in Section
1897     77-36-1.
1898          [(17)] (18) "Domestic violence treatment program" means a nonresidential program
1899     designed to provide psychological treatment and educational services to perpetrators and
1900     victims of domestic violence.
1901          [(18)] (19) "Elder adult" means a person 65 years old or older.
1902          [(19)] (20) "Foster home" means a residence that is licensed or certified by the office
1903     for the full-time substitute care of a child.
1904          [(20)] (21) "Health benefit plan" means the same as that term is defined in Section
1905     31A-22-634.
1906          [(21)] (22) "Health care provider" means the same as that term is defined in Section
1907     78B-3-403.
1908          [(22)] (23) "Health insurer" means the same as that term is defined in Section
1909     31A-22-615.5.
1910          [(23)] (24) (a) "Human services program" means:
1911          (i) a foster home;
1912          (ii) a therapeutic school;
1913          (iii) a youth program;
1914          (iv) an outdoor youth program;
1915          (v) a residential treatment program;
1916          (vi) a residential support program;

1917          (vii) a resource family home;
1918          (viii) a recovery residence; or
1919          (ix) a facility or program that provides:
1920          (A) adult day care;
1921          (B) day treatment;
1922          (C) outpatient treatment;
1923          (D) domestic violence treatment;
1924          (E) child-placing services;
1925          (F) social detoxification; or
1926          (G) any other human services that are required by contract with the department to be
1927     licensed with the department.
1928          (b) "Human services program" does not include:
1929          (i) a boarding school; or
1930          (ii) a residential, vocational and life skills program, as defined in Section 13-53-102.
1931          [(24)] (25) "Indian child" means the same as that term is defined in 25 U.S.C. Sec.
1932     1903.
1933          [(25)] (26) "Indian country" means the same as that term is defined in 18 U.S.C. Sec.
1934     1151.
1935          [(26)] (27) "Indian tribe" means the same as that term is defined in 25 U.S.C. Sec.
1936     1903.
1937          [(27)] (28) "Intermediate secure treatment" means 24-hour specialized residential
1938     treatment or care for an individual who:
1939          (a) cannot live independently or in a less restrictive environment; and
1940          (b) requires, without the individual's consent or control, the use of locked doors to care
1941     for the individual.
1942          [(28)] (29) "Licensee" means an individual or a human services program licensed by
1943     the office.
1944          [(29)] (30) "Local government" means a city, town, metro township, or county.
1945          [(30)] (31) "Minor" means child.
1946          [(31)] (32) "Office" means the Office of Licensing within the department.
1947          [(32)] (33) "Outdoor youth program" means a program that provides:

1948          (a) services to a child that has:
1949          (i) a chemical dependency; or
1950          (ii) a dysfunction or impairment that is emotional, psychological, developmental,
1951     physical, or behavioral;
1952          (b) a 24-hour outdoor group living environment; and
1953          (c) (i) regular therapy, including group, individual, or supportive family therapy; or
1954          (ii) informal therapy or similar services, including wilderness therapy, adventure
1955     therapy, or outdoor behavioral healthcare.
1956          [(33)] (34) "Outpatient treatment" means individual, family, or group therapy or
1957     counseling designed to improve and enhance social or psychological functioning for those
1958     whose physical and emotional status allows them to continue functioning in their usual living
1959     environment.
1960          [(34)] (35) "Practice group" or "group practice" means two or more health care
1961     providers legally organized as a partnership, professional corporation, or similar association,
1962     for which:
1963          (a) substantially all of the services of the health care providers who are members of the
1964     group are provided through the group and are billed in the name of the group and amounts
1965     received are treated as receipts of the group; and
1966          (b) the overhead expenses of and the income from the practice are distributed in
1967     accordance with methods previously determined by members of the group.
1968          [(35)] (36) "Private-placement child" means a child whose parent or guardian enters
1969     into a contract with a congregate care program for the child to receive services.
1970          [(36)] (37) (a) "Recovery residence" means a home, residence, or facility that meets at
1971     least two of the following requirements:
1972          (i) provides a supervised living environment for individuals recovering from a
1973     substance use disorder;
1974          (ii) provides a living environment in which more than half of the individuals in the
1975     residence are recovering from a substance use disorder;
1976          (iii) provides or arranges for residents to receive services related to the resident's
1977     recovery from a substance use disorder, either on or off site;
1978          (iv) is held out as a living environment in which individuals recovering from substance

1979     abuse disorders live together to encourage continued sobriety; or
1980          (v) (A) receives public funding; or
1981          (B) is run as a business venture, either for-profit or not-for-profit.
1982          (b) "Recovery residence" does not mean:
1983          (i) a residential treatment program;
1984          (ii) residential support program; or
1985          (iii) a home, residence, or facility, in which:
1986          (A) residents, by a majority vote of the residents, establish, implement, and enforce
1987     policies governing the living environment, including the manner in which applications for
1988     residence are approved and the manner in which residents are expelled;
1989          (B) residents equitably share rent and housing-related expenses; and
1990          (C) a landlord, owner, or operator does not receive compensation, other than fair
1991     market rental income, for establishing, implementing, or enforcing policies governing the
1992     living environment.
1993          [(37)] (38) "Regular business hours" means:
1994          (a) the hours during which services of any kind are provided to a client; or
1995          (b) the hours during which a client is present at the facility of a licensee.
1996          [(38)] (39) (a) "Residential support program" means a program that arranges for or
1997     provides the necessities of life as a protective service to individuals or families who have a
1998     disability or who are experiencing a dislocation or emergency that prevents them from
1999     providing these services for themselves or their families.
2000          (b) "Residential support program" includes a program that provides a supervised living
2001     environment for individuals with dysfunctions or impairments that are:
2002          (i) emotional;
2003          (ii) psychological;
2004          (iii) developmental; or
2005          (iv) behavioral.
2006          (c) Treatment is not a necessary component of a residential support program.
2007          (d) "Residential support program" does not include:
2008          (i) a recovery residence; or
2009          (ii) a program that provides residential services that are performed:

2010          (A) exclusively under contract with the department and provided to individuals through
2011     the Division of Services for People with Disabilities; or
2012          (B) in a facility that serves fewer than four individuals.
2013          [(39)] (40) (a) "Residential treatment" means a 24-hour group living environment for
2014     four or more individuals unrelated to the owner or provider that offers room or board and
2015     specialized treatment, behavior modification, rehabilitation, discipline, emotional growth, or
2016     habilitation services for persons with emotional, psychological, developmental, or behavioral
2017     dysfunctions, impairments, or chemical dependencies.
2018          (b) "Residential treatment" does not include a:
2019          (i) boarding school;
2020          (ii) foster home; or
2021          (iii) recovery residence.
2022          [(40)] (41) "Residential treatment program" means a program or facility that provides:
2023          (a) residential treatment; or
2024          (b) intermediate secure treatment.
2025          [(41)] (42) "Seclusion" means the involuntary confinement of an individual in a room
2026     or an area:
2027          (a) away from the individual's peers; and
2028          (b) in a manner that physically prevents the individual from leaving the room or area.
2029          [(42)] (43) "Social detoxification" means short-term residential services for persons
2030     who are experiencing or have recently experienced drug or alcohol intoxication, that are
2031     provided outside of a health care facility licensed under Part 2, Health Care Facility Licensing
2032     and Inspection, and that include:
2033          (a) room and board for persons who are unrelated to the owner or manager of the
2034     facility;
2035          (b) specialized rehabilitation to acquire sobriety; and
2036          (c) aftercare services.
2037          [(43)] (44) "Substance abuse disorder" or "substance use disorder" mean the same as
2038     "substance use disorder" is defined in Section 26B-5-501.
2039          [(44)] (45) "Substance abuse treatment program" or "substance use disorder treatment
2040     program" means a program:

2041          (a) designed to provide:
2042          (i) specialized drug or alcohol treatment;
2043          (ii) rehabilitation; or
2044          (iii) habilitation services; and
2045          (b) that provides the treatment or services described in Subsection [(44)(a)] (45)(a) to
2046     persons with:
2047          (i) a diagnosed substance use disorder; or
2048          (ii) chemical dependency disorder.
2049          [(45)] (46) "Therapeutic school" means a residential group living facility:
2050          (a) for four or more individuals that are not related to:
2051          (i) the owner of the facility; or
2052          (ii) the primary service provider of the facility;
2053          (b) that serves students who have a history of failing to function:
2054          (i) at home;
2055          (ii) in a public school; or
2056          (iii) in a nonresidential private school; and
2057          (c) that offers:
2058          (i) room and board; and
2059          (ii) an academic education integrated with:
2060          (A) specialized structure and supervision; or
2061          (B) services or treatment related to:
2062          (I) a disability;
2063          (II) emotional development;
2064          (III) behavioral development;
2065          (IV) familial development; or
2066          (V) social development.
2067          [(46)] (47) "Unrelated persons" means persons other than parents, legal guardians,
2068     grandparents, brothers, sisters, uncles, or aunts.
2069          [(47)] (48) "Vulnerable adult" means an elder adult or an adult who has a temporary or
2070     permanent mental or physical impairment that substantially affects the person's ability to:
2071          (a) provide personal protection;

2072          (b) provide necessities such as food, shelter, clothing, or mental or other health care;
2073          (c) obtain services necessary for health, safety, or welfare;
2074          (d) carry out the activities of daily living;
2075          (e) manage the adult's own resources; or
2076          (f) comprehend the nature and consequences of remaining in a situation of abuse,
2077     neglect, or exploitation.
2078          [(48)] (49) (a) "Youth program" means a program designed to provide behavioral,
2079     substance use, or mental health services to minors that:
2080          (i) serves adjudicated or nonadjudicated youth;
2081          (ii) charges a fee for the program's services;
2082          (iii) may provide host homes or other arrangements for overnight accommodation of
2083     the youth;
2084          (iv) may provide all or part of the program's services in the outdoors;
2085          (v) may limit or censor access to parents or guardians; and
2086          (vi) prohibits or restricts a minor's ability to leave the program at any time of the
2087     minor's own free will.
2088          (b) "Youth program" does not include recreational programs such as Boy Scouts, Girl
2089     Scouts, 4-H, and other such organizations.
2090          [(49)] (50) (a) "Youth transportation company" means any person that transports a
2091     child for payment to or from a congregate care program in Utah.
2092          (b) "Youth transportation company" does not include:
2093          (i) a relative of the child;
2094          (ii) a state agency; or
2095          (iii) a congregate care program's employee who transports the child from the
2096     congregate care program that employs the employee and returns the child to the same
2097     congregate care program.
2098          Section 23. Section 26B-2-103 is amended to read:
2099          26B-2-103. Division of Licensing and Background Checks.
2100          (1) There is created the [Office of Licensing] Division of Licensing and Background
2101     Checks within the department.
2102          (2) The [office] division shall be the licensing and background screening authority for

2103     the department, and is vested with all the powers, duties, and responsibilities described in:
2104          (a) this part;
2105          (b) Part 2, Health Care Facility Licensing and Inspection; [and]
2106          (c) Part 4, Child Care Licensing; and
2107          [(c)] (d) Part 6, Mammography Quality Assurance.
2108          (3) The executive director shall appoint the director of the [office] division.
2109          (4) There are created within the division the Office of Licensing and the Office of
2110     Background Processing.
2111          [(4) The director shall have a bachelor's degree from an accredited university or
2112     college, be experienced in administration, and be knowledgeable of health and human services
2113     licensing.]
2114          Section 24. Section 26B-2-104 is amended to read:
2115          26B-2-104. Division responsibilities.
2116          (1) Subject to the requirements of federal and state law, the office shall:
2117          (a) make rules in accordance with Title 63G, Chapter 3, Utah Administrative
2118     Rulemaking Act, to establish:
2119          (i) except as provided in Subsection (1)(a)(ii), basic health and safety standards for
2120     licensees, that shall be limited to:
2121          (A) fire safety;
2122          (B) food safety;
2123          (C) sanitation;
2124          (D) infectious disease control;
2125          (E) safety of the:
2126          (I) physical facility and grounds; and
2127          (II) area and community surrounding the physical facility;
2128          (F) transportation safety;
2129          (G) emergency preparedness and response;
2130          (H) the administration of medical standards and procedures, consistent with the related
2131     provisions of this title;
2132          (I) staff and client safety and protection;
2133          (J) the administration and maintenance of client and service records;

2134          (K) staff qualifications and training, including standards for permitting experience to
2135     be substituted for education, unless prohibited by law;
2136          (L) staff to client ratios;
2137          (M) access to firearms; and
2138          (N) the prevention of abuse, neglect, exploitation, harm, mistreatment, or fraud;
2139          (ii) basic health and safety standards for therapeutic schools, that shall be limited to:
2140          (A) fire safety, except that the standards are limited to those required by law or rule
2141     under Title 53, Chapter 7, Part 2, Fire Prevention and Fireworks Act;
2142          (B) food safety;
2143          (C) sanitation;
2144          (D) infectious disease control, except that the standards are limited to:
2145          (I) those required by law or rule under this title, or Title 26A, Local Health Authorities;
2146     and
2147          (II) requiring a separate room for clients who are sick;
2148          (E) safety of the physical facility and grounds, except that the standards are limited to
2149     those required by law or rule under Title 53, Chapter 7, Part 2, Fire Prevention and Fireworks
2150     Act;
2151          (F) transportation safety;
2152          (G) emergency preparedness and response;
2153          (H) access to appropriate medical care, including:
2154          (I) subject to the requirements of law, designation of a person who is authorized to
2155     dispense medication; and
2156          (II) storing, tracking, and securing medication;
2157          (I) staff and client safety and protection that permits the school to provide for the direct
2158     supervision of clients at all times;
2159          (J) the administration and maintenance of client and service records;
2160          (K) staff qualifications and training, including standards for permitting experience to
2161     be substituted for education, unless prohibited by law;
2162          (L) staff to client ratios;
2163          (M) access to firearms; and
2164          (N) the prevention of abuse, neglect, exploitation, harm, mistreatment, or fraud;

2165          (iii) procedures and standards for permitting a licensee to:
2166          (A) provide in the same facility and under the same conditions as children, residential
2167     treatment services to a person 18 years old or older who:
2168          (I) begins to reside at the licensee's residential treatment facility before the person's
2169     18th birthday;
2170          (II) has resided at the licensee's residential treatment facility continuously since the
2171     time described in Subsection (1)(a)(iii)(A)(I);
2172          (III) has not completed the course of treatment for which the person began residing at
2173     the licensee's residential treatment facility; and
2174          (IV) voluntarily consents to complete the course of treatment described in Subsection
2175     (1)(a)(iii)(A)(III); or
2176          (B) (I) provide residential treatment services to a child who is:
2177          (Aa) at least 12 years old or, as approved by the office, younger than 12 years old; and
2178          (Bb) under the custody of the department, or one of its divisions; and
2179          (II) provide, in the same facility as a child described in Subsection (1)(a)(iii)(B)(I),
2180     residential treatment services to a person who is:
2181          (Aa) at least 18 years old, but younger than 21 years old; and
2182          (Bb) under the custody of the department, or one of its divisions;
2183          (iv) minimum administration and financial requirements for licensees;
2184          (v) guidelines for variances from rules established under this Subsection (1);
2185          (vi) ethical standards, as described in Subsection 78B-6-106(3), and minimum
2186     responsibilities of a child-placing agency that provides adoption services and that is licensed
2187     under this part;
2188          (vii) what constitutes an "outpatient treatment program" for purposes of this part;
2189          (viii) a procedure requiring a licensee to provide an insurer the licensee's records
2190     related to any services or supplies billed to the insurer, and a procedure allowing the licensee
2191     and the insurer to contact the Insurance Department to resolve any disputes;
2192          (ix) a protocol for the office to investigate and process complaints about licensees;
2193          (x) a procedure for a licensee to:
2194          (A) report the use of a restraint or seclusion within one business day after the day on
2195     which the use of the restraint or seclusion occurs; and

2196          (B) report a critical incident within one business day after the day on which the
2197     incident occurs;
2198          (xi) guidelines for the policies and procedures described in Sections 26B-2-109 and
2199     26B-2-123;
2200          (xii) a procedure for the office to review and approve the policies and procedures
2201     described in Sections 26B-2-109 and 26B-2-123; and
2202          (xiii) a requirement that each human services program publicly post information that
2203     informs an individual how to submit a complaint about a human services program to the office;
2204          (b) enforce rules relating to the office;
2205          (c) issue licenses in accordance with this part;
2206          (d) if the United States Department of State executes an agreement with the office that
2207     designates the office to act as an accrediting entity in accordance with the Intercountry
2208     Adoption Act of 2000, Pub. L. No. 106-279, accredit one or more agencies and persons to
2209     provide intercountry adoption services pursuant to:
2210          (i) the Intercountry Adoption Act of 2000, Pub. L. No. 106-279; and
2211          (ii) the implementing regulations for the Intercountry Adoption Act of 2000, Pub. L.
2212     No. 106-279;
2213          (e) make rules to implement the provisions of Subsection (1)(d);
2214          (f) conduct surveys and inspections of licensees and facilities in accordance with
2215     Section 26B-2-107;
2216          (g) collect licensure fees;
2217          (h) notify licensees of the name of a person within the department to contact when
2218     filing a complaint;
2219          (i) investigate complaints regarding any licensee or human services program;
2220          (j) have access to all records, correspondence, and financial data required to be
2221     maintained by a licensee;
2222          (k) have authority to interview any client, family member of a client, employee, or
2223     officer of a licensee;
2224          (l) have authority to deny, condition, revoke, suspend, or extend any license issued by
2225     the department under this part by following the procedures and requirements of Title 63G,
2226     Chapter 4, Administrative Procedures Act;

2227          (m) electronically post notices of agency action issued to a human services program,
2228     with the exception of a foster home, on the office's website, in accordance with Title 63G,
2229     Chapter 2, Government Records Access and Management Act; and
2230          (n) upon receiving a local government's request under Section 26B-2-118, notify the
2231     local government of new human services program license applications, except for foster
2232     homes, for human services programs located within the local government's jurisdiction.
2233          (2) In establishing rules under Subsection (1)(a)(ii)(G), the office shall require a
2234     licensee to establish and comply with an emergency response plan that requires clients and staff
2235     to:
2236          (a) immediately report to law enforcement any significant criminal activity, as defined
2237     by rule, committed:
2238          (i) on the premises where the licensee operates its human services program;
2239          (ii) by or against its clients; or
2240          (iii) by or against a staff member while the staff member is on duty;
2241          (b) immediately report to emergency medical services any medical emergency, as
2242     defined by rule:
2243          (i) on the premises where the licensee operates its human services program;
2244          (ii) involving its clients; or
2245          (iii) involving a staff member while the staff member is on duty; and
2246          (c) immediately report other emergencies that occur on the premises where the licensee
2247     operates its human services program to the appropriate emergency services agency.
2248          Section 25. Section 26B-2-120 is amended to read:
2249          26B-2-120. Background check -- Direct access to children or vulnerable adults.
2250          (1) As used in this section:
2251          (a) (i) "Applicant" means[, notwithstanding Section 26B-2-101] an individual who is
2252     associated with a certification, contract, or licensee with the department under this part and has
2253     direct access, including:
2254          (A) [an individual who applies for an initial license or certification or a license or
2255     certification renewal under this part] an adoptive parent or prospective adoptive parent,
2256     including an applicant for an adoption in accordance with Section 78B-6-128;
2257          (B) [an individual who is associated with a licensee and has or will likely have direct

2258     access to a child or a vulnerable adult] a foster parent or prospective foster parent;
2259          (C) an individual who provides respite care to a foster parent or an adoptive parent on
2260     more than one occasion;
2261          [(D) a department contractor;]
2262          [(E)] (D) an individual who transports a child for a youth transportation company;
2263          [(F)] (E) an individual who provides certified peer support, as defined in Section
2264     26B-5-610;
2265          (F) an individual who provides peer support, has a disability or a family member with a
2266     disability; or is in recovery from a mental illness or a substance use disorder;
2267          (G) an individual who has lived experience with the services provided by the
2268     department, and uses that lived experience to provide support, guidance, or services to promote
2269     resiliency and recovery;
2270          (H) an individual who is identified as a mental health professional, licensed under Title
2271     58, Chapter 60, Mental Health Professional Practice Act, and engaged in the practice of mental
2272     health therapy, as defined in Section 58-60-102;
2273          (I) [a guardian submitting an application on behalf of an individual, other than the child
2274     or vulnerable adult who is receiving the service, if the individual] an individual, other than the
2275     child or vulnerable adult receiving the service, who is 12 years old or older and resides in a
2276     home, that is licensed or certified by the [office] division; or
2277          [(G) a guardian submitting an application on behalf of an individual, other than the
2278     child or vulnerable adult who is receiving the service, if the individual is 12 years old or older
2279     and is a person described in Subsection (1)(a)(i)(A), (B), (C), or (D)]
2280          (J) an individual who is 12 years old or older and is associated with a certification,
2281     contract, or licensee with the department under this part and has or will likely have direct
2282     access.
2283          (ii) "Applicant" does not include:
2284          (A) an individual who is in the custody of the Division of Child and Family Services or
2285     the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services;
2286     [or]
2287          (B) an individual who applies for employment with, or is employed by, the Department
2288     of Health and Human Services[.];

2289          (C) a parent of a person receiving services from the Division of Services for People
2290     with Disabilities, if the parent provides direct care to and resides with the person, including if
2291     the parent provides direct care to and resides with the person pursuant to a court order; or
2292          (D) an individual or a department contractor who provides services in an adults only
2293     substance use disorder program, as defined by rule adopted by the Department of Health and
2294     Human Services in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking
2295     Act, and who is not a program director or a member, as defined by Section 26B-2-105, of the
2296     program.
2297          (b) "Application" means a background [screening] check application to the office.
2298          (c) "Bureau" means the Bureau of Criminal Identification within the Department of
2299     Public Safety, created in Section 53-10-201.
2300          [(d) "Certified peer support specialist" means the same as that term is defined in
2301     Section 26B-5-610.]
2302          [(e)] (d) "Criminal finding" means a record of:
2303          (i) an arrest [or] for a criminal offense;
2304          (ii) a warrant for [an] a criminal arrest;
2305          [(ii)] (iii) charges for a criminal offense; or
2306          [(iii)] (iv) a criminal conviction.
2307          [(f)] (e) "Direct access" means that an individual has, or likely will have:
2308          (i) contact with or access to a child or vulnerable adult by which the individual will
2309     have the opportunity for personal communication or touch with the child or vulnerable adult; or
2310          (ii) an opportunity to view medical, financial, or other confidential personal identifying
2311     information of the child, the child's parent or legal guardian, or the vulnerable adult.
2312          (f) (i) "Direct access qualified" means that the applicant has an eligible determination
2313     by the office within the license and renewal time period; and
2314          (ii) no more than 180 days have passed since the date on which the applicant's
2315     association with a certification, contract, or licensee with the department ends.
2316          (g) "Incidental care" means occasional care, not in excess of five hours per week and
2317     never overnight, for a foster child.
2318          (h) "Licensee" means an individual or a human services program licensed by the
2319     division.

2320          [(g) "Mental health professional" means an individual who:]
2321          [(i) is licensed under Title 58, Chapter 60, Mental Health Professional Practice Act;
2322     and]
2323          [(ii) engaged in the practice of mental health therapy.]
2324          [(h)] (i) "Non-criminal finding" means a record maintained in:
2325          (i) the Division of Child and Family Services' Management Information System
2326     described in Section 80-2-1001;
2327          (ii) the Division of Child and Family Services' Licensing Information System described
2328     in Section 80-2-1002;
2329          (iii) the Division of Aging and Adult Services' vulnerable adult abuse, neglect, or
2330     exploitation database described in Section 26B-6-210;
2331          (iv) juvenile court arrest, adjudication, and disposition records;
2332          [(iv)] (v) the Sex and Kidnap Offender Registry described in Title 77, Chapter 41, Sex
2333     and Kidnap Offender Registry, or a national sex offender registry; or
2334          [(v)] (vi) a state child abuse or neglect registry.
2335          (j) "Office" means the Office of Background Processing within the department.
2336          [(i) (i) "Peer support specialist" means an individual who:]
2337          [(A) has a disability or a family member with a disability, or is in recovery from a
2338     mental illness or a substance use disorder; and]
2339          [(B) uses personal experience to provide support, guidance, or services to promote
2340     resiliency and recovery.]
2341          [(ii) "Peer support specialist" includes a certified peer support specialist.]
2342          [(iii) "Peer support specialist" does not include a mental health professional.]
2343          [(j)] (k) "Personal identifying information" means:
2344          (i) current name, former names, nicknames, and aliases;
2345          (ii) date of birth;
2346          (iii) physical address and email address;
2347          (iv) telephone number;
2348          (v) driver license or other government-issued identification;
2349          (vi) social security number;
2350          (vii) only for applicants who are 18 years old or older, fingerprints, in a form specified

2351     by the office; and
2352          (viii) other information specified by the office by rule made in accordance with Title
2353     63G, Chapter 3, Utah Administrative Rulemaking Act.
2354          [(k) "Practice of mental health therapy" means the same as that term is defined in
2355     Section 58-60-102.]
2356          (2) Except as provided in Subsection (12), an applicant or a representative shall submit
2357     the following to the office:
2358          (a) personal identifying information;
2359          (b) a fee established by the office under Section 63J-1-504; [and]
2360          (c) a disclosure form, specified by the office, for consent for:
2361          (i) an initial background check upon [submission of the information described in this
2362     Subsection (2)] association with a certification, contract, or licensee with the department;
2363          (ii) ongoing monitoring of fingerprints and registries until no longer [associated with a
2364     licensee for 90 days] associated with a certification, contract, or licensee with the department
2365     for 180 days;
2366          (iii) a background check when the office determines that reasonable cause exists; and
2367          (iv) retention of personal identifying information, including fingerprints, for
2368     monitoring and notification as described in Subsections [(3)(d)] (3)(c) and (4); [and]
2369          (d) if an applicant resided outside of the United States and its territories during the five
2370     years immediately preceding the day on which the information described in Subsections (2)(a)
2371     through (c) is submitted to the office, documentation establishing whether the applicant was
2372     convicted of a crime during the time that the applicant resided outside of the United States or
2373     its territories[.]; and
2374          (e) an application showing an applicant's association with a certification, contract, or a
2375     licensee with the department, for the purpose of the office tracking the direct access qualified
2376     status of the applicant, which expires 180 days after the date on which the applicant is no
2377     longer associated with a certification, contract, or a licensee with the department.
2378          (3) The office:
2379          (a) shall perform the following duties as part of a background check of an applicant
2380     before the office grants or denies direct access qualified status to an applicant:
2381          (i) check state and regional criminal background databases for the applicant's criminal

2382     history by:
2383          (A) submitting personal identifying information to the bureau for a search; or
2384          (B) using the applicant's personal identifying information to search state and regional
2385     criminal background databases as authorized under Section 53-10-108;
2386          (ii) submit the applicant's personal identifying information and fingerprints to the
2387     bureau for a criminal history search of applicable national criminal background databases;
2388          (iii) search the Division of Child and Family Services' Licensing Information System
2389     described in Section 80-2-1002;
2390          (iv) search the Sex and Kidnap Offender Registry described in Title 77, Chapter 41,
2391     Sex and Kidnap Offender Registry, or a national sex offender registry for an applicant 18 years
2392     old or older;
2393          [(iv)] (v) if the applicant is [applying to become] associated with a licensee for a
2394     prospective foster or adoptive parent, search the Division of Child and Family Services'
2395     Management Information System described in Section 80-2-1001 [for:];
2396          [(A) the applicant; and]
2397          [(B) any adult living in the applicant's home;]
2398          [(v) for an applicant described in Subsection (1)(a)(i)(F), search the Division of Child
2399     and Family Services' Management Information System described in Section 80-2-1001;]
2400          (vi) search the Division of Aging and Adult Services' vulnerable adult abuse, neglect,
2401     or exploitation database described in Section 26B-6-210;
2402          (vii) search the juvenile court records for substantiated findings of severe child abuse
2403     or neglect described in Section 80-3-404; and
2404          (viii) search the juvenile court arrest, adjudication, and disposition records, as provided
2405     under Section 78A-6-209;
2406          [(b) shall conduct a background check of an applicant for an initial background check
2407     upon submission of the information described in Subsection (2);]
2408          [(c)] (b) may conduct all or portions of a background check [of an applicant] in
2409     connection with determining whether an applicant is direct access qualified, as provided by
2410     rule, made by the office in accordance with Title 63G, Chapter 3, Utah Administrative
2411     Rulemaking Act:
2412          (i) for an annual renewal; or

2413          (ii) when the office determines that reasonable cause exists;
2414          [(d)] (c) may submit an applicant's personal identifying information, including
2415     fingerprints, to the bureau for checking, retaining, and monitoring of state and national criminal
2416     background databases and for notifying the office of new criminal activity associated with the
2417     applicant;
2418          [(e)] (d) shall track the status of an applicant under this section to ensure that the
2419     applicant is not required to duplicate the submission of the applicant's fingerprints if the
2420     applicant [applies for:] is associated with more than one certification, contract, or licensee with
2421     the department;
2422          [(i) more than one license;]
2423          [(ii) direct access to a child or a vulnerable adult in more than one human services
2424     program; or]
2425          [(iii) direct access to a child or a vulnerable adult under a contract with the
2426     department;]
2427          [(f)] (e) [shall track the status of each individual with direct access to a child or a
2428     vulnerable adult and notify the bureau within 90 days after the day on which the license expires
2429     or the individual's direct access to a child or a vulnerable adult ceases] shall notify the bureau
2430     when a direct access qualified individual has not been associated with a certification, contract,
2431     or licensee with the department for a period of 180 days;
2432          [(g)] (f) shall adopt measures to strictly limit access to personal identifying information
2433     solely to the individuals responsible for processing and entering the applications for
2434     background checks and to protect the security of the personal identifying information the office
2435     reviews under this Subsection (3);
2436          [(h)] (g) as necessary to comply with the federal requirement to check a state's child
2437     abuse and neglect registry regarding any [individual] applicant working in a congregate care
2438     program, shall:
2439          (i) search the Division of Child and Family Services' Licensing Information System
2440     described in Section 80-2-1002; and
2441          (ii) require the child abuse and neglect registry be checked in each state where an
2442     applicant resided at any time during the five years immediately preceding the day on which the
2443     [applicant submits the information described in Subsection (2)] application is submitted to the

2444     office; and
2445          [(i)] (h) shall make rules, in accordance with Title 63G, Chapter 3, Utah
2446     Administrative Rulemaking Act, to implement the provisions of this Subsection (3) relating to
2447     background checks.
2448          (4) (a) With the personal identifying information the office submits to the bureau under
2449     Subsection (3), the bureau shall check against state and regional criminal background databases
2450     for the applicant's criminal history.
2451          (b) With the personal identifying information and fingerprints the office submits to the
2452     bureau under Subsection (3), the bureau shall check against national criminal background
2453     databases for the applicant's criminal history.
2454          (c) Upon direction from the office, and with the personal identifying information and
2455     fingerprints the office submits to the bureau under Subsection [(3)(d)] (3)(c), the bureau shall:
2456          (i) maintain a separate file of the fingerprints for search by future submissions to the
2457     local and regional criminal records databases, including latent prints; and
2458          (ii) monitor state and regional criminal background databases and identify criminal
2459     activity associated with the applicant.
2460          (d) The bureau is authorized to submit the fingerprints to the Federal Bureau of
2461     Investigation Next Generation Identification System, to be retained in the Federal Bureau of
2462     Investigation Next Generation Identification System for the purpose of:
2463          (i) being searched by future submissions to the national criminal records databases,
2464     including the Federal Bureau of Investigation Next Generation Identification System and latent
2465     prints; and
2466          (ii) monitoring national criminal background databases and identifying criminal
2467     activity associated with the applicant.
2468          (e) The Bureau shall notify and release to the office all information of criminal activity
2469     associated with the applicant.
2470          (f) Upon notice that [an individual's direct access to a child or a vulnerable adult has
2471     ceased for 90 days] an individual who has direct access qualified status will no longer be
2472     associated with a certification, contract, or licensee with the department, the bureau shall:
2473          (i) discard and destroy any retained fingerprints; and
2474          (ii) notify the Federal Bureau of Investigation when the license has expired or an

2475     individual's direct access to a child or a vulnerable adult has ceased, so that the Federal Bureau
2476     of Investigation will discard and destroy the retained fingerprints from the Federal Bureau of
2477     Investigation Next Generation Identification System.
2478          (5) (a) Except as provided in Subsection (5)(b), [after conducting the background
2479     check described in Subsections (3) and (4),] the office shall deny [an application to an
2480     applicant who, within three years before the day on which the applicant submits information to
2481     the office under Subsection (2) for a background check, has been convicted of] direct access
2482     qualified status to an applicant who, within three years from the date on which the office
2483     conducts the background check, was convicted of:
2484          (i) a felony or misdemeanor involving conduct that constitutes any of the following:
2485          (A) an offense identified as domestic violence, lewdness, voyeurism, battery, cruelty to
2486     animals, or bestiality;
2487          (B) a violation of any pornography law, including sexual exploitation of a minor or
2488     aggravated sexual exploitation of a minor;
2489          (C) sexual solicitation or prostitution;
2490          [(D) an offense included in Title 76, Chapter 5, Offenses Against the Individual, Title
2491     76, Chapter 5b, Sexual Exploitation Act, Title 76, Chapter 4, Part 4, Enticement of a Minor, or
2492     Title 76, Chapter 7, Offenses Against the Family;]
2493          (D) a violent offense committed in the presence of a child, as described in Section
2494     76-3-203.10;
2495          (E) an offense included in Title 76, Chapter 4, Part 4, Enticement of a Minor;
2496          (F) an offense included in Title 76, Chapter 5, Offenses Against the Individual;
2497          (G) an offense included in Title 76, Chapter 5b, Sexual Exploitation Act;
2498          (H) an offense included in Title 76, Chapter 7, Offenses Against the Family;
2499          (I) an offense included in Title 76, Chapter 9, Part 4, Offenses Against Privacy;
2500          (J) an offense included in Title 76, Chapter 10, Part 4, Weapons of Mass Destruction;
2501          (K) an offense included in Title 78B, Chapter 7, Protective Orders and Stalking
2502     Injunctions;
2503          [(E)] (L) aggravated arson, as described in Section 76-6-103;
2504          [(F)] (M) aggravated burglary, as described in Section 76-6-203;
2505          (N) aggravated exploitation of prostitution, as described in Section 76-10-1306;

2506          [(G)] (O) aggravated robbery, as described in Section 76-6-302;
2507          (P) endangering persons in a human services program, as described in Section
2508     26B-2-113;
2509          (Q) failure to report, as described in Section 80-2-609;
2510          [(H)] (R) identity fraud crime, as described in Section 76-6-1102;
2511          (S) leaving a child unattended in a motor vehicle, as described in Section 76-10-2202;
2512          (T) riot, as described in Section 76-9-101;
2513          [(I)] (U) sexual battery, as described in Section 76-9-702.1; or
2514          (V) threatening with or using a dangerous weapon in a fight or quarrel, as described in
2515     Section 76-10-506; or
2516          [(J) a violent offense committed in the presence of a child, as described in Section
2517     76-3-203.10; or]
2518          (ii) a felony or misdemeanor offense committed outside of the state that, if committed
2519     in the state, would constitute a violation of an offense described in Subsection (5)(a)(i).
2520          (b) (i) Subsection (5)(a) does not apply to an applicant who is seeking a position as a
2521     peer support provider[,] or a mental health professional, [or in a] if the applicant provides
2522     services in a program that serves only adults with a primary mental health diagnosis, with or
2523     without a co-occurring substance use disorder.
2524          (ii) The office shall conduct a comprehensive review of an applicant described in
2525     Subsection (5)(b)(i) in accordance with [Subsection (6)] Subsection (12).
2526          (c) The office shall deny direct access qualified status to an applicant if the office finds
2527     that a court order prohibits the applicant from having direct access to a child or vulnerable
2528     adult.
2529          (6) The office shall conduct a comprehensive review of an applicant's background
2530     check if the applicant:
2531          (a) has a felony or class A misdemeanor conviction [for an offense described in
2532     Subsection (5) with a date of conviction that is more than three years before the date on which
2533     the applicant submits the information described in Subsection (2)] that is more than three years
2534     from the date on which the office conducts the background check, for an offense described in
2535     Subsection (5)(a);
2536          (b) has a felony charge or conviction that is no more than 10 years from the date on

2537     which the office conducts the background check for an offense not described in Subsection [(5)
2538     with a date of charge or conviction that is no more than 10 years before the date on which the
2539     applicant submits the application under Subsection (2) and no criminal findings or
2540     non-criminal findings after the date of conviction] (5)(a);
2541          (c) has a felony charge or conviction that is more than 10 years from the date on which
2542     the office conducts the background check, for an offense not described in Subsection (5)(a),
2543     with criminal or non-criminal findings after the date of the felony charge or conviction;
2544          [(c)] (d) has a class B misdemeanor or class C misdemeanor conviction [for an offense
2545     described in Subsection (5) with a date of conviction that is more than three years after, and no
2546     more than 10 years before, the date on which the applicant submits the information described
2547     in Subsection (2) and no criminal findings or non-criminal findings after the date of conviction]
2548     that is more than three years and no more than 10 years from the date on which the office
2549     conducts the background check for an offense described in Subsection (5)(a);
2550          (e) has a class B misdemeanor or class C misdemeanor conviction that is more than 10
2551     years from the date on which the office conducts the background check, for an offense
2552     described in Subsection (5)(a), with criminal or non-criminal findings after the date of
2553     conviction;
2554          [(d)] (f) has a misdemeanor charge or conviction that is no more than three years from
2555     the date on which the office conducts the background check for an offense not described in
2556     Subsection [(5) with a date of conviction that is no more than three years before the date on
2557     which the applicant submits information described in Subsection (2) and no criminal findings
2558     or non-criminal findings after the date of conviction] (5)(a);
2559          (g) has a misdemeanor charge or conviction that is more than three years from the date
2560     on which the office conducts the background check, for an offense not described in Subsection
2561     (5)(a), with criminal or non-criminal findings after the date of charge or conviction;
2562          [(e)] (h) is currently subject to a plea in abeyance or diversion agreement for an offense
2563     described in Subsection [(5)] (5)(a);
2564          [(f)] (i) appears on the Sex and Kidnap Offender Registry described in Title 77,
2565     Chapter 41, Sex and Kidnap Offender Registry, or a national sex offender registry;
2566          [(g)] (j) has a record of an adjudication in juvenile court for an act that, if committed by
2567     an adult, would be a felony or misdemeanor, if the applicant is:

2568          (i) under 28 years old; or
2569          (ii) 28 years old or older and has been convicted of, has pleaded no contest to, or is
2570     currently subject to a plea in abeyance or diversion agreement for a felony or a misdemeanor
2571     offense described in Subsection [(5)] (5)(a);
2572          [(h)] (k) has a pending charge for an offense described in Subsection [(5)] (5)(a);
2573          [(i)] (l) has a listing that occurred no more than 15 years from the date on which the
2574     office conducts the background check in the Division of Child and Family Services' Licensing
2575     Information System described in Section 80-2-1002 [that occurred no more than 15 years
2576     before the date on which the applicant submits the information described in Subsection (2) and
2577     no criminal findings or non-criminal findings dated after the date of the listing];
2578          [(j)] (m) has a listing that occurred more than 15 years from the date on which the
2579     office conducts the background check in the Division of Child and Family Services' Licensing
2580     Information System described in Section 80-2-1002, with criminal or non-criminal findings
2581     after the date of the listing;
2582          (n) has a listing that occurred no more than 15 years from the date on which the office
2583     conducts the background check in the Division of Aging and Adult Services' vulnerable adult
2584     abuse, neglect, or exploitation database described in Section 26B-6-210 [that occurred no more
2585     than 15 years before the date on which the applicant submits the information described in
2586     Subsection (2) and no criminal findings or non-criminal findings dated after the date of the
2587     listing];
2588          (o) has a listing that occurred more than 15 years from the date on which the office
2589     conducts the background check in the Division of Aging and Adult Services' vulnerable adult
2590     abuse, neglect, or exploitation database described in Section 26B-6-210, with criminal or
2591     non-criminal findings after the date of the listing;
2592          [(k)] (p) has a substantiated finding that occurred no more than 15 years from the date
2593     on which the office conducts the background check of severe child abuse or neglect under
2594     Section 80-3-404 or 80-3-504 [that occurred no more than 15 years before the date on which
2595     the applicant submits the information described in Subsection (2) and no criminal findings or
2596     non-criminal findings dated after the date of the finding]; or
2597          (q) has a substantiated finding that occurred more than 15 years from the date on which
2598     the office conducts the background check of severe child abuse or neglect under Section

2599     80-3-404 or 80-3-504, with criminal or non-criminal findings after the date of the listing.
2600          [(l) (i) is seeking a position:]
2601          [(A) as a peer support provider;]
2602          [(B) as a mental health professional; or]
2603          [(C) in a program that serves only adults with a primary mental health diagnosis, with
2604     or without a co-occurring substance use disorder; and]
2605          [(ii) within three years before the day on which the applicant submits the information
2606     described in Subsection (2):]
2607          [(A) has a felony or misdemeanor charge or conviction;]
2608          [(B) has a listing in the Division of Child and Family Services' Licensing Information
2609     System described in Section 80-2-1002;]
2610          [(C) has a listing in the Division of Aging and Adult Services' vulnerable adult abuse,
2611     neglect, or exploitation database described in Section 26B-6-210; or]
2612          [(D) has a substantiated finding of severe child abuse or neglect under Section
2613     80-3-404 or 80-3-504;]
2614          [(m) (i) (A) is seeking a position in a congregate care program;]
2615          [(B) is seeking to become a prospective foster or adoptive parent; or]
2616          [(C) is an applicant described in Subsection (1)(a)(i)(F); and]
2617          [(ii) (A) has an infraction conviction for conduct that constitutes an offense or violation
2618     described in Subsection (5)(a)(i)(A) or (B);]
2619          [(B) has a listing in the Division of Child and Family Services' Licensing Information
2620     System described in Section 80-2-1002;]
2621          [(C) has a listing in the Division of Aging and Adult Services' vulnerable adult abuse,
2622     neglect, or exploitation database described in Section 26B-6-210;]
2623          [(D) has a substantiated finding of severe child abuse or neglect under Section
2624     80-3-404 or 80-3-504; or]
2625          [(E) has a listing on the registry check described in Subsection (13)(a) as having a
2626     substantiated or supported finding of a severe type of child abuse or neglect as defined in
2627     Section 80-1-102; or]
2628          [(n) is seeking to become a prospective foster or adoptive parent and has, or has an
2629     adult living with the applicant who has, a conviction, finding, or listing described in Subsection

2630     (6)(m)(ii).]
2631          (7) (a) The comprehensive review shall include an examination of:
2632          (i) the date of the offense or incident;
2633          (ii) the nature and seriousness of the offense or incident;
2634          (iii) the circumstances under which the offense or incident occurred;
2635          (iv) the age of the perpetrator when the offense or incident occurred;
2636          (v) whether the offense or incident was an isolated or repeated incident;
2637          (vi) whether the offense or incident directly relates to abuse of a child or vulnerable
2638     adult, including:
2639          (A) actual or threatened, nonaccidental physical, mental, or financial harm;
2640          (B) sexual abuse;
2641          (C) sexual exploitation; or
2642          (D) negligent treatment;
2643          (vii) any evidence provided by the applicant of rehabilitation, counseling, psychiatric
2644     treatment received, or additional academic or vocational schooling completed; and
2645          (viii) the applicant's risk of harm to clientele in the program or in the capacity for
2646     which the applicant is applying[.];
2647          (ix) if the background check of an applicant is being conducted for the purpose of
2648     giving direct access qualified status to an applicant seeking a position in a congregate care
2649     program or to become a prospective foster or adoptive parent, any listing in the Division of
2650     Child and Family Services' Management Information System described in Section 80-2-1001.
2651          (b) At the conclusion of the comprehensive review, the office shall deny [an
2652     application to an applicant if the office finds:] direct access qualified status to an applicant if
2653     the office finds the approval would likely create a risk of harm to a child or vulnerable adult.
2654          [(i) that approval would likely create a risk of harm to a child or a vulnerable adult; or]
2655          [(ii) an individual is prohibited from having direct access to a child or vulnerable adult
2656     by court order.]
2657          (8) The office shall [approve an application] grant direct access qualified status to an
2658     applicant who is not denied under this section.
2659          (9) (a) The office may conditionally [approve an application of] grant direct access
2660     qualified status to an applicant, for a maximum of 60 days after the day on which the office

2661     sends written notice [to the applicant under Subsection (11)], without requiring that the
2662     applicant be directly supervised, if the office:
2663          (i) is awaiting the results of the criminal history search of national criminal background
2664     databases; and
2665          (ii) would otherwise [approve an application of] grant direct access qualified status to
2666     the applicant under this section.
2667          (b) The office may conditionally [approve an application of] grant direct access
2668     qualified status to an applicant, for a maximum of one year after the day on which the office
2669     sends written notice [to the applicant under Subsection (11)], without requiring that the
2670     applicant be directly supervised if the office:
2671          (i) is awaiting the results of an out-of-state registry for providers other than foster and
2672     adoptive parents; and
2673          (ii) would otherwise [approve an application of] grant direct access qualified status to
2674     the applicant under this section.
2675          (c) Upon receiving the results of the criminal history search of a national criminal
2676     background database, the office shall [approve or deny the application of] grant or deny direct
2677     access qualified status to the applicant in accordance with this section.
2678          (10) (a) Each time an applicant is associated with a licensee, the department shall
2679     review the current status of the applicant's background check to ensure the applicant is still
2680     eligible for direct access qualified status in accordance with this section.
2681          [(a)] (b) A licensee [or department contractor] may not permit an individual to have
2682     direct access to a child or a vulnerable adult without being directly supervised unless:
2683          [(i) the individual is associated with the licensee or department contractor and the
2684     department conducts a background screening in accordance with this section;]
2685          [(ii)] (i) the individual is the parent or guardian of the child, or the guardian of the
2686     vulnerable adult;
2687          [(iii)] (ii) the individual is approved by the parent or guardian of the child, or the
2688     guardian of the vulnerable adult, to have direct access to the child or the vulnerable adult;
2689          [(iv)] (iii) the individual is only permitted to have direct access to a vulnerable adult
2690     who voluntarily invites the individual to visit; or
2691          [(v)] (iv) the individual only provides incidental care for a foster child on behalf of a

2692     foster parent who has used reasonable and prudent judgment to select the individual to provide
2693     the incidental care for the foster child.
2694          [(b)] (c) Notwithstanding any other provision of this section, an [individual for whom
2695     the office denies an application may not] applicant who is denied direct access qualified status
2696     shall not have direct access to a child or vulnerable adult unless the office [approves a
2697     subsequent application by the individual] grants direct access qualified status to the applicant
2698     through a subsequent application in accordance with this section.
2699          [(11) (a) Within 30 days after the day on which the applicant submits the information
2700     described in Subsection (2), the office shall notify the applicant of any potentially disqualifying
2701     criminal findings or non-criminal findings.]
2702          [(b) If the notice under Subsection (11)(a) states that the applicant's application is
2703     denied, the notice shall further advise the applicant that the applicant may, under Subsection
2704     26B-2-111(2), request a hearing in the department's Office of Administrative Hearings, to
2705     challenge the office's decision.]
2706          [(c) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
2707     the office shall make rules, consistent with this part:]
2708          [(i) defining procedures for the challenge of the office's background check decision
2709     described in Subsection (11)(b); and]
2710          [(ii) expediting the process for renewal of a license under the requirements of this
2711     section and other applicable sections.]
2712          (11) If the office denies direct access qualified status to an applicant, the applicant may
2713     request a hearing in the department's Office of Administrative Hearings to challenge the
2714     office's decision.
2715          [(12) (a) An individual or a department contractor who provides services in an adults
2716     only substance use disorder program, as defined by rule made in accordance with Title 63G,
2717     Chapter 3, Utah Administrative Rulemaking Act, is exempt from this section]
2718          (12) (a) This Subsection (12) applies to an applicant associated with a certification,
2719     contract, or licensee serving adults only.
2720          [(b) The exemption described in Subsection (12)(a) does not extend to a program
2721     director or a member, as defined by Section 26B-2-105, of the program]
2722          (b) A program director or a member, as defined in Section 26B-2-105, of the licensee

2723     shall comply with this section.
2724          (c) The office shall conduct a comprehensive review for an applicant if:
2725          (i) seeking a position:
2726          (A) as a peer support provider;
2727          (B) mental health professional; or
2728          (C) in a program that serves only adults with a primary mental health diagnosis, with or
2729     without a co-occurring substance use disorder; and
2730          (ii) within three years from the date on which the office conducts the background
2731     check, the applicant has a felony or misdemeanor charge or conviction or a non-criminal
2732     finding.
2733          [(13) (a) Except as provided in Subsection (13)(b), in addition to the other
2734     requirements of this section, if the background check of an applicant is being conducted for the
2735     purpose of giving clearance status to an applicant seeking a position in a congregate care
2736     program or an applicant seeking to become a prospective foster or adoptive parent, the office
2737     shall:]
2738          (13) (a) This Subsection (13) applies to an applicant seeking a position in a congregate
2739     care program, an applicant seeking to provide a prospective foster home, an applicant seeking
2740     to provide a prospective adoptive home, and each adult living in the home of the prospective
2741     foster or prospective adoptive home.
2742          (b) As federally required, the office shall:
2743          (i) check the child abuse and neglect registry in each state where each applicant resided
2744     in the five years immediately preceding the day on which the applicant applied to be a foster or
2745     adoptive parent, to determine whether the prospective foster or adoptive parent is listed in the
2746     registry as having a substantiated or supported finding of child abuse or neglect; and
2747          (ii) except for applicants seeking a position in a congregate care program, check the
2748     child abuse and neglect registry in each state where each adult living in the home of the
2749     [applicant described in Subsection (13)(a)(i)] prospective foster or adoptive home resided in
2750     the five years immediately preceding the day on which the applicant applied to be a foster or
2751     adoptive parent, to determine whether the adult is listed in the registry as having a substantiated
2752     or supported finding of child abuse or neglect.
2753          [(b)] (c) The requirements described in Subsection [(13)(a)] (13)(b) do not apply to the

2754     extent that:
2755          (i) federal law or rule permits otherwise; or
2756          (ii) the requirements would prohibit the Division of Child and Family Services or a
2757     court from placing a child with:
2758          (A) a noncustodial parent under Section 80-2a-301, 80-3-302, or 80-3-303; or
2759          (B) a relative, other than a noncustodial parent, under Section 80-2a-301, 80-3-302, or
2760     80-3-303, pending completion of the background check described in [Subsection (5)]
2761     Subsections (5), (6), and (7).
2762          [(c)] (d) Notwithstanding Subsections (5) through (10), the office shall deny [a
2763     clearance to an applicant seeking a position in a congregate care program or an applicant to
2764     become a prospective foster or adoptive parent if the applicant has been convicted of] direct
2765     access qualified status if the applicant has been convicted of:
2766          (i) a felony involving conduct that constitutes any of the following:
2767          (A) child abuse, as described in Sections 76-5-109, 76-5-109.2, and 76-5-109.3;
2768          (B) commission of domestic violence in the presence of a child, as described in Section
2769     76-5-114;
2770          (C) abuse or neglect of a child with a disability, as described in Section 76-5-110;
2771          (D) intentional aggravated abuse of a vulnerable adult, as described in Section
2772     76-5-111;
2773          [(D)] (E) endangerment of a child or vulnerable adult, as described in Section
2774     76-5-112.5;
2775          [(E)] (F) aggravated murder, as described in Section 76-5-202;
2776          [(F)] (G) murder, as described in Section 76-5-203;
2777          [(G)] (H) manslaughter, as described in Section 76-5-205;
2778          [(H)] (I) child abuse homicide, as described in Section 76-5-208;
2779          [(I)] (J) homicide by assault, as described in Section 76-5-209;
2780          [(J)] (K) kidnapping, as described in Section 76-5-301;
2781          [(K)] (L) child kidnapping, as described in Section 76-5-301.1;
2782          [(L)] (M) aggravated kidnapping, as described in Section 76-5-302;
2783          [(M)] (N) human trafficking of a child, as described in Section 76-5-308.5;
2784          [(N)] (O) an offense described in Title 76, Chapter 5, Part 4, Sexual Offenses;

2785          [(O)] (P) sexual exploitation of a minor, as described in Title 76, Chapter 5b, Sexual
2786     Exploitation Act;
2787          [(P)] (Q) aggravated exploitation of a minor, as described in Section 76-5b-201.1;
2788          [(Q)] (R) aggravated arson, as described in Section 76-6-103;
2789          [(R)] (S) aggravated burglary, as described in Section 76-6-203;
2790          [(S)] (T) aggravated robbery, as described in Section 76-6-302;
2791          [(T)] (U) lewdness involving a child, as described in Section 76-9-702.5;
2792          [(U)] (V) incest, as described in Section 76-7-102; or
2793          [(V)] (W) domestic violence, as described in Section 77-36-1; or
2794          (ii) an offense committed outside the state that, if committed in the state, would
2795     constitute a violation of an offense described in Subsection [(13)(c)(i)] (13)(d)(i).
2796          [(d)] (e) Notwithstanding Subsections (5) through (10), the office shall deny [a license
2797     or license renewal to an individual seeking a position in a congregate care program or a
2798     prospective foster or adoptive parent if, within the five years immediately preceding the day on
2799     which the individual's application or license would otherwise be approved, the individual]
2800     direct access qualified status to an applicant if, within the five years from the date on which the
2801     office conducts the background check, the applicant was convicted of a felony involving
2802     conduct that constitutes a violation of any of the following:
2803          (i) aggravated assault, as described in Section 76-5-103;
2804          (ii) aggravated assault by a prisoner, as described in Section 76-5-103.5;
2805          (iii) mayhem, as described in Section 76-5-105;
2806          (iv) an offense described in Title 58, Chapter 37, Utah Controlled Substances Act;
2807          (v) an offense described in Title 58, Chapter 37a, Utah Drug Paraphernalia Act;
2808          (vi) an offense described in Title 58, Chapter 37b, Imitation Controlled Substances
2809     Act;
2810          (vii) an offense described in Title 58, Chapter 37c, Utah Controlled Substance
2811     Precursor Act; or
2812          (viii) an offense described in Title 58, Chapter 37d, Clandestine Drug Lab Act.
2813          [(e)] (f) In addition to the circumstances described in Subsection (6), the office shall
2814     conduct [the] a comprehensive review of an applicant's background check under this section if
2815     [the registry check described in Subsection (13)(a) indicates that the individual is listed in a

2816     child abuse and neglect registry of another state as having a substantiated or supported finding
2817     of a severe type of child abuse or neglect as defined in Section 80-1-102.] the applicant:
2818          (i) has an offense described in Subsection (5)(a), has an infraction conviction entered
2819     on a date that is no more than three years before the date on which the office conducts the
2820     background check;
2821          (ii) has a listing in the Division of Child and Family Services' Licensing Information
2822     System described in Section 80-2-1002;
2823          (iii) has a listing in the Division of Aging and Adult Services' vulnerable adult, neglect,
2824     or exploitation database described in Section 26B-6-210;
2825          (iv) has a substantiated finding of severe child abuse or neglect under Section 80-3-404
2826     or 80-3-504; or
2827          (v) has a listing on the registry check described in Subsection (13)(b) as having a
2828     substantiated or supported finding of a severe type of child abuse or neglect, as defined in
2829     Section 80-1-102.
2830          [(14)] (g) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking
2831     Act, the office may make rules, consistent with this part, to:
2832          [(a)] (i) establish procedures for, and information to be examined in, the
2833     comprehensive review described in Subsections [(6) and (7)] (6), (7), and (13); and
2834          [(b)] (ii) determine whether to consider an offense or incident that occurred while an
2835     individual was in the custody of the Division of Child and Family Services or the [Division of
2836     Juvenile Justice Services] Division of Juvenile Justice and Youth Services for purposes of
2837     [approval or denial of an application for a prospective foster or adoptive parent] granting or
2838     denying direct access qualified status to an applicant.
2839          Section 26. Section 26B-2-122 is amended to read:
2840          26B-2-122. Access to vulnerable adult abuse and neglect information.
2841          (1) For purposes of this section:
2842          (a) "Direct service worker" means the same as that term is defined in Section
2843     26B-6-401.
2844          (b) "Personal care attendant" means the same as that term is defined in Section
2845     26B-6-401.
2846          (2) With respect to a licensee, a direct service worker, or a personal care attendant, the

2847     department may access the database created by Section 26B-6-210 for the purpose of:
2848          (a) (i) determining whether a person associated with a licensee, with direct access to
2849     vulnerable adults, has a supported or substantiated finding of:
2850          (A) abuse;
2851          (B) neglect; or
2852          (C) exploitation; and
2853          (ii) informing a licensee that a person associated with the licensee has a supported or
2854     substantiated finding of:
2855          (A) abuse;
2856          (B) neglect; or
2857          (C) exploitation;
2858          (b) (i) determining whether a direct service worker has a supported or substantiated
2859     finding of:
2860          (A) abuse;
2861          (B) neglect; or
2862          (C) exploitation; and
2863          (ii) informing a direct service worker or the direct service worker's employer that the
2864     direct service worker has a supported or substantiated finding of:
2865          (A) abuse;
2866          (B) neglect; or
2867          (C) exploitation; or
2868          (c) (i) determining whether a personal care attendant has a supported or substantiated
2869     finding of:
2870          (A) abuse;
2871          (B) neglect; or
2872          (C) exploitation; and
2873          (ii) informing a person described in Subsections 26B-6-401(9)(a)(i) through (iv) that a
2874     personal care attendant has a supported or substantiated finding of:
2875          (A) abuse;
2876          (B) neglect; or
2877          (C) exploitation.

2878          (3) The department shall receive and process personal identifying information under
2879     Subsection [26B-2-120(1)] 26B-2-120(2) for the purposes described in Subsection (2).
2880          (4) The department shall adopt rules under Title 63G, Chapter 3, Utah Administrative
2881     Rulemaking Act, consistent with this part and Chapter 6, Part 2, Abuse, Neglect, or
2882     Exploitation of a Vulnerable Adult, defining the circumstances under which a person may have
2883     direct access or provide services to vulnerable adults when the person is listed in the statewide
2884     database of the Division of Aging and Adult Services created by Section 26B-6-210 as having
2885     a supported or substantiated finding of abuse, neglect, or exploitation.
2886          Section 27. Section 26B-2-128 is amended to read:
2887          26B-2-128. Numerical limit of foster children in a foster home.
2888          [(1) Except as provided in Subsection (2) or (3), no more than:]
2889          [(a) four foster children may reside in the foster home of a licensed foster parent; or]
2890          [(b) three foster children may reside in the foster home of a certified foster parent.]
2891          (1) (a) No more than four foster children may reside in the foster home of a licensed
2892     foster parent.
2893          (b) No more than three foster children may reside in the foster home of a certified
2894     foster parent.
2895          [(2) When placing a sibling group into a foster home, the limits in Subsection (1) may
2896     be exceeded if:]
2897          [(a) no other foster children reside in the foster home;]
2898          [(b) only one other foster child resides in the foster home at the time of a sibling
2899     group's placement into the foster home; or]
2900          [(c) a sibling group re-enters foster care and is placed into the foster home where the
2901     sibling group previously resided.]
2902          [(3)] (2) When placing a child into a foster home, the limits [in] under Subsection (1)
2903     may be exceeded:
2904          (a) to place a child into a foster home where a sibling of the child currently resides; or
2905          (b) to place a child in a foster home where the child previously resided.
2906          (3) The limits under Subsection (1) may be exceeded for:
2907          (a) placement of a sibling group in a foster home with no more than one other foster
2908     child placement;

2909          (b) placement of a child or sibling group in a foster home where the child or sibling
2910     group previously resided; or
2911          (c) placement of a child in a foster home where a sibling currently resides.
2912          Section 28. Section 26B-2-201 is amended to read:
2913          26B-2-201. Definitions.
2914          As used in this part:
2915          (1) (a) "Abortion clinic" means a type I abortion clinic or a type II abortion clinic.
2916          (b) "Abortion clinic" does not mean a clinic that meets the definition of hospital under
2917     Section 76-7-301 or Section [76-71-101] 76-7a-101.
2918          (2) "Activities of daily living" means essential activities including:
2919          (a) dressing;
2920          (b) eating;
2921          (c) grooming;
2922          (d) bathing;
2923          (e) toileting;
2924          (f) ambulation;
2925          (g) transferring; and
2926          (h) self-administration of medication.
2927          (3) "Ambulatory surgical facility" means a freestanding facility, which provides
2928     surgical services to patients not requiring hospitalization.
2929          (4) "Assistance with activities of daily living" means providing of or arranging for the
2930     provision of assistance with activities of daily living.
2931          (5) (a) "Assisted living facility" means:
2932          (i) a type I assisted living facility, which is a residential facility that provides assistance
2933     with activities of daily living and social care to two or more residents who:
2934          (A) require protected living arrangements; and
2935          (B) are capable of achieving mobility sufficient to exit the facility without the
2936     assistance of another person; and
2937          (ii) a type II assisted living facility, which is a residential facility with a home-like
2938     setting that provides an array of coordinated supportive personal and health care services
2939     available 24 hours per day to residents who have been assessed under department rule to need

2940     any of these services.
2941          (b) Each resident in a type I or type II assisted living facility shall have a service plan
2942     based on the assessment, which may include:
2943          (i) specified services of intermittent nursing care;
2944          (ii) administration of medication; and
2945          (iii) support services promoting residents' independence and self-sufficiency.
2946          (6) "Birthing center" means a facility that:
2947          (a) receives maternal clients and provides care during pregnancy, delivery, and
2948     immediately after delivery; and
2949          (b) (i) is freestanding; or
2950          (ii) is not freestanding, but meets the requirements for an alongside midwifery unit
2951     described in Subsection 26B-2-228(7).
2952          (7) "Committee" means the Health Facility Committee created in Section 26B-1-204.
2953          (8) "Consumer" means any person not primarily engaged in the provision of health care
2954     to individuals or in the administration of facilities or institutions in which such care is provided
2955     and who does not hold a fiduciary position, or have a fiduciary interest in any entity involved in
2956     the provision of health care, and does not receive, either directly or through his spouse, more
2957     than 1/10 of his gross income from any entity or activity relating to health care.
2958          (9) "End stage renal disease facility" means a facility which furnishes staff-assisted
2959     kidney dialysis services, self-dialysis services, or home-dialysis services on an outpatient basis.
2960          (10) "Freestanding" means existing independently or physically separated from another
2961     health care facility by fire walls and doors and administrated by separate staff with separate
2962     records.
2963          (11) "General acute hospital" means a facility which provides diagnostic, therapeutic,
2964     and rehabilitative services to both inpatients and outpatients by or under the supervision of
2965     physicians.
2966          (12) "Governmental unit" means the state, or any county, municipality, or other
2967     political subdivision or any department, division, board, or agency of the state, a county,
2968     municipality, or other political subdivision.
2969          (13) (a) "Health care facility" means general acute hospitals, specialty hospitals, home
2970     health agencies, hospices, nursing care facilities, residential-assisted living facilities, birthing

2971     centers, ambulatory surgical facilities, small health care facilities, abortion clinics, a clinic that
2972     meets the definition of hospital under Section 76-7-301 or [76-71-201] 76-7a-101, facilities
2973     owned or operated by health maintenance organizations, end stage renal disease facilities, and
2974     any other health care facility which the committee designates by rule.
2975          (b) "Health care facility" does not include the offices of private physicians or dentists,
2976     whether for individual or group practice, except that it does include an abortion clinic.
2977          (14) "Health maintenance organization" means an organization, organized under the
2978     laws of any state which:
2979          (a) is a qualified health maintenance organization under 42 U.S.C. Sec. 300e-9; or
2980          (b) (i) provides or otherwise makes available to enrolled participants at least the
2981     following basic health care services: usual physician services, hospitalization, laboratory, x-ray,
2982     emergency, and preventive services and out-of-area coverage;
2983          (ii) is compensated, except for copayments, for the provision of the basic health
2984     services listed in Subsection (14)(b)(i) to enrolled participants by a payment which is paid on a
2985     periodic basis without regard to the date the health services are provided and which is fixed
2986     without regard to the frequency, extent, or kind of health services actually provided; and
2987          (iii) provides physicians' services primarily directly through physicians who are either
2988     employees or partners of such organizations, or through arrangements with individual
2989     physicians or one or more groups of physicians organized on a group practice or individual
2990     practice basis.
2991          (15) (a) "Home health agency" means an agency, organization, or facility or a
2992     subdivision of an agency, organization, or facility which employs two or more direct care staff
2993     persons who provide licensed nursing services, therapeutic services of physical therapy, speech
2994     therapy, occupational therapy, medical social services, or home health aide services on a
2995     visiting basis.
2996          (b) "Home health agency" does not mean an individual who provides services under
2997     the authority of a private license.
2998          (16) "Hospice" means a program of care for the terminally ill and their families which
2999     occurs in a home or in a health care facility and which provides medical, palliative,
3000     psychological, spiritual, and supportive care and treatment.
3001          (17) "Nursing care facility" means a health care facility, other than a general acute or

3002     specialty hospital, constructed, licensed, and operated to provide patient living
3003     accommodations, 24-hour staff availability, and at least two of the following patient services:
3004          (a) a selection of patient care services, under the direction and supervision of a
3005     registered nurse, ranging from continuous medical, skilled nursing, psychological, or other
3006     professional therapies to intermittent health-related or paraprofessional personal care services;
3007          (b) a structured, supportive social living environment based on a professionally
3008     designed and supervised treatment plan, oriented to the individual's habilitation or
3009     rehabilitation needs; or
3010          (c) a supervised living environment that provides support, training, or assistance with
3011     individual activities of daily living.
3012          (18) "Person" means any individual, firm, partnership, corporation, company,
3013     association, or joint stock association, and the legal successor thereof.
3014          (19) "Resident" means a person 21 years old or older who:
3015          (a) as a result of physical or mental limitations or age requires or requests services
3016     provided in an assisted living facility; and
3017          (b) does not require intensive medical or nursing services as provided in a hospital or
3018     nursing care facility.
3019          (20) "Small health care facility" means a four to 16 bed facility that provides licensed
3020     health care programs and services to residents.
3021          (21) "Specialty hospital" means a facility which provides specialized diagnostic,
3022     therapeutic, or rehabilitative services in the recognized specialty or specialties for which the
3023     hospital is licensed.
3024          (22) "Substantial compliance" means in a department survey of a licensee, the
3025     department determines there is an absence of deficiencies which would harm the physical
3026     health, mental health, safety, or welfare of patients or residents of a licensee.
3027          (23) "Type I abortion clinic" means a facility, including a physician's office, but not
3028     including a general acute or specialty hospital, that:
3029          (a) performs abortions, as defined in Section 76-7-301, during the first trimester of
3030     pregnancy; and
3031          (b) does not perform abortions, as defined in Section 76-7-301, after the first trimester
3032     of pregnancy.

3033          (24) "Type II abortion clinic" means a facility, including a physician's office, but not
3034     including a general acute or specialty hospital, that:
3035          (a) performs abortions, as defined in Section 76-7-301, after the first trimester of
3036     pregnancy; or
3037          (b) performs abortions, as defined in Section 76-7-301, during the first trimester of
3038     pregnancy and after the first trimester of pregnancy.
3039          Section 29. Section 26B-2-202 is amended to read:
3040          26B-2-202. Duties of department.
3041          (1) The department shall:
3042          (a) enforce rules established pursuant to this part;
3043          (b) authorize an agent of the department to conduct inspections of health care facilities
3044     pursuant to this part;
3045          (c) collect information authorized by the committee that may be necessary to ensure
3046     that adequate health care facilities are available to the public;
3047          (d) collect and credit fees for licenses as free revenue;
3048          (e) collect and credit fees for conducting plan reviews as dedicated credits;
3049          (f) (i) collect and credit fees for conducting [clearance] certification for direct patient
3050     access under Sections 26B-2-239 and 26B-2-240; and
3051          (ii) beginning July 1, 2012:
3052          (A) up to $105,000 of the fees collected under Subsection (1)(f)(i) are dedicated
3053     credits; and
3054          (B) the fees collected for background checks under Subsection 26B-2-240(6) and
3055     Subsection 26B-2-241(4) shall be transferred to the Department of Public Safety to reimburse
3056     the Department of Public Safety for its costs in conducting the federal background checks;
3057          (g) designate an executive secretary from within the department to assist the committee
3058     in carrying out its powers and responsibilities;
3059          (h) establish reasonable standards for criminal background checks by public and
3060     private entities;
3061          (i) recognize those public and private entities that meet the standards established
3062     pursuant to Subsection (1)(h); and
3063          (j) provide necessary administrative and staff support to the committee.

3064          (2) The department may:
3065          (a) exercise all incidental powers necessary to carry out the purposes of this part;
3066          (b) review architectural plans and specifications of proposed health care facilities or
3067     renovations of health care facilities to ensure that the plans and specifications conform to rules
3068     established by the committee; and
3069          (c) in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
3070     make rules as necessary to implement the provisions of this part.
3071          Section 30. Section 26B-2-204 is amended to read:
3072          26B-2-204. Licensing of an abortion clinic -- Rulemaking authority -- Fee --
3073     Licensing of a clinic meeting the definition of hospital.
3074          (1) (a) No abortion clinic may operate in the state on or after January 1, 2024, or the
3075     last valid date of an abortion clinic license issued under the requirements of this section,
3076     whichever date is later.
3077          (b) Notwithstanding Subsection (1)(a), a licensed abortion clinic may not perform an
3078     abortion in violation of any provision of state law.
3079          (2) The state may not issue a license for an abortion clinic after May 2, 2023.
3080          (3) For any license for an abortion clinic that is issued under this section:
3081          (a) A type I abortion clinic may not operate in the state without a license issued by the
3082     department to operate a type I abortion clinic.
3083          (b) A type II abortion clinic may not operate in the state without a license issued by the
3084     department to operate a type II abortion clinic.
3085          (c) The department shall make rules establishing minimum health, safety, sanitary, and
3086     recordkeeping requirements for:
3087          (i) a type I abortion clinic; and
3088          (ii) a type II abortion clinic.
3089          (d) To receive and maintain a license described in this section, an abortion clinic shall:
3090          (i) apply for a license on a form prescribed by the department;
3091          (ii) satisfy and maintain the minimum health, safety, sanitary, and recordkeeping
3092     requirements established [unde7r] under Subsection (3) that relate to the type of abortion clinic
3093     licensed;
3094          (iii) comply with the recordkeeping and reporting requirements of Section 76-7-313;

3095          (iv) comply with the requirements of Title 76, Chapter 7, Part 3, Abortion, and Title
3096     76, Chapter 7a, Abortion Prohibition;
3097          (v) pay the annual licensing fee; and
3098          (vi) cooperate with inspections conducted by the department.
3099          (e) The department shall, at least twice per year, inspect each abortion clinic in the state
3100     to ensure that the abortion clinic is complying with all statutory and licensing requirements
3101     relating to the abortion clinic. At least one of the inspections shall be made without providing
3102     notice to the abortion clinic.
3103          (f) The department shall charge an annual license fee, set by the department in
3104     accordance with the procedures described in Section 63J-1-504, to an abortion clinic in an
3105     amount that will pay for the cost of the licensing requirements described in this section and the
3106     cost of inspecting abortion clinics.
3107          (g) The department shall deposit the licensing fees described in this section in the
3108     General Fund as a dedicated credit to be used solely to pay for the cost of the licensing
3109     requirements described in this section and the cost of inspecting abortion clinics.
3110          (4) (a) Notwithstanding any other provision of this section, the department may license
3111     a clinic that meets the definition of hospital under Section 76-7-301 or Section 76-7a-101.
3112          (b) A clinic described in Subsection (4)(a) is not defined as an abortion clinic.
3113          Section 31. Section 26B-2-238 is amended to read:
3114          26B-2-238. Definitions for Sections 26B-2-238 through 26B-2-241.
3115          As used in this section and Sections 26B-2-239, 26B-2-240, and 26B-2-241:
3116          (1) ["Clearance"] "Certification for direct patient access" means approval by the
3117     department under Section 26B-2-239 for an individual to have direct patient access.
3118          (2) "Covered body" means a covered provider, covered contractor, or covered
3119     employer.
3120          (3) "Covered contractor" means a person that supplies covered individuals, by contract,
3121     to a covered employer or covered provider.
3122          (4) "Covered employer" means an individual who:
3123          (a) engages a covered individual to provide services in a private residence to:
3124          (i) an aged individual, as defined by department rule; or
3125          (ii) a disabled individual, as defined by department rule;

3126          (b) is not a covered provider; and
3127          (c) is not a licensed health care facility within the state.
3128          (5) "Covered individual":
3129          (a) means an individual:
3130          (i) whom a covered body engages; and
3131          (ii) who may have direct patient access;
3132          (b) includes:
3133          (i) a nursing assistant, as defined by department rule;
3134          (ii) a personal care aide, as defined by department rule;
3135          (iii) an individual licensed to engage in the practice of nursing under Title 58, Chapter
3136     31b, Nurse Practice Act;
3137          (iv) a provider of medical, therapeutic, or social services, including a provider of
3138     laboratory and radiology services;
3139          (v) an executive;
3140          (vi) administrative staff, including a manager or other administrator;
3141          (vii) dietary and food service staff;
3142          (viii) housekeeping and maintenance staff; and
3143          (ix) any other individual, as defined by department rule, who has direct patient access;
3144     and
3145          (c) does not include a student, as defined by department rule, directly supervised by a
3146     member of the staff of the covered body or the student's instructor.
3147          (6) "Covered provider" means:
3148          (a) an end stage renal disease facility;
3149          (b) a long-term care hospital;
3150          (c) a nursing care facility;
3151          (d) a small health care facility;
3152          (e) an assisted living facility;
3153          (f) a hospice;
3154          (g) a home health agency; or
3155          (h) a personal care agency.
3156          (7) "Direct patient access" means for an individual to be in a position where the

3157     individual could, in relation to a patient or resident of the covered body who engages the
3158     individual:
3159          (a) cause physical or mental harm;
3160          (b) commit theft; or
3161          (c) view medical or financial records.
3162          (8) "Engage" means to obtain one's services:
3163          (a) by employment;
3164          (b) by contract;
3165          (c) as a volunteer; or
3166          (d) by other arrangement.
3167          (9) "Long-term care hospital":
3168          (a) means a hospital that is certified to provide long-term care services under the
3169     provisions of 42 U.S.C. Sec. 1395tt; and
3170          (b) does not include a critical access hospital, designated under 42 U.S.C. Sec.
3171     1395i-4(c)(2).
3172          (10) "Patient" means an individual who receives health care services from one of the
3173     following covered providers:
3174          (a) an end stage renal disease facility;
3175          (b) a long-term care hospital;
3176          (c) a hospice;
3177          (d) a home health agency; or
3178          (e) a personal care agency.
3179          (11) "Personal care agency" means a health care facility defined by department rule.
3180          (12) "Resident" means an individual who receives health care services from one of the
3181     following covered providers:
3182          (a) a nursing care facility;
3183          (b) a small health care facility;
3184          (c) an assisted living facility; or
3185          (d) a hospice that provides living quarters as part of its services.
3186          (13) "Residential setting" means a place provided by a covered provider:
3187          (a) for residents to live as part of the services provided by the covered provider; and

3188          (b) where an individual who is not a resident also lives.
3189          (14) "Volunteer" means an individual, as defined by department rule, who provides
3190     services without pay or other compensation.
3191          Section 32. Section 26B-2-239 is amended to read:
3192          26B-2-239. Certification for direct patient access required -- Application by
3193     covered providers, covered contractors, and individuals.
3194          (1) The definitions in Section 26B-2-238 apply to this section.
3195          (2) (a) A covered provider may engage a covered individual only if the individual has
3196     [clearance] certification for direct patient access.
3197          (b) A covered contractor may supply a covered individual to a covered employer or
3198     covered provider only if the individual has [clearance] certification for direct patient access.
3199          (c) A covered employer may engage a covered individual who does not have
3200     [clearance] certification for direct patient access.
3201          (3) (a) Notwithstanding Subsections (2)(a) and (b), if a covered individual does not
3202     have [clearance] certification for direct patient access, a covered provider may engage the
3203     individual or a covered contractor may supply the individual to a covered provider or covered
3204     employer:
3205          (i) under circumstances specified by department rule; and
3206          (ii) only while an application for [clearance] certification for direct patient access for
3207     the individual is pending.
3208          (b) For purposes of Subsection (3)(a), an application is pending if the following have
3209     been submitted to the department for the individual:
3210          (i) an application for [clearance] certification for direct patient access;
3211          (ii) the personal identification information specified by the department under
3212     Subsection 26B-2-240(4)(b); and
3213          (iii) any fees established by the department under Subsection 26B-2-240(9).
3214          (4) (a) As provided in Subsection (4)(b), each covered provider and covered contractor
3215     operating in this state shall:
3216          (i) collect from each covered individual the contractor engages, and each individual the
3217     contractor intends to engage as a covered individual, the personal identification information
3218     specified by the department under Subsection 26B-2-240(4)(b); and

3219          (ii) submit to the department an application for [clearance] certification for direct
3220     patient access for the individual, including:
3221          (A) the personal identification information; and
3222          (B) any fees established by the department under Subsection 26B-2-240(9).
3223          (b) [Clearance] Certification for direct patient access granted for an individual pursuant
3224     to an application submitted by a covered provider or a covered contractor is valid [until the
3225     later of:] for 180 days after the date on which the engaged employment lapses.
3226          (i) two years after the individual is no longer engaged as a covered individual; or
3227          (ii) the covered provider's or covered contractor's next license renewal date.
3228          (5) (a) A covered provider that provides services in a residential setting shall:
3229          (i) collect the personal identification information specified by the department under
3230     Subsection 26B-2-240(4)(b) for each individual 12 years old or older, other than a resident,
3231     who resides in the residential setting; and
3232          (ii) submit to the department an application for [clearance] certification for direct
3233     patient access for the individual, including:
3234          (A) the personal identification information; and
3235          (B) any fees established by the department under Subsection 26B-2-240(9).
3236          (b) A covered provider that provides services in a residential setting may allow an
3237     individual 12 years old or older, other than a resident, to reside in the residential setting only if
3238     the individual has [clearance] certification for direct patient access.
3239          (6) (a) An individual may apply for [clearance] certification for direct patient access by
3240     submitting to the department an application, including:
3241          (i) the personal identification information specified by the department under
3242     Subsection 26B-2-240(4)(b); and
3243          (ii) any fees established by the department under Subsection 26B-2-240(9).
3244          (b) [Clearance] Certification for direct patient access granted to an individual who
3245     makes application under Subsection (6)(a) is valid for [two years] 180 days after the date the
3246     engaged employment lapses unless the department determines otherwise based on the
3247     department's ongoing review under Subsection 26B-2-240(4)(a).
3248          Section 33. Section 26B-2-240 is amended to read:
3249          26B-2-240. Department authorized to grant, deny, or revoke certification for

3250     direct patient access -- Department may limit direct patient access -- Certification for
3251     direct patient access.
3252          (1) The definitions in Section 26B-2-238 apply to this section.
3253          (2) (a) As provided in this section, the department may grant, deny, or revoke
3254     [clearance] certification for direct patient access for an individual, including a covered
3255     individual.
3256          (b) The department may limit the circumstances under which a covered individual
3257     granted [clearance] certification for direct patient access may have direct patient access, based
3258     on the relationship factors under Subsection (4) and other mitigating factors related to patient
3259     and resident protection.
3260          (c) The department shall determine whether to grant [clearance] certification for direct
3261     patient access for each applicant for whom it receives:
3262          (i) the personal identification information specified by the department under
3263     Subsection (4)(b); and
3264          (ii) any fees established by the department under Subsection (9).
3265          (d) The department shall establish a procedure for obtaining and evaluating relevant
3266     information concerning covered individuals, including fingerprinting the applicant and
3267     submitting the prints to the Criminal Investigations and Technical Services Division of the
3268     Department of Public Safety for checking against applicable state, regional, and national
3269     criminal records files.
3270          (3) The department may review the following sources to determine whether an
3271     individual should be granted or retain [clearance] certification for direct patient access, which
3272     may include:
3273          (a) Department of Public Safety arrest, conviction, and disposition records described in
3274     Title 53, Chapter 10, Criminal Investigations and Technical Services Act, including
3275     information in state, regional, and national records files;
3276          (b) juvenile court arrest, adjudication, and disposition records, as allowed under
3277     Section 78A-6-209;
3278          (c) federal criminal background databases available to the state;
3279          (d) the Division of Child and Family Services Licensing Information System described
3280     in Section 80-2-1002;

3281          (e) child abuse or neglect findings described in Section 80-3-404;
3282          (f) the Division of Aging and Adult Services vulnerable adult abuse, neglect, or
3283     exploitation database described in Section 26B-6-210;
3284          (g) registries of nurse aids described in 42 C.F.R. Sec. 483.156;
3285          (h) licensing and certification records of individuals licensed or certified by the
3286     Division of Professional Licensing under Title 58, Occupations and Professions; and
3287          (i) the List of Excluded Individuals and Entities database maintained by the United
3288     States Department of Health and Human Services' Office of Inspector General.
3289          (4) The department shall adopt rules that:
3290          (a) specify the criteria the department will use to determine whether an individual is
3291     granted or retains [clearance] certification for direct patient access:
3292          (i) based on an initial evaluation and ongoing review of information under Subsection
3293     (3); and
3294          (ii) including consideration of the relationship the following may have to patient and
3295     resident protection:
3296          (A) warrants for arrest;
3297          (B) arrests;
3298          (C) convictions, including pleas in abeyance;
3299          (D) pending diversion agreements;
3300          (E) adjudications by a juvenile court under Section 80-6-701 if the individual is over
3301     28 years old and has been convicted, has pleaded no contest, or is subject to a plea in abeyance
3302     or diversion agreement for a felony or misdemeanor, or the individual is under 28 years old;
3303     and
3304          (F) any other findings under Subsection (3); and
3305          (b) specify the personal identification information that must be submitted by an
3306     individual or covered body with an application for [clearance] certification for direct patient
3307     access, including:
3308          (i) the applicant's Social Security number; and
3309          (ii) fingerprints.
3310          (5) For purposes of Subsection (4)(a), the department shall classify a crime committed
3311     in another state according to the closest matching crime under Utah law, regardless of how the

3312     crime is classified in the state where the crime was committed.
3313          (6) The Department of Public Safety, the Administrative Office of the Courts, the
3314     Division of Professional Licensing, and any other state agency or political subdivision of the
3315     state:
3316          (a) shall allow the department to review the information the department may review
3317     under Subsection (3); and
3318          (b) except for the Department of Public Safety, may not charge the department for
3319     access to the information.
3320          (7) The department shall adopt measures to protect the security of the information it
3321     reviews under Subsection (3) and strictly limit access to the information to department
3322     employees responsible for processing an application for [clearance] certification for direct
3323     patient access.
3324          (8) The department may disclose personal identification information specified under
3325     Subsection (4)(b) to other divisions and offices within the department to verify that the subject
3326     of the information is not identified as a perpetrator or offender in the information sources
3327     described in Subsections (3)(d) through (f).
3328          (9) The department may establish fees, in accordance with Section 63J-1-504, for an
3329     application for [clearance] certification for direct patient access, which may include:
3330          (a) the cost of obtaining and reviewing information under Subsection (3);
3331          (b) a portion of the cost of creating and maintaining the Direct Access Clearance
3332     System database under Section 26B-2-241; and
3333          (c) other department costs related to the processing of the application and the ongoing
3334     review of information pursuant to Subsection (4)(a) to determine whether [clearance]
3335     certification for direct patient access should be retained.
3336          Section 34. Section 26B-2-241 (Superseded 07/01/24) is amended to read:
3337          26B-2-241 (Superseded 07/01/24). Direct Access Clearance System database --
3338     Contents and use -- Department of Public Safety retention of information and notification
3339     -- No civil liability for providing information.
3340          (1) The definitions in Section 26B-2-238 apply to this section.
3341          (2) The department shall create and maintain a Direct Access Clearance System
3342     database, which:

3343          (a) includes the names of individuals for whom the department has received[: (i)] an
3344     application for [clearance] certification for direct patient access under this part; [or (ii) an
3345     application for background clearance under Section 26B-4-124;] and
3346          (b) indicates whether an application is pending and whether [clearance] certification
3347     for direct patient access has been granted and retained for[:]
3348          [(i)] an applicant under this part[; and].
3349          [(ii) an applicant for background clearance under Section 26B-4-124.]
3350          (3) (a) The department shall allow covered providers and covered contractors to access
3351     the database electronically.
3352          (b) Data accessible to a covered provider or covered contractor is limited to the
3353     information under Subsections (2)(a)(i) and (2)(b)(i) for:
3354          (i) covered individuals engaged by the covered provider or covered contractor; and
3355          (ii) individuals:
3356          (A) whom the covered provider or covered contractor could engage as covered
3357     individuals; and
3358          (B) who have provided the covered provider or covered contractor with sufficient
3359     personal identification information to uniquely identify the individual in the database.
3360          (c) (i) The department may establish fees, in accordance with Section 63J-1-504, for
3361     use of the database by a covered contractor.
3362          (ii) The fees may include, in addition to any fees established by the department under
3363     Subsection 26B-2-240(9), an initial set-up fee, an ongoing access fee, and a per-use fee.
3364          (4) The Criminal Investigations and Technical Services Division within the
3365     Department of Public Safety shall:
3366          (a) retain, separate from other division records, personal information, including any
3367     fingerprints, sent to the division by the department pursuant to Subsection 26B-2-240(3)(a);
3368     and
3369          (b) notify the department upon receiving notice that an individual for whom personal
3370     information has been retained is the subject of:
3371          (i) a warrant for arrest;
3372          (ii) an arrest;
3373          (iii) a conviction, including a plea in abeyance; or

3374          (iv) a pending diversion agreement.
3375          (5) A covered body is not civilly liable for submitting to the department information
3376     required under this section, Section 26B-2-239, or Section 26B-2-240, or refusing to employ an
3377     individual who does not have clearance to have direct patient access under Section 26B-2-240.
3378          Section 35. Section 26B-2-241 (Effective 07/01/24) is amended to read:
3379          26B-2-241 (Effective 07/01/24). Direct Access Clearance System database --
3380     Contents and use -- Department of Public Safety retention of information and notification
3381     -- No civil liability for providing information.
3382          (1) The definitions in Section 26B-2-238 apply to this section.
3383          (2) The department shall create and maintain a Direct Access Clearance System
3384     database, which:
3385          (a) includes the names of individuals for whom[: (i)] the department has received an
3386     application for [clearance] certification for direct patient access under this part; [or] and
3387          [(ii) the Bureau of Emergency Medical Services has received an application for
3388     background clearance under Section 53-2d-410; and]
3389          (b) indicates whether an application is pending and whether clearance has been granted
3390     and retained for[: (i)] an applicant under this part[; and].
3391          [(ii) an applicant for background clearance under Section 53-2d-410.]
3392          (3) (a) The department shall allow covered providers and covered contractors to access
3393     the database electronically.
3394          (b) Data accessible to a covered provider or covered contractor is limited to the
3395     information under Subsections (2)(a)(i) and (2)(b)(i) for:
3396          (i) covered individuals engaged by the covered provider or covered contractor; and
3397          (ii) individuals:
3398          (A) whom the covered provider or covered contractor could engage as covered
3399     individuals; and
3400          (B) who have provided the covered provider or covered contractor with sufficient
3401     personal identification information to uniquely identify the individual in the database.
3402          (c) (i) The department may establish fees, in accordance with Section 63J-1-504, for
3403     use of the database by a covered contractor.
3404          (ii) The fees may include, in addition to any fees established by the department under

3405     Subsection 26B-2-240(9), an initial set-up fee, an ongoing access fee, and a per-use fee.
3406          (4) The Criminal Investigations and Technical Services Division within the
3407     Department of Public Safety shall:
3408          (a) retain, separate from other division records, personal information, including any
3409     fingerprints, sent to the division by the department pursuant to Subsection 26B-2-240(3)(a);
3410     and
3411          (b) notify the department upon receiving notice that an individual for whom personal
3412     information has been retained is the subject of:
3413          (i) a warrant for arrest;
3414          (ii) an arrest;
3415          (iii) a conviction, including a plea in abeyance; or
3416          (iv) a pending diversion agreement.
3417          (5) A covered body is not civilly liable for submitting to the department information
3418     required under this section, Section 26B-2-239, or Section 26B-2-240, or refusing to employ an
3419     individual who does not have [clearance] certification for direct patient access to have direct
3420     patient access under Section 26B-2-240.
3421          Section 36. Section 26B-3-114 is amended to read:
3422          26B-3-114. Department standards for eligibility under Medicaid -- Funds for
3423     abortions.
3424          (1) (a) The department may develop standards and administer policies relating to
3425     eligibility under the Medicaid program [as long as they are consistent] if the standards and
3426     policies comply with Subsection [26B-4-704(8)] 26B-3-108.
3427          (b) An applicant receiving Medicaid assistance may be limited to particular types of
3428     care or services or to payment of part or all costs of care determined to be medically necessary.
3429          (2) The department may not provide any funds for medical, hospital, or other medical
3430     expenditures or medical services to otherwise eligible persons where the purpose of the
3431     assistance is to perform an abortion, unless the life of the mother would be endangered if an
3432     abortion were not performed.
3433          (3) Any employee of the department who authorizes payment for an abortion contrary
3434     to the provisions of this section is guilty of a class B misdemeanor and subject to forfeiture of
3435     office.

3436          (4) Any person or organization that, under the guise of other medical treatment,
3437     provides an abortion under auspices of the Medicaid program is guilty of a third degree felony
3438     and subject to forfeiture of license to practice medicine or authority to provide medical services
3439     and treatment.
3440          Section 37. Section 26B-3-212 is amended to read:
3441          26B-3-212. Limited family planning services for low-income individuals.
3442          (1) As used in this section:
3443          (a) (i) "Family planning services" means family planning services that are provided
3444     under the state Medicaid program, including:
3445          (A) sexual health education and family planning counseling; and
3446          (B) other medical diagnosis, treatment, or preventative care routinely provided as part
3447     of a family planning service visit.
3448          (ii) "Family planning services" do not include an abortion, as that term is defined in
3449     Section 76-7-301 or 76-7a-101.
3450          (b) "Low-income individual" means an individual who:
3451          (i) has an income level that is equal to or below 185% of the federal poverty level; and
3452          (ii) does not qualify for full coverage under the Medicaid program.
3453          (2) Before January 1, 2024, the division shall apply for a Medicaid waiver or a state
3454     plan amendment with CMS to:
3455          (a) offer a program that provides family planning services to low-income individuals;
3456     and
3457          (b) receive a federal match rate of 90% of state expenditures for family planning
3458     services provided under the waiver or state plan amendment.
3459          Section 38. Section 26B-4-118 (Superseded 07/01/24) is amended to read:
3460          26B-4-118 (Superseded 07/01/24). Permits for emergency medical service vehicles
3461     and nonemergency secured behavioral health transport vehicles.
3462          (1) (a) To ensure that emergency medical service vehicles and nonemergency secured
3463     behavioral health transport vehicles are adequately staffed, safe, maintained, properly
3464     equipped, and safely operated, the committee shall establish permit requirements at levels it
3465     considers appropriate in the following categories:
3466          (i) ambulance;

3467          (ii) emergency medical response vehicle; and
3468          (iii) nonemergency secured behavioral health transport vehicle.
3469          (b) The permit requirements under Subsections (1)(a)(i) and (ii) shall include a
3470     requirement that [beginning on or after January 31, 2014,] every operator of an ambulance or
3471     emergency medical response vehicle annually provide proof of the successful completion of an
3472     emergency vehicle operator's course approved by the department for all ambulances and
3473     emergency medical response vehicle operators.
3474          (2) The department shall, based on the requirements established in Subsection (1),
3475     issue permits to emergency medical service vehicles and nonemergency secured behavioral
3476     health transport vehicles.
3477          Section 39. Section 26B-4-136 (Superseded 07/01/24) is amended to read:
3478          26B-4-136 (Superseded 07/01/24). Volunteer Emergency Medical Service
3479     Personnel Health Insurance Program -- Creation -- Administration -- Eligibility --
3480     Benefits -- Rulemaking -- Advisory board.
3481          (1) As used in this section:
3482          (a) "Health benefit plan" means the same as that term is defined in Section 31A-1-301.
3483          (b) "Local government entity" means a political subdivision that:
3484          (i) is licensed as a ground ambulance provider under Sections 26B-4-150 through
3485     26B-4-170; and
3486          (ii) [as of January 1, 2022,] does not offer health insurance benefits to volunteer
3487     emergency medical service personnel.
3488          (c) "PEHP" means the Public Employees' Benefit and Insurance Program created in
3489     Section 49-20-103.
3490          (d) "Political subdivision" means a county, a municipality, a limited purpose
3491     government entity described in Title 17B, Limited Purpose Local Government Entities -
3492     Special Districts, or Title 17D, Limited Purpose Local Government Entities - Other Entities, or
3493     an entity created by an interlocal agreement under Title 11, Chapter 13, Interlocal Cooperation
3494     Act.
3495          (e) "Qualifying association" means an association that represents two or more political
3496     subdivisions in the state.
3497          (2) The Volunteer Emergency Medical Service Personnel Health Insurance Program

3498     shall promote recruitment and retention of volunteer emergency medical service personnel by
3499     making health insurance available to volunteer emergency medical service personnel.
3500          (3) The department shall contract with a qualifying association to create, implement,
3501     and administer the Volunteer Emergency Medical Service Personnel Health Insurance Program
3502     described in this section.
3503          (4) Participation in the program is limited to emergency medical service personnel
3504     who:
3505          (a) are licensed under Section 26B-4-116 and are able to perform all necessary
3506     functions associated with the license;
3507          (b) provide emergency medical services under the direction of a local governmental
3508     entity:
3509          (i) by responding to 20% of calls for emergency medical services in a rolling
3510     twelve-month period;
3511          (ii) within a county of the third, fourth, fifth, or sixth class; and
3512          (iii) as a volunteer under the Fair Labor Standards Act, in accordance with 29 C.F.R.
3513     Sec. 553.106;
3514          (c) are not eligible for a health benefit plan through an employer or a spouse's
3515     employer;
3516          (d) are not eligible for medical coverage under a government sponsored healthcare
3517     program; and
3518          (e) reside in the state.
3519          (5) (a) A participant in the program is eligible to participate in PEHP in accordance
3520     with Subsection (5)(b) and Subsection 49-20-201(3).
3521          (b) Benefits available to program participants under PEHP are limited to health
3522     insurance that:
3523          (i) covers the program participant and the program participant's eligible dependents on
3524     a July 1 plan year;
3525          (ii) accepts enrollment during an open enrollment period or for a special enrollment
3526     event, including the initial eligibility of a program participant;
3527          (iii) if the program participant is no longer eligible for benefits, terminates on the last
3528     day of the last month for which the individual is a participant in the Volunteer Emergency

3529     Medical Service Personnel Health Insurance Program; and
3530          (iv) is not subject to continuation rights under state or federal law.
3531          (6) (a) The department may make rules in accordance with Title 63G, Chapter 3, Utah
3532     Administrative Rulemaking Act, to define additional criteria regarding benefit design and
3533     eligibility for the program.
3534          (b) The department shall convene an advisory board:
3535          (i) to advise the department on making rules under Subsection (6)(a); and
3536          (ii) that includes representation from at least the following entities:
3537          (A) the qualifying association that receives the contract under Subsection (3); and
3538          (B) PEHP.
3539          (7) For purposes of this section, the qualifying association that receives the contract
3540     under Subsection (3) shall be considered the public agency for whom the program participant is
3541     volunteering under 29 C.F.R. Sec. 553.101.
3542          Section 40. Section 26B-4-152 (Superseded 07/01/24) is amended to read:
3543          26B-4-152 (Superseded 07/01/24). Establishment of maximum rates.
3544          (1) The department shall, after receiving recommendations under Subsection (2),
3545     establish maximum rates for ground ambulance providers and paramedic providers that are just
3546     and reasonable.
3547          (2) The committee may make recommendations to the department on the maximum
3548     rates that should be set under Subsection (1).
3549          (3) (a) [The department shall prohibit ground] Ground ambulance providers and
3550     paramedic providers [from charging] may not charge fees for transporting a patient when the
3551     provider does not transport the patient.
3552          (b) The provisions of Subsection (3)(a) do not apply to ambulance providers or
3553     paramedic providers in a geographic service area which contains a town as defined in
3554     Subsection 10-2-301(2)(f).
3555          Section 41. Section 26B-4-154 (Superseded 07/01/24) is amended to read:
3556          26B-4-154 (Superseded 07/01/24). Ground ambulance and paramedic licenses --
3557     Agency notice of approval.
3558          (1) [Beginning January 1, 2004, if] If the department determines that the application
3559     meets the minimum requirements for licensure under Section 26B-4-153, the department shall

3560     issue a notice of the approved application to the applicant.
3561          (2) A current license holder responding to a request for proposal under Section
3562     26B-4-156 is considered an approved applicant for purposes of Section 26B-4-156 if the
3563     current license holder, prior to responding to the request for proposal, submits the following to
3564     the department:
3565          (a) the information described in Subsections 26B-4-153(4)(a)(i) through (iii); and
3566          (b) (i) if the license holder is a private entity, a financial statement, a pro forma budget
3567     and necessary letters of credit demonstrating a financial ability to expand service to a new
3568     service area; or
3569          (ii) if the license holder is a governmental entity, a letter from the governmental entity's
3570     governing body demonstrating the governing body's willingness to financially support the
3571     application.
3572          Section 42. Section 26B-4-201 is amended to read:
3573          26B-4-201. Definitions.
3574          As used in this part:
3575          (1) "Active tetrahydrocannabinol" means THC, any THC analog, and
3576     tetrahydrocannabinolic acid.
3577          (2) "Advertise" [or "advertising"] means information provided by a [medical cannabis
3578     pharmacy] person in any medium:
3579          (a) to the public; and
3580          (b) that is not age restricted to an individual who is at least 21 years old.
3581          (3) "Advisory board" means the Medical Cannabis Policy Advisory Board created in
3582     Section 26B-1-435.
3583          (4) " Cannabis Research Review Board" means the Cannabis Research Review Board
3584     created in Section 26B-1-420.
3585          (5) "Cannabis" means marijuana.
3586          [(6) "Cannabis cultivation facility" means the same as that term is defined in Section
3587     4-41a-102.]
3588          [(7)] (6) "Cannabis processing facility" means the same as that term is defined in
3589     Section 4-41a-102.
3590          [(8)] (7) "Cannabis product" means a product that:

3591          (a) is intended for human use; and
3592          (b) contains cannabis or any tetrahydrocannabinol or THC analog in a total
3593     concentration of 0.3% or greater on a dry weight basis.
3594          [(9)] (8) "Cannabis production establishment" means the same as that term is defined
3595     in Section 4-41a-102.
3596          [(10)] (9) "Cannabis production establishment agent" means the same as that term is
3597     defined in Section 4-41a-102.
3598          [(11)] (10) "Cannabis production establishment agent registration card" means the
3599     same as that term is defined in Section 4-41a-102.
3600          [(12) "Community location" means a public or private elementary or secondary school,
3601     a church, a public library, a public playground, or a public park.]
3602          [(13)] (11) "Conditional medical cannabis card" means an electronic medical cannabis
3603     card that the department issues in accordance with Subsection 26B-4-213(1)(b) to allow an
3604     applicant for a medical cannabis card to access medical cannabis during the department's
3605     review of the application.
3606          [(14)] (12) "Controlled substance database" means the controlled substance database
3607     created in Section 58-37f-201.
3608          [(15)] (13) "Delivery address" means:
3609          (a) for a medical cannabis cardholder who is not a facility, the medical cannabis
3610     cardholder's home address; or
3611          (b) for a medical cannabis cardholder that is a facility, the facility's address.
3612          [(16)] (14) "Department" means the Department of Health and Human Services.
3613          [(17)] (15) "Designated caregiver" means:
3614          (a) an individual:
3615          (i) whom an individual with a medical cannabis patient card or a medical cannabis
3616     guardian card designates as the patient's caregiver; and
3617          (ii) who registers with the department under Section 26B-4-214; or
3618          (b) (i) a facility that an individual designates as a designated caregiver in accordance
3619     with Subsection 26B-4-214(1)(b); or
3620          (ii) an assigned employee of the facility described in Subsection 26B-4-214(1)(b)(ii).
3621          [(18)] (16) "Directions of use" means recommended routes of administration for a

3622     medical cannabis treatment and suggested usage guidelines.
3623          [(19)] (17) "Dosing guidelines" means a quantity range and frequency of administration
3624     for a recommended treatment of medical cannabis.
3625          [(20) "Financial institution" means a bank, trust company, savings institution, or credit
3626     union, chartered and supervised under state or federal law.]
3627          [(21)] (18) "Government issued photo identification" means any of the following forms
3628     of identification:
3629          (a) a valid state-issued driver license or identification card;
3630          (b) a valid United States federal-issued photo identification, including:
3631          (i) a United States passport;
3632          (ii) a United States passport card;
3633          (iii) a United States military identification card; or
3634          (iv) a permanent resident card or alien registration receipt card; or
3635          (c) a foreign passport.
3636          [(22)] (19) "Home delivery medical cannabis pharmacy" means a medical cannabis
3637     pharmacy that the department authorizes, as part of the pharmacy's license, to deliver medical
3638     cannabis shipments to a delivery address to fulfill electronic orders that the state central patient
3639     portal facilitates.
3640          [(23)] (20) "Inventory control system" means the system described in Section
3641     4-41a-103.
3642          [(24)] (21) "Legal dosage limit" means an amount that:
3643          (a) is sufficient to provide 30 days of treatment based on the dosing guidelines that the
3644     relevant recommending medical provider or the state central patient portal or pharmacy
3645     medical provider, in accordance with Subsection 26B-4-230(5), recommends; and
3646          (b) may not exceed:
3647          (i) for unprocessed cannabis in a medicinal dosage form, 113 grams by weight; and
3648          (ii) for a cannabis product in a medicinal dosage form, a quantity that contains, in total,
3649     greater than 20 grams of active tetrahydrocannabinol.
3650          [(25)] (22) "Legal use termination date" means a date on the label of a container of
3651     unprocessed cannabis flower:
3652          (a) that is 60 days after the date of purchase of the cannabis; and

3653          (b) after which, the cannabis is no longer in a medicinal dosage form outside of the
3654     primary residence of the relevant medical cannabis patient cardholder.
3655          [(26)] (23) "Limited medical provider" means an individual who:
3656          (a) meets the recommending qualifications; and
3657          (b) has no more than 15 patients with a valid medical cannabis patient card [or
3658     provisional patient card] as a result of the individual's recommendation, in accordance with
3659     Subsection 26B-4-204(1)(b).
3660          [(27)] (24) "Marijuana" means the same as that term is defined in Section 58-37-2.
3661          [(28)] (25) "Medical cannabis" means cannabis in a medicinal dosage form or a
3662     cannabis product in a medicinal dosage form.
3663          [(29)] (26) "Medical cannabis card" means a medical cannabis patient card, a medical
3664     cannabis guardian card, a medical cannabis caregiver card, or a conditional medical cannabis
3665     card.
3666          [(30)] (27) "Medical cannabis cardholder" means:
3667          (a) a holder of a medical cannabis card; or
3668          (b) a facility or assigned employee, described in Subsection(17)(b), only:
3669          (i) within the scope of the facility's or assigned employee's performance of the role of a
3670     medical cannabis patient cardholder's caregiver designation under Subsection 26B-4-214(1)(b);
3671     and
3672          (ii) while in possession of documentation that establishes:
3673          (A) a caregiver designation described in Subsection 26B-4-214(1)(b);
3674          (B) the identity of the individual presenting the documentation; and
3675          (C) the relation of the individual presenting the documentation to the caregiver
3676     designation.
3677          [(31)] (28) "Medical cannabis caregiver card" means an electronic document that a
3678     cardholder may print or store on an electronic device or a physical card or document that:
3679          (a) the department issues to an individual whom a medical cannabis patient cardholder
3680     or a medical cannabis guardian cardholder designates as a designated caregiver; and
3681          (b) is connected to the electronic verification system.
3682          [(32)] (29) "Medical cannabis courier" means the same as that term is defined in
3683     Section 4-41a-102.

3684          [(33) "Medical cannabis courier agent" means the same as that term is defined in
3685     Section 4-41a-102.]
3686          [(34)] (30) (a) "Medical cannabis device" means a device that an individual uses to
3687     ingest or inhale cannabis in a medicinal dosage form or a cannabis product in a medicinal
3688     dosage form.
3689          (b) "Medical cannabis device" does not include a device that:
3690          (i) facilitates cannabis combustion; or
3691          (ii) an individual uses to ingest substances other than cannabis.
3692          [(35)] (31) "Medical cannabis guardian card" means an electronic document that a
3693     cardholder may print or store on an electronic device or a physical card or document that:
3694          (a) the department issues to the parent or legal guardian of a minor with a qualifying
3695     condition; and
3696          (b) is connected to the electronic verification system.
3697          [(36)] (32) "Medical cannabis patient card" means an electronic document that a
3698     cardholder may print or store on an electronic device or a physical card or document that:
3699          (a) the department issues to an individual with a qualifying condition; and
3700          (b) is connected to the electronic verification system.
3701          [(37)] (33) "Medical cannabis pharmacy" means a person that:
3702          (a) (i) acquires or intends to acquire medical cannabis or a cannabis product in a
3703     medicinal dosage form from a cannabis processing facility or another medical cannabis
3704     pharmacy or a medical cannabis device; or
3705          (ii) possesses medical cannabis or a medical cannabis device; and
3706          (b) sells or intends to sell medical cannabis or a medical cannabis device to a medical
3707     cannabis cardholder.
3708          [(38)] (34) "Medical cannabis pharmacy agent" means an individual who holds a valid
3709     medical cannabis pharmacy agent registration card issued by the department.
3710          [(39)] (35) "Medical cannabis pharmacy agent registration card" means a registration
3711     card issued by the department that authorizes an individual to act as a medical cannabis
3712     pharmacy agent.
3713          [(40)] (36) "Medical cannabis shipment" means the same as that term is defined in
3714     Section 4-41a-102.

3715          [(41)] (37) "Medical cannabis treatment" means cannabis in a medicinal dosage form, a
3716     cannabis product in a medicinal dosage form, or a medical cannabis device.
3717          [(42)] (38) (a) "Medicinal dosage form" means:
3718          (i) for processed medical cannabis or a medical cannabis product, the following with a
3719     specific and consistent cannabinoid content:
3720          (A) a tablet;
3721          (B) a capsule;
3722          (C) a concentrated liquid or viscous oil;
3723          (D) a liquid suspension that[, after December 1, 2022,] does not exceed 30 [ml]
3724     milliliters;
3725          (E) a topical preparation;
3726          (F) a transdermal preparation;
3727          (G) a sublingual preparation;
3728          (H) a gelatinous cube, gelatinous rectangular cuboid, or lozenge in a cube or
3729     rectangular cuboid shape;
3730          (I) a resin or wax; or
3731          (J) an aerosol; or
3732          (ii) for unprocessed cannabis flower, a container described in Section 4-41a-602 that:
3733          (A) contains cannabis [flowers] flower in a quantity that varies by no more than 10%
3734     from the stated weight at the time of packaging;
3735          (B) at any time the medical cannabis cardholder transports or possesses the container in
3736     public, is contained within an opaque bag or box that the medical cannabis pharmacy provides;
3737     and
3738          (C) is labeled with the container's content and weight, the date of purchase, the legal
3739     use termination date, and [after December 31, 2020,] a barcode that provides information
3740     connected to an inventory control system .
3741          (b) "Medicinal dosage form" includes a portion of unprocessed cannabis flower that:
3742          (i) the medical cannabis cardholder has recently removed from the container described
3743     in Subsection (42)(a)(ii) for use; and
3744          (ii) does not exceed the quantity described in Subsection (42)(a)(ii).
3745          (c) "Medicinal dosage form" does not include:

3746          (i) any unprocessed cannabis flower outside of the container described in Subsection
3747     (42)(a)(ii), except as provided in Subsection (42)(b);
3748          (ii) any unprocessed cannabis flower in a container described in Subsection (42)(a)(ii)
3749     after the legal use termination date;
3750          (iii) a process of vaporizing and inhaling concentrated cannabis by placing the cannabis
3751     on a nail or other metal object that is heated by a flame, including a blowtorch;
3752          (iv) a liquid suspension that is branded as a beverage; or
3753          (v) a substance described in Subsection (42)(a)(i) or (ii) if the substance is not
3754     measured in grams, milligrams, or milliliters.
3755          [(43)] (39) "Nonresident patient" means an individual who:
3756          (a) is not a resident of Utah or has been a resident of Utah for less than 45 days;
3757          (b) has a currently valid medical cannabis card or the equivalent of a medical cannabis
3758     card under the laws of another state, district, territory, commonwealth, or insular possession of
3759     the United States; and
3760          (c) has been diagnosed with a qualifying condition as described in Section 26B-4-203.
3761          [(44) "Payment provider" means an entity that contracts with a cannabis production
3762     establishment or medical cannabis pharmacy to facilitate transfers of funds between the
3763     establishment or pharmacy and other businesses or individuals.]
3764          [(45)] (40) "Pharmacy medical provider" means the medical provider required to be on
3765     site at a medical cannabis pharmacy under Section 26B-4-219.
3766          [(46)] (41) "Provisional patient card" means a card that:
3767          (a) the department issues to a minor with a qualifying condition for whom:
3768          (i) a recommending medical provider has recommended a medical cannabis treatment;
3769     and
3770          (ii) the department issues a medical cannabis guardian card to the minor's parent or
3771     legal guardian; and
3772          (b) is connected to the electronic verification system.
3773          [(47)] (42) "Qualified medical provider" means an individual:
3774          (a) who meets the recommending qualifications; and
3775          (b) whom the department registers to recommend treatment with cannabis in a
3776     medicinal dosage form under Section 26B-4-204.

3777          [(48)] (43) "Qualified Patient Enterprise Fund" means the enterprise fund created in
3778     Section 26B-1-310.
3779          [(49)] (44) "Qualifying condition" means a condition described in Section 26B-4-203.
3780          [(50)] (45) "Recommend" or "recommendation" means, for a recommending medical
3781     provider, the act of suggesting the use of medical cannabis treatment, which:
3782          (a) certifies the patient's eligibility for a medical cannabis card; and
3783          (b) may include, at the recommending medical provider's discretion, directions of use,
3784     with or without dosing guidelines.
3785          [(51)] (46) "Recommending medical provider" means a qualified medical provider or a
3786     limited medical provider.
3787          [(52)] (47) "Recommending qualifications" means that an individual:
3788          (a) (i) has the authority to write a prescription;
3789          (ii) is licensed to prescribe a controlled substance under Title 58, Chapter 37, Utah
3790     Controlled Substances Act; and
3791          (iii) possesses the authority, in accordance with the individual's scope of practice, to
3792     prescribe a Schedule II controlled substance; and
3793          (b) is licensed as:
3794          (i) a podiatrist under Title 58, Chapter 5a, Podiatric Physician Licensing Act;
3795          (ii) an advanced practice registered nurse under Title 58, Chapter 31b, Nurse Practice
3796     Act;
3797          (iii) a physician under Title 58, Chapter 67, Utah Medical Practice Act, or Title 58,
3798     Chapter 68, Utah Osteopathic Medical Practice Act; or
3799          (iv) a physician assistant under Title 58, Chapter 70a, Utah Physician Assistant Act.
3800          [(53)] (48) "State central patient portal" means the website the department creates, in
3801     accordance with Section 26B-4-236, to facilitate patient safety, education, and an electronic
3802     medical cannabis order.
3803          [(54)] (49) "State electronic verification system" means the system described in Section
3804     26B-4-202.
3805          [(55) "Targeted marketing" means the promotion by a medical cannabis pharmacy of a
3806     medical cannabis product, medical cannabis brand, or a medical cannabis device using any of
3807     the following methods:]

3808          [(a) electronic communication to an individual who is at least 21 years old and has
3809     requested to receive promotional information from the medical cannabis pharmacy;]
3810          [(b) an in-person marketing event that is:]
3811          [(i) held inside a medical cannabis pharmacy; and]
3812          [(ii) in an area where only a medical cannabis cardholder may access the event; or]
3813          [(c) other marketing material that is physically available or digitally displayed in:]
3814          [(i) a medical cannabis pharmacy; and]
3815          [(ii) an area where only a medical cannabis cardholder has access.]
3816          [(56)] (50) "Tetrahydrocannabinol" or "THC" means a substance derived from
3817     cannabis or a synthetic equivalent as described in Subsection 58-37-4(2)(a)(iii)(AA).
3818          [(57)] (51) "THC analog" means the same as that term is defined in Section 4-41-102.
3819          Section 43. Section 26B-4-202 is amended to read:
3820          26B-4-202. Electronic verification system.
3821          (1) The Department of Agriculture and Food, the department, the Department of Public
3822     Safety, and the Division of Technology Services shall:
3823          (a) enter into a memorandum of understanding in order to determine the function and
3824     operation of the state electronic verification system in accordance with Subsection (2);
3825          (b) coordinate with the Division of Purchasing, under Title 63G, Chapter 6a, Utah
3826     Procurement Code, to develop a request for proposals for a third-party provider to develop and
3827     maintain the state electronic verification system in coordination with the Division of
3828     Technology Services; and
3829          (c) select a third-party provider who:
3830          (i) meets the requirements contained in the request for proposals issued under
3831     Subsection (1)(b); and
3832          (ii) may not have any commercial or ownership interest in a cannabis production
3833     establishment or a medical cannabis pharmacy.
3834          (2) The Department of Agriculture and Food, the department, the Department of Public
3835     Safety, and the Division of Technology Services shall ensure that the state electronic
3836     verification system described in Subsection (1):
3837          (a) allows an individual to apply for a medical cannabis patient card or, if applicable, a
3838     medical cannabis guardian card, provided that the card may not become active until:

3839          (i) the relevant qualified medical provider completes the associated medical cannabis
3840     recommendation; or
3841          (ii) for a medical cannabis card related to a limited medical provider's
3842     recommendation, the medical cannabis pharmacy completes the recording described in
3843     Subsection (2)(d);
3844          (b) allows an individual to apply to renew a medical cannabis patient card or a medical
3845     cannabis guardian card in accordance with Section 26B-4-213;
3846          (c) allows a qualified medical provider, or an employee described in Subsection (3)
3847     acting on behalf of the qualified medical provider, to:
3848          (i) access dispensing and card status information regarding a patient:
3849          (A) with whom the qualified medical provider has a provider-patient relationship; and
3850          (B) for whom the qualified medical provider has recommended or is considering
3851     recommending a medical cannabis card;
3852          (ii) electronically [recommendtreatment] recommend treatment with cannabis in a
3853     medicinal dosage form or a cannabis product in a medicinal dosage form and optionally
3854     recommend dosing guidelines;
3855          (iii) electronically renew a recommendation to a medical cannabis patient cardholder or
3856     medical cannabis guardian cardholder:
3857          (A) using telehealth services, for the qualified medical provider who originally
3858     recommended a medical cannabis treatment during a face-to-face visit with the patient; or
3859          (B) during a face-to-face visit with the patient, for a qualified medical provider who
3860     did not originally recommend the medical cannabis treatment during a face-to-face visit
3861          (iv) submit an initial application, renewal application, or application payment on behalf
3862     of an individual applying for any of the following:
3863          (A) a medical cannabis patient card;
3864          (B) a medical cannabis guardian card; or
3865          (C) a medical cannabis caregiver card;
3866          (d) allows a medical cannabis pharmacy medical provider or medical cannabis
3867     pharmacy agent, in accordance with Subsection 4-41a-1101(10)(a), to:
3868          (i) access the electronic verification system to review the history within the system of a
3869     patient with whom the provider or agent is interacting, limited to read-only access for medical

3870     cannabis pharmacy agents unless the medical cannabis pharmacy's pharmacist in charge
3871     authorizes add and edit access;
3872          (ii) record a patient's recommendation from a limited medical provider, including any
3873     directions of use, dosing guidelines, or caregiver indications from the limited medical provider;
3874          (iii) record a limited medical provider's renewal of the provider's previous
3875     recommendation; and
3876          (iv) submit an initial application, renewal application, or application payment on behalf
3877     of an individual applying for any of the following:
3878          (A) a medical cannabis patient card;
3879          (B) a medical cannabis guardian card; or
3880          (C) a medical cannabis caregiver card;
3881          (e) connects with:
3882          (i) an inventory control system that a medical cannabis pharmacy uses to track in real
3883     time and archive purchases of any cannabis in a medicinal dosage form, cannabis product in a
3884     medicinal dosage form, or a medical cannabis device, including:
3885          (A) the time and date of each purchase;
3886          (B) the quantity and type of cannabis, cannabis product, or medical cannabis device
3887     purchased;
3888          (C) any cannabis production establishment, any medical cannabis pharmacy, or any
3889     medical cannabis courier associated with the cannabis, cannabis product, or medical cannabis
3890     device; and
3891          (D) the personally identifiable information of the medical cannabis cardholder who
3892     made the purchase; and
3893          (ii) any commercially available inventory control system that a cannabis production
3894     establishment utilizes in accordance with Section 4-41a-103 to use data that the Department of
3895     Agriculture and Food requires by rule, in accordance with Title 63G, Chapter 3, Utah
3896     Administrative Rulemaking Act, from the inventory tracking system that a licensee uses to
3897     track and confirm compliance;
3898          (f) provides access to:
3899          (i) the department to the extent necessary to carry out the department's functions and
3900     responsibilities under this part;

3901          (ii) the Department of Agriculture and Food to the extent necessary to carry out the
3902     functions and responsibilities of the Department of Agriculture and Food under Title 4, Chapter
3903     41a, Cannabis Production Establishments and Pharmacies; and
3904          (iii) the Division of Professional Licensing to the extent necessary to carry out the
3905     functions and responsibilities related to the participation of the following in the
3906     recommendation and dispensing of medical cannabis:
3907          (A) a podiatrist licensed under Title 58, Chapter 5a, Podiatric Physician Licensing Act;
3908          (B) a pharmacist licensed under Title 58, Chapter 17b, Pharmacy Practice Act;
3909          (C) an advanced practice registered nurse licensed under Title 58, Chapter 31b, Nurse
3910     Practice Act;
3911          (D) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or
3912     Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or
3913          (E) a physician assistant licensed under Title 58, Chapter 70a, Utah Physician Assistant
3914     Act;
3915          (g) provides access to and interaction with the state central patient portal;
3916          (h) communicates dispensing information from a record that a medical cannabis
3917     pharmacy submits to the state electronic verification system under Subsection
3918     4-41a-1102(3)(a)(ii) to the controlled substance database;
3919          (i) provides access to state or local law enforcement:
3920          (i) during a law enforcement encounter, without a warrant, using the individual's driver
3921     license or state ID, only for the purpose of determining if the individual subject to the law
3922     enforcement encounter has a valid medical cannabis card; or
3923          (ii) after obtaining a warrant; and
3924          (j) creates a record each time a person accesses the system that identifies the person
3925     who accesses the system and the individual whose records the person accesses.
3926          (3) (a) An employee of a qualified medical provider may access the electronic
3927     verification system for a purpose described in Subsection (2)(c) on behalf of the qualified
3928     medical provider if:
3929          (i) the qualified medical provider has designated the employee as an individual
3930     authorized to access the electronic verification system on behalf of the qualified medical
3931     provider;

3932          (ii) the qualified medical provider provides written notice to the department of the
3933     employee's identity and the designation described in Subsection (3)(a)(i); and
3934          (iii) the department grants to the employee access to the electronic verification system.
3935          (b) An employee of a business that employs a qualified medical provider may access
3936     the electronic verification system for a purpose described in Subsection (2)(c) on behalf of the
3937     qualified medical provider if:
3938          (i) the qualified medical provider has designated the employee as an individual
3939     authorized to access the electronic verification system on behalf of the qualified medical
3940     provider;
3941          (ii) the qualified medical provider and the employing business jointly provide written
3942     notice to the department of the employee's identity and the designation described in Subsection
3943     (3)(b)(i); and
3944          (iii) the department grants to the employee access to the electronic verification system.
3945          (4) (a) As used in this Subsection (4), "prescribing provider" means:
3946          (i) a podiatrist licensed under Title 58, Chapter 5a, Podiatric Physician Licensing Act;
3947          (ii) an advanced practice registered nurse licensed under Title 58, Chapter 31b, Nurse
3948     Practice Act;
3949          (iii) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or
3950     Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or
3951          (iv) a physician assistant licensed under Title 58, Chapter 70a, Utah Physician
3952     Assistant Act.
3953          (b) A prescribing provider may access information in the electronic verification system
3954     regarding a patient the prescribing provider treats.
3955          (5) The department may release limited data that the system collects for the purpose of:
3956          (a) conducting medical and other department approved research;
3957          (b) providing the report required by Section 26B-4-222; and
3958          (c) other official department purposes.
3959          (6) The department shall make rules, in accordance with Title 63G, Chapter 3, Utah
3960     Administrative Rulemaking Act, to establish:
3961          (a) the limitations on access to the data in the state electronic verification system as
3962     described in this section; and

3963          (b) standards and procedures to ensure accurate identification of an individual
3964     requesting information or receiving information in this section.
3965          (7) (a) Any person who knowingly and intentionally releases any information in the
3966     state electronic verification system in violation of this section is guilty of a third degree felony.
3967          (b) Any person who negligently or recklessly releases any information in the state
3968     electronic verification system in violation of this section is guilty of a class C misdemeanor.
3969          (8) (a) Any person who obtains or attempts to obtain information from the state
3970     electronic verification system by misrepresentation or fraud is guilty of a third degree felony.
3971          (b) Any person who obtains or attempts to obtain information from the state electronic
3972     verification system for a purpose other than a purpose this part authorizes is guilty of a third
3973     degree felony.
3974          (9) (a) Except as provided in Subsection (9)(e), a person may not knowingly and
3975     intentionally use, release, publish, or otherwise make available to any other person information
3976     obtained from the state electronic verification system for any purpose other than a purpose
3977     specified in this section.
3978          (b) Each separate violation of this Subsection (9) is:
3979          (i) a third degree felony; and
3980          (ii) subject to a civil penalty not to exceed $5,000.
3981          (c) The department shall determine a civil violation of this Subsection (9) in
3982     accordance with Title 63G, Chapter 4, Administrative Procedures Act.
3983          (d) Civil penalties assessed under this Subsection (9) shall be deposited into the
3984     General Fund.
3985          (e) This Subsection (9) does not prohibit a person who obtains information from the
3986     state electronic verification system under Subsection (2)(a), (c), or (f) from:
3987          (i) including the information in the person's medical chart or file for access by a person
3988     authorized to review the medical chart or file;
3989          (ii) providing the information to a person in accordance with the requirements of the
3990     Health Insurance Portability and Accountability Act of 1996; or
3991          (iii) discussing or sharing that information about the patient with the patient.
3992          Section 44. Section 26B-4-213 is amended to read:
3993          26B-4-213. Medical cannabis patient card -- Medical cannabis guardian card --

3994     Conditional medical cannabis card -- Application -- Fees -- Studies.
3995          (1) (a) Subject to Section 26B-4-246, within 15 days after the day on which an
3996     individual who satisfies the eligibility criteria in this section or Section 26B-4-214 submits an
3997     application in accordance with this section or Section 26B-4-214, the department shall:
3998          (i) issue a medical cannabis patient card to an individual described in Subsection
3999     (2)(a);
4000          (ii) issue a medical cannabis guardian card to an individual described in Subsection
4001     (2)(b);
4002          (iii) issue a provisional patient card to a minor described in Subsection (2)(c); and
4003          (iv) issue a medical cannabis caregiver card to an individual described in Subsection
4004     26B-4-214(4).
4005          (b) (i) Upon the entry of a recommending medical provider's medical cannabis
4006     recommendation for a patient in the state electronic verification system, either by the provider
4007     or the provider's employee or by a medical cannabis pharmacy medical provider or medical
4008     cannabis pharmacy in accordance with Subsection 4-41a-1101(10)(a), the department shall
4009     issue to the patient an electronic conditional medical cannabis card, in accordance with this
4010     Subsection (1)(b).
4011          (ii) A conditional medical cannabis card is valid for the lesser of:
4012          (A) 60 days; or
4013          (B) the day on which the department completes the department's review and issues a
4014     medical cannabis card under Subsection (1)(a), denies the patient's medical cannabis card
4015     application, or revokes the conditional medical cannabis card under Subsection (8).
4016          (iii) The department may issue a conditional medical cannabis card to an individual
4017     applying for a medical cannabis patient card for which approval of the Compassionate Use
4018     Board is not required.
4019          (iv) An individual described in Subsection (1)(b)(iii) has the rights, restrictions, and
4020     obligations under law applicable to a holder of the medical cannabis card for which the
4021     individual applies and for which the department issues the conditional medical cannabis card.
4022          (2) (a) An individual is eligible for a medical cannabis patient card if:
4023          (i) (A) the individual is at least 21 years old; or
4024          (B) the individual is 18, 19, or 20 years old, the individual petitions the Compassionate

4025     Use Board under Section 26B-1-421, and the Compassionate Use Board recommends
4026     department approval of the petition;
4027          (ii) the individual is a Utah resident;
4028          (iii) the individual's recommending medical provider recommends treatment with
4029     medical cannabis in accordance with Subsection (4);
4030          (iv) the individual signs an acknowledgment stating that the individual received the
4031     information described in Subsection (9); and
4032          (v) the individual pays to the department a fee in an amount that, subject to Subsection
4033     26B-1-310(5), the department sets in accordance with Section 63J-1-504.
4034          (b) (i) An individual is eligible for a medical cannabis guardian card if the individual:
4035          (A) is at least 18 years old;
4036          (B) is a Utah resident;
4037          (C) is the parent or legal guardian of a minor for whom the minor's qualified medical
4038     provider recommends a medical cannabis treatment, the individual petitions the Compassionate
4039     Use Board under Section 26B-1-421, and the Compassionate Use Board recommends
4040     department approval of the petition;
4041          (D) the individual signs an acknowledgment stating that the individual received the
4042     information described in Subsection (9);
4043          (E) pays to the department a fee in an amount that, subject to Subsection 26B-1-310(5),
4044     the department sets in accordance with Section 63J-1-504, plus the cost of the criminal
4045     background check described in Section 26B-4-215.
4046          (ii) The department shall notify the Department of Public Safety of each individual that
4047     the department registers for a medical cannabis guardian card.
4048          (c) (i) A minor is eligible for a provisional patient card if:
4049          (A) the minor has a qualifying condition;
4050          (B) the minor's qualified medical provider recommends a medical cannabis treatment
4051     to address the minor's qualifying condition;
4052          (C) one of the minor's parents or legal guardians petitions the Compassionate Use
4053     Board under Section 26B-1-421, and the Compassionate Use Board recommends department
4054     approval of the petition; and
4055          (D) the minor's parent or legal guardian is eligible for a medical cannabis guardian card

4056     under Subsection (2)(b) or designates a caregiver under Subsection (2)(d) who is eligible for a
4057     medical cannabis caregiver card under Section 26B-4-214.
4058          (ii) The department shall automatically issue a provisional patient card to the minor
4059     described in Subsection (2)(c)(i) at the same time the department issues a medical cannabis
4060     guardian card to the minor's parent or legal guardian.
4061          (d) If the parent or legal guardian of a minor described in Subsections (2)(c)(i)(A)
4062     through (C) does not qualify for a medical cannabis guardian card under Subsection (2)(b), the
4063     parent or legal guardian may designate up to two caregivers in accordance with Subsection
4064     26B-4-214(1)(c) to ensure that the minor has adequate and safe access to the recommended
4065     medical cannabis treatment.
4066          (3) (a) An individual who is eligible for a medical cannabis card described in
4067     Subsection (2)(a) or (b) shall submit an application for a medical cannabis card to the
4068     department:
4069          (i) through an electronic application connected to the state electronic verification
4070     system;
4071          (ii) with the recommending medical provider; and
4072          (iii) with information including:
4073          (A) the applicant's name, gender, age, and address;
4074          (B) the number of the applicant's government issued photo identification;
4075          (C) for a medical cannabis guardian card, the name, gender, and age of the minor
4076     receiving a medical cannabis treatment under the cardholder's medical cannabis guardian card;
4077     and
4078          (D) for a provisional patient card, the name of the minor's parent or legal guardian who
4079     holds the associated medical cannabis guardian card.
4080          (b) The department shall ensure that a medical cannabis card the department issues
4081     under this section contains the information described in Subsection (3)(a)(iii).
4082          (c) (i) If a recommending medical provider determines that, because of age, illness, or
4083     disability, a medical cannabis patient cardholder requires assistance in administering the
4084     medical cannabis treatment that the recommending medical provider recommends, the
4085     recommending medical provider may indicate the cardholder's need in the state electronic
4086     verification system, either directly or, for a limited medical provider, through the order

4087     described in Subsections 26B-4-204(1)(c) and (d).
4088          (ii) If a recommending medical provider makes the indication described in Subsection
4089     (3)(c)(i):
4090          (A) the department shall add a label to the relevant medical cannabis patient card
4091     indicating the cardholder's need for assistance;
4092          (B) any adult who is 18 years old or older and who is physically present with the
4093     cardholder at the time the cardholder needs to use the recommended medical cannabis
4094     treatment may handle the medical cannabis treatment and any associated medical cannabis
4095     device as needed to assist the cardholder in administering the recommended medical cannabis
4096     treatment; and
4097          (C) an individual of any age who is physically present with the cardholder in the event
4098     of an emergency medical condition, as that term is defined in Section 31A-1-301, may handle
4099     the medical cannabis treatment and any associated medical cannabis device as needed to assist
4100     the cardholder in administering the recommended medical cannabis treatment.
4101          (iii) A non-cardholding individual acting under Subsection (3)(c)(ii)(B) or (C) may not:
4102          (A) ingest or inhale medical cannabis;
4103          (B) possess, transport, or handle medical cannabis or a medical cannabis device outside
4104     of the immediate area where the cardholder is present or with an intent other than to provide
4105     assistance to the cardholder; or
4106          (C) possess, transport, or handle medical cannabis or a medical cannabis device when
4107     the cardholder is not in the process of being dosed with medical cannabis.
4108          (4) To recommend a medical cannabis treatment to a patient or to renew a
4109     recommendation, a recommending medical provider shall:
4110          (a) visit with the patient face-to-face for an initial recommendation unless the patient:
4111          (i) prefers a virtual visit; and
4112          (ii) (A) is on hospice or has a terminal illness according to the patient's medical
4113     provider; or
4114          (B) is a resident of an assisted living facility, as defined in Section 26B-2-201, or a
4115     nursing care facility, as defined in Section 26B-2-201;
4116          (b) before recommending or renewing a recommendation for medical cannabis in a
4117     medicinal dosage form or a cannabis product in a medicinal dosage form:

4118          (i) verify the patient's and, for a minor patient, the minor patient's parent or legal
4119     guardian's government issued photo identification described in Subsection (3)(a);
4120          (ii) review any record related to the patient and, for a minor patient, the patient's parent
4121     or legal guardian in:
4122          (A) for a qualified medical provider, the state electronic verification system; and
4123          (B) the controlled substance database created in Section 58-37f-201; and
4124          (iii) consider the recommendation in light of the patient's qualifying condition, history
4125     of substance use or opioid use disorder, and history of medical cannabis and controlled
4126     substance use during a visit with the patient; and
4127          (c) state in the recommending medical provider's recommendation that the patient:
4128          (i) suffers from a qualifying condition, including the type of qualifying condition; and
4129          (ii) may benefit from treatment with cannabis in a medicinal dosage form or a cannabis
4130     product in a medicinal dosage form.
4131          (5) (a) Except as provided in Subsection (5)(b) or (c), a medical cannabis card that the
4132     department issues under this section is valid for the lesser of:
4133          (i) an amount of time that the recommending medical provider determines; or
4134          (ii) one year from the day the card is issued.
4135          (b) (i) A medical cannabis card that the department issues in relation to a terminal
4136     illness described in Section 26B-4-203 expires after one year.
4137          (ii) The recommending medical provider may revoke a recommendation that the
4138     provider made in relation to a terminal illness described in Section 26B-4-203 if the medical
4139     cannabis cardholder no longer has the terminal illness.
4140          (c) A medical cannabis card that the department issues in relation to acute pain as
4141     described in Section 26B-4-203 expires 30 days after the day on which the department first
4142     issues a conditional or full medical cannabis card.
4143          (6) (a) A medical cannabis patient card or a medical cannabis guardian card is
4144     renewable if:
4145          (i) at the time of renewal, the cardholder meets the requirements of Subsection (2)(a) or
4146     (b); or
4147          (ii) the cardholder received the medical cannabis card through the recommendation of
4148     the Compassionate Use Board under Section 26B-1-421.

4149          (b) The recommending medical provider who made the underlying recommendation
4150     for the card of a cardholder described in Subsection (6)(a) may renew the cardholder's card
4151     through phone or video conference with the cardholder, at the recommending medical
4152     provider's discretion.
4153          (c) Before having access to a renewed card, a cardholder under Subsection (2)(a) or (b)
4154     shall pay to the department a renewal fee in an amount that:
4155          (i) subject to Subsection 26B-1-310(5), the department sets in accordance with Section
4156     63J-1-504; and
4157          (ii) may not exceed the cost of the relatively lower administrative burden of renewal in
4158     comparison to the original application process.
4159          (d) If a minor meets the requirements of Subsection (2)(c), the minor's provisional
4160     patient card renews automatically at the time the minor's parent or legal guardian renews the
4161     parent or legal guardian's associated medical cannabis guardian card.
4162          (7) (a) A cardholder under this section shall carry the cardholder's valid medical
4163     cannabis card with the patient's name.
4164          (b) (i) A medical cannabis patient cardholder or a provisional patient cardholder may
4165     purchase, in accordance with this part and the recommendation underlying the card, cannabis in
4166     a medicinal dosage form, a cannabis product in a medicinal dosage form, or a medical cannabis
4167     device.
4168          (ii) A cardholder under this section may possess or transport, in accordance with this
4169     part and the recommendation underlying the card, cannabis in a medicinal dosage form, a
4170     cannabis product in a medicinal dosage form, or a medical cannabis device.
4171          (iii) To address the qualifying condition underlying the medical cannabis treatment
4172     recommendation:
4173          (A) a medical cannabis patient cardholder or a provisional patient cardholder may use
4174     cannabis in a medicinal dosage form, a medical cannabis product in a medicinal dosage form,
4175     or a medical cannabis device; and
4176          (B) a medical cannabis guardian cardholder may assist the associated provisional
4177     patient cardholder with the use of cannabis in a medicinal dosage form, a medical cannabis
4178     product in a medicinal dosage form, or a medical cannabis device.
4179          (8) (a) The department may revoke a medical cannabis card that the department issues

4180     under this section if:
4181          (i) the recommending medical provider withdraws the medical provider's
4182     recommendation for medical cannabis; or
4183          (ii) the cardholder:
4184          (A) violates this part; or
4185          (B) is convicted under state or federal law of, after March 17, 2021, a drug distribution
4186     offense.
4187          (b) The department may not refuse to issue a medical cannabis card to a patient solely
4188     based on a prior revocation under Subsection (8)(a)(i).
4189          (9) The department shall establish by rule, in accordance with Title 63G, Chapter 3,
4190     Utah Administrative Rulemaking Act, a process to provide information regarding the following
4191     to an individual receiving a medical cannabis card:
4192          (a) risks associated with medical cannabis treatment;
4193          (b) the fact that a condition's listing as a qualifying condition does not suggest that
4194     medical cannabis treatment is an effective treatment or cure for that condition, as described in
4195     Subsection 26B-4-203(1); and
4196          (c) other relevant warnings and safety information that the department determines.
4197          (10) The department may establish procedures by rule, in accordance with Title 63G,
4198     Chapter 3, Utah Administrative Rulemaking Act, to implement the application and issuance
4199     provisions of this section.
4200          (11) (a) [On or before September 1, 2021, the] The department shall establish by rule,
4201     in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, a process to
4202     allow an individual from another state to register with the department in order to purchase
4203     medical cannabis or a medical cannabis device from a medical cannabis pharmacy while the
4204     individual is visiting the state.
4205          (b) The department may only provide the registration process described in Subsection
4206     (11)(a):
4207          (i) to a nonresident patient; and
4208          (ii) for no more than two visitation periods per calendar year of up to 21 calendar days
4209     per visitation period.
4210          (12) (a) A person may submit to the department a request to conduct a research study

4211     using medical cannabis cardholder data that the state electronic verification system contains.
4212          (b) The department shall review a request described in Subsection (12)(a) to determine
4213     whether an institutional review board, as that term is defined in Section 26B-4-201, could
4214     approve the research study.
4215          (c) At the time an individual applies for a medical cannabis card, the department shall
4216     notify the individual:
4217          (i) of how the individual's information will be used as a cardholder;
4218          (ii) that by applying for a medical cannabis card, unless the individual withdraws
4219     consent under Subsection (12)(d), the individual consents to the use of the individual's
4220     information for external research; and
4221          (iii) that the individual may withdraw consent for the use of the individual's
4222     information for external research at any time, including at the time of application.
4223          (d) An applicant may, through the medical cannabis card application, and a medical
4224     cannabis cardholder may, through the state central patient portal, withdraw the applicant's or
4225     cardholder's consent to participate in external research at any time.
4226          (e) The department may release, for the purposes of a study described in this
4227     Subsection (12), information about a cardholder under this section who consents to participate
4228     under Subsection (12)(c).
4229          (f) If an individual withdraws consent under Subsection (12)(d), the withdrawal of
4230     consent:
4231          (i) applies to external research that is initiated after the withdrawal of consent; and
4232          (ii) does not apply to research that was initiated before the withdrawal of consent.
4233          (g) The department may establish standards for a medical research study's validity, by
4234     rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
4235          (13) The department shall record the issuance or revocation of a medical cannabis card
4236     under this section in the controlled substance database.
4237          Section 45. Section 26B-4-214 is amended to read:
4238          26B-4-214. Medical cannabis caregiver card -- Registration -- Renewal --
4239     Revocation.
4240          (1) (a) A cardholder described in Section 26B-4-213 may designate, through the state
4241     central patient portal, up to two individuals, or an individual and a facility in accordance with

4242     Subsection (1)(b), to serve as a designated caregiver for the cardholder.
4243          (b) (i) [Beginning on the earlier of September 1, 2021, or the date on which the
4244     electronic verification system is functionally capable of servicing the designation, a] A
4245     cardholder described in Section 26B-4-213 may designate one of the following types of
4246     facilities as one of the caregivers described in Subsection (1)(a):
4247          (A) for a patient or resident, an assisted living facility, as that term is defined in Section
4248     26B-2-201;
4249          (B) for a patient or resident, a nursing care facility, as that term is defined in Section
4250     26B-2-201; or
4251          (C) for a patient, a general acute hospital, as that term is defined in Section 26B-2-201.
4252          (ii) A facility may:
4253          (A) assign one or more employees to assist patients with medical cannabis treatment
4254     under the caregiver designation described in this Subsection (1)(b); and
4255          (B) receive a medical cannabis shipment from a medical cannabis pharmacy or a
4256     medical cannabis courier on behalf of the medical cannabis cardholder within the facility who
4257     designated the facility as a caregiver.
4258          (iii) The department shall make rules to regulate the practice of facilities and facility
4259     employees serving as designated caregivers under this Subsection (1)(b).
4260          (c) A parent or legal guardian described in Subsection 26B-4-213(2)(d), in consultation
4261     with the minor and the minor's qualified medical provider, may designate, through the state
4262     central patient portal, up to two individuals to serve as a designated caregiver for the minor, if
4263     the department determines that the parent or legal guardian is not eligible for a medical
4264     cannabis guardian card under Section 26B-4-213.
4265          (d) (i) [Beginning on the earlier of September 1, 2022, or the date on which the
4266     electronic verification system is functionally capable of facilitating a conditional medical
4267     cannabis caregiver card under this Subsection (1)(d), upon] Upon the entry of a caregiver
4268     designation under Subsection (1) by a patient with a terminal illness described in Section
4269     26B-4-203, the department shall issue to the designated caregiver an electronic conditional
4270     medical cannabis caregiver card, in accordance with this Subsection (1)(d).
4271          (ii) A conditional medical cannabis caregiver card is valid for the lesser of:
4272          (A) 60 days; or

4273          (B) the day on which the department completes the department's review and issues a
4274     medical cannabis caregiver card under Subsection (1)(a), denies the patient's medical cannabis
4275     caregiver card application, or revokes the conditional medical cannabis caregiver card under
4276     26B-4-246.
4277          (iii) The department may issue a conditional medical cannabis card to an individual
4278     applying for a medical cannabis patient card for which approval of the Compassionate Use
4279     Board is not required.
4280          (iv) An individual described in Subsection (1)(b)(iii) has the rights, restrictions, and
4281     obligations under law applicable to a holder of the medical cannabis card for which the
4282     individual applies and for which the department issues the conditional medical cannabis card.
4283          (2) An individual that the department registers as a designated caregiver under this
4284     section and a facility described in Subsection (1)(b):
4285          (a) for an individual designated caregiver, may carry a valid medical cannabis caregiver
4286     card;
4287          (b) in accordance with this part, may purchase, possess, transport, or assist the patient
4288     in the use of cannabis in a medicinal dosage form, a cannabis product in a medicinal dosage
4289     form, or a medical cannabis device on behalf of the designating medical cannabis cardholder;
4290          (c) may not charge a fee to an individual to act as the individual's designated caregiver
4291     or for a service that the designated caregiver provides in relation to the role as a designated
4292     caregiver; and
4293          (d) may accept reimbursement from the designating medical cannabis cardholder for
4294     direct costs the designated caregiver incurs for assisting with the designating cardholder's
4295     medicinal use of cannabis.
4296          (3) (a) The department shall:
4297          (i) within 15 days after the day on which an individual submits an application in
4298     compliance with this section, issue a medical cannabis card to the applicant if the applicant:
4299          (A) is designated as a caregiver under Subsection (1);
4300          (B) is eligible for a medical cannabis caregiver card under Subsection (4); and
4301          (C) complies with this section; and
4302          (ii) notify the Department of Public Safety of each individual that the department
4303     registers as a designated caregiver.

4304          (b) The department shall ensure that a medical cannabis caregiver card contains the
4305     information described in Subsections (5)(b) and (3)(c)(i).
4306          (c) If a cardholder described in Section 26B-4-213 designates an individual as a
4307     caregiver who already holds a medical cannabis caregiver card, the individual with the medical
4308     cannabis caregiver card:
4309          (i) shall report to the department the information required of applicants under
4310     Subsection (5)(b) regarding the new designation;
4311          (ii) if the individual makes the report described in Subsection (3)(c)(i), is not required
4312     to file an application for another medical cannabis caregiver card;
4313          (iii) may receive an additional medical cannabis caregiver card in relation to each
4314     additional medical cannabis patient who designates the caregiver; and
4315          (iv) is not subject to an additional background check.
4316          (4) An individual is eligible for a medical cannabis caregiver card if the individual:
4317          (a) is at least 21 years old;
4318          (b) is a Utah resident;
4319          (c) pays to the department a fee in an amount that, subject to Subsection 26B-1-310(5),
4320     the department sets in accordance with Section 63J-1-504, plus the cost of the criminal
4321     background check described in Section 26B-4-215;
4322          (d) signs an acknowledgment stating that the applicant received the information
4323     described in Subsection 26B-4-213(9) .
4324          (5) An eligible applicant for a medical cannabis caregiver card shall:
4325          (a) submit an application for a medical cannabis caregiver card to the department
4326     through an electronic application connected to the state electronic verification system; and
4327          (b) submit the following information in the application described in Subsection (5)(a):
4328          (i) the applicant's name, gender, age, and address;
4329          (ii) the name, gender, age, and address of the cardholder described in Section
4330     26B-4-213 who designated the applicant;
4331          (iii) if a medical cannabis guardian cardholder designated the caregiver, the name,
4332     gender, and age of the minor receiving a medical cannabis treatment in relation to the medical
4333     cannabis guardian cardholder; and
4334          (iv) any additional information that the department requests to assist in matching the

4335     application with the designating medical cannabis patient.
4336          (6) Except as provided in Subsection (6)(b), a medical cannabis caregiver card that the
4337     department issues under this section is valid for the lesser of:
4338          (a) an amount of time that the cardholder described in Section 26B-4-213 who
4339     designated the caregiver determines; or
4340          (b) the amount of time remaining before the card of the cardholder described in Section
4341     26B-4-213 expires.
4342          (7) (a) If a designated caregiver meets the requirements of Subsection (4), the
4343     designated caregiver's medical cannabis caregiver card renews automatically at the time the
4344     cardholder described in Section 26B-4-213 who designated the caregiver:
4345          (i) renews the cardholder's card; and
4346          (ii) renews the caregiver's designation, in accordance with Subsection (7)(b).
4347          (b) The department shall provide a method in the card renewal process to allow a
4348     cardholder described in Section 26B-4-213 who has designated a caregiver to:
4349          (i) signify that the cardholder renews the caregiver's designation;
4350          (ii) remove a caregiver's designation; or
4351          (iii) designate a new caregiver.
4352          (8) The department shall record the issuance or revocation of a medical cannabis card
4353     under this section in the controlled substance database.
4354          Section 46. Section 26B-4-222 is amended to read:
4355          26B-4-222. Report.
4356          (1) By the November interim meeting each year, [beginning in 2020,] the department
4357     shall report to the Health and Human Services Interim Committee on:
4358          (a) the number of applications and renewal applications filed for medical cannabis
4359     cards;
4360          (b) the number of qualifying patients and designated caregivers;
4361          (c) the nature of the debilitating medical conditions of the qualifying patients;
4362          (d) the age and county of residence of cardholders;
4363          (e) the number of medical cannabis cards revoked;
4364          (f) the number of practitioners providing recommendations for qualifying patients;
4365          (g) the number of license applications and renewal license applications received;

4366          (h) the number of licenses the department has issued in each county;
4367          (i) the number of licenses the department has revoked;
4368          (j) the quantity of medical cannabis shipments that the state central patient portal
4369     facilitates;
4370          (k) the number of overall purchases of medical cannabis and medical cannabis products
4371     from each medical cannabis pharmacy;
4372          (l) the expenses incurred and revenues generated from the medical cannabis program;
4373     and
4374          (m) an analysis of product availability in medical cannabis pharmacies in
4375     [consulatation] consultation with the Department of Agriculture and Food.
4376          (2) The report shall include information provided by the Center for Medical Cannabis
4377     Research described in Section 53B-17-1402.
4378          (3) The department may not include personally identifying information in the report
4379     described in this section.
4380          (4) The department shall report to the working group described in Section 36-12-8.2 as
4381     requested by the working group.
4382          Section 47. Section 26B-4-245 is amended to read:
4383          26B-4-245. Purchasing and use limitations.
4384          An individual with a medical cannabis card:
4385          (1) may purchase, in any one 28-day period, up to the legal dosage limit of:
4386          (a) unprocessed cannabis in a medicinal dosage form; and
4387          (b) a cannabis product in a medicinal dosage form;
4388          (2) may not purchase:
4389          (a) more medical cannabis than described in Subsection (1)(a); or
4390          (b) if the relevant recommending medical provider did not recommend directions of
4391     use and dosing guidelines, until the individual consults with the pharmacy medical provider in
4392     accordance with Subsection [26B-4-231(4)] 26B-4-231(5), any medical cannabis; and
4393          [(3)] (c) may not use a route of administration that the relevant recommending medical
4394     provider or the pharmacy medical provider, in accordance with Subsection [26B-4-231(4)]
4395     26B-4-231(5), has not recommended.
4396          Section 48. Section 26B-4-701 is amended to read:

4397          26B-4-701. Definitions.
4398          As used in this part:
4399          (1) "Accredited clinical education program" means a clinical education program for a
4400     health care profession that is accredited by the Accreditation Council on Graduate Medical
4401     Education.
4402          (2) "Accredited clinical training program" means a clinical training program that is
4403     accredited by an entity recognized within medical education circles as an accrediting body for
4404     medical education, advanced practice nursing education, physician [assistance] assistant
4405     education, doctor of pharmacy education, dental education, or registered nursing education.
4406          (3) "Centers for Medicare and Medicaid Services" means the Centers for Medicare and
4407     Medicaid Services within the United States Department of Health and Human Services.
4408          (4) "Health care professionals in training" means medical students and residents,
4409     [advance] advanced practice nursing students, physician assistant students, doctor of pharmacy
4410     students, dental students, and registered nursing students.
4411          (5) "Hospital" means a general acute hospital, as defined in Section 26B-2-201.
4412          (6) "Physician" means a person:
4413          (a) licensed as a physician under Title 58, Chapter 67, Utah Medical Practice Act; or
4414          (b) licensed as a physician under Title 58, Chapter 68, Utah Osteopathic Medical
4415     Practice Act.
4416          (7) "Rural county" means a county [with a population of less than 50,000, as
4417     determined by:] of the third, fourth, fifth, or sixth class under Section 17-50-501.
4418          [(a) the most recent official census or census estimate of the United States Bureau of
4419     the Census; or]
4420          [(b) the most recent population estimate for the county from the Utah Population
4421     Committee, if a population figure for the county is not available under Subsection (7)(a).]
4422          (8) "Rural hospital" means a hospital located within a rural county.
4423          (9) "UMEC" means the Utah Medical Education Council created in Section
4424     26B-4-706.
4425          Section 49. Section 26B-5-101 is amended to read:
4426          26B-5-101. Chapter definitions.
4427          As used in this chapter:

4428          (1) "Criminal risk factors" means a person's characteristics and behaviors that:
4429          (a) affect the person's risk of engaging in criminal behavior; and
4430          (b) are diminished when addressed by effective treatment, supervision, and other
4431     support resources, resulting in reduced risk of criminal behavior.
4432          (2) "Director" means the director appointed under Section 26B-5-103.
4433          (3) "Division" means the Division of Integrated Healthcare created in Section
4434     [26B-1-202] 26B-1-1202.
4435          (4) "Local mental health authority" means a county legislative body.
4436          (5) "Local substance abuse authority" means a county legislative body.
4437          (6) "Mental health crisis" means:
4438          (a) a mental health condition that manifests in an individual by symptoms of sufficient
4439     severity that a prudent layperson who possesses an average knowledge of mental health issues
4440     could reasonably expect the absence of immediate attention or intervention to result in:
4441          (i) serious danger to the individual's health or well-being; or
4442          (ii) a danger to the health or well-being of others; or
4443          (b) a mental health condition that, in the opinion of a mental health therapist or the
4444     therapist's designee, requires direct professional observation or intervention.
4445          (7) "Mental health crisis response training" means community-based training that
4446     educates laypersons and professionals on the warning signs of a mental health crisis and how to
4447     respond.
4448          (8) "Mental health crisis services" means an array of services provided to an individual
4449     who experiences a mental health crisis, which may include:
4450          (a) direct mental health services;
4451          (b) on-site intervention provided by a mobile crisis outreach team;
4452          (c) the provision of safety and care plans;
4453          (d) prolonged mental health services for up to 90 days after the day on which an
4454     individual experiences a mental health crisis;
4455          (e) referrals to other community resources;
4456          (f) local mental health crisis lines; and
4457          (g) the statewide mental health crisis line.
4458          (9) "Mental health therapist" means the same as that term is defined in Section

4459     58-60-102.
4460          (10) "Mobile crisis outreach team" or "MCOT" means a mobile team of medical and
4461     mental health professionals that, in coordination with local law enforcement and emergency
4462     medical service personnel, provides mental health crisis services.
4463          (11) "Office" means the Office of Substance Use and Mental Health created in Section
4464     26B-5-102.
4465          (12) (a) "Public funds" means federal money received from the department, and state
4466     money appropriated by the Legislature to the department, a county governing body, or a local
4467     substance abuse authority, or a local mental health authority for the purposes of providing
4468     substance abuse or mental health programs or services.
4469          (b) "Public funds" include federal and state money that has been transferred by a local
4470     substance abuse authority or a local mental health authority to a private provider under an
4471     annual or otherwise ongoing contract to provide comprehensive substance abuse or mental
4472     health programs or services for the local substance abuse authority or local mental health
4473     authority. The money maintains the nature of "public funds" while in the possession of the
4474     private entity that has an annual or otherwise ongoing contract with a local substance abuse
4475     authority or a local mental health authority to provide comprehensive substance use or mental
4476     health programs or services for the local substance abuse authority or local mental health
4477     authority.
4478          (c) Public funds received for the provision of services under substance use or mental
4479     health service plans may not be used for any other purpose except those authorized in the
4480     contract between the local mental health or substance abuse authority and provider for the
4481     provision of plan services.
4482          (13) "Severe mental disorder" means schizophrenia, major depression, bipolar
4483     disorders, delusional disorders, psychotic disorders, and other mental disorders as defined by
4484     the division.
4485          (14) "Stabilization services" means in-home services provided to a child with, or who
4486     is at risk for, complex emotional and behavioral needs, including teaching the child's parent or
4487     guardian skills to improve family functioning.
4488          (15) "Statewide mental health crisis line" means the same as that term is defined in
4489     Section 26B-5-610.

4490          (16) "System of care" means a broad, flexible array of services and supports that:
4491          (a) serve a child with or who is at risk for complex emotional and behavioral needs;
4492          (b) are community based;
4493          (c) are informed about trauma;
4494          (d) build meaningful partnerships with families and children;
4495          (e) integrate service planning, service coordination, and management across state and
4496     local entities;
4497          (f) include individualized case planning;
4498          (g) provide management and policy infrastructure that supports a coordinated network
4499     of interdepartmental service providers, contractors, and service providers who are outside of
4500     the department; and
4501          (h) are guided by the type and variety of services needed by a child with or who is at
4502     risk for complex emotional and behavioral needs and by the child's family.
4503          Section 50. Section 26B-5-403 is amended to read:
4504          26B-5-403. Residential and inpatient settings -- Commitment proceeding -- Child
4505     in physical custody of local mental health authority.
4506          (1) A child may receive services from a local mental health authority in an inpatient or
4507     residential setting only after a commitment proceeding, for the purpose of transferring physical
4508     custody, has been conducted in accordance with the requirements of this section.
4509          (2) That commitment proceeding shall be initiated by a petition for commitment, and
4510     shall be a careful, diagnostic inquiry, conducted by a neutral and detached fact finder, pursuant
4511     to the procedures and requirements of this section. If the findings described in Subsection (4)
4512     exist, the proceeding shall result in the transfer of physical custody to the appropriate local
4513     mental health authority, and the child may be placed in an inpatient or residential setting.
4514          (3) The neutral and detached fact finder who conducts the inquiry:
4515          (a) shall be a designated examiner; and
4516          (b) may not profit, financially or otherwise, from the commitment or physical
4517     placement of the child in that setting.
4518          (4) Upon determination by a fact finder that the following circumstances clearly exist,
4519     the fact finder may order that the child be committed to the physical custody of a local mental
4520     health authority:

4521          (a) the child has a mental illness;
4522          (b) the child demonstrates a reasonable fear of the risk of substantial danger to self or
4523     others;
4524          (c) the child will benefit from care and treatment by the local mental health authority;
4525     and
4526          (d) there is no appropriate less-restrictive alternative.
4527          (5) (a) The commitment proceeding before the neutral and detached fact finder shall be
4528     conducted in as informal manner as possible and in a physical setting that is not likely to have a
4529     harmful effect on the child.
4530          (b) The child, the child's parent or legal guardian, the petitioner, and a representative of
4531     the appropriate local mental health authority:
4532          (i) shall receive informal notice of the date and time of the proceeding; and
4533          (ii) may appear and address the petition for commitment.
4534          (c) The neutral and detached fact finder may, in the fact finder's discretion, receive the
4535     testimony of any other person.
4536          (d) The fact finder may allow a child to waive the child's right to be present at the
4537     commitment proceeding, for good cause shown. If that right is waived, the purpose of the
4538     waiver shall be made a matter of record at the proceeding.
4539          (e) At the time of the commitment proceeding, the appropriate local mental health
4540     authority, its designee, or the psychiatrist who has been in charge of the child's care prior to the
4541     commitment proceeding, shall provide the neutral and detached fact finder with the following
4542     information, as it relates to the period of current admission:
4543          (i) the petition for commitment;
4544          (ii) the admission notes;
4545          (iii) the child's diagnosis;
4546          (iv) physicians' orders;
4547          (v) progress notes;
4548          (vi) nursing notes; and
4549          (vii) medication records.
4550          (f) The information described in Subsection (5)(e) shall also be provided to the child's
4551     parent or legal guardian upon written request.

4552          (g) (i) The neutral and detached fact finder's decision of commitment shall state the
4553     duration of the commitment. Any commitment to the physical custody of a local mental health
4554     authority may not exceed 180 days. Prior to expiration of the commitment, and if further
4555     commitment is sought, a hearing shall be conducted in the same manner as the initial
4556     commitment proceeding, in accordance with the requirements of this section.
4557          (ii) At the conclusion of the hearing and subsequently in writing, when a decision for
4558     commitment is made, the neutral and detached fact finder shall inform the child and the child's
4559     parent or legal guardian of that decision and of the reasons for ordering commitment.
4560          (iii) The neutral and detached fact finder shall state in writing the basis of the decision,
4561     with specific reference to each of the criteria described in Subsection (4), as a matter of record.
4562          (6) A child may be temporarily committed for a maximum of 72 hours, excluding
4563     Saturdays, Sundays, and legal holidays, to the physical custody of a local mental health
4564     authority in accordance with the procedures described in Section 26B-5-331 and upon
4565     satisfaction of the risk factors described in Subsection (4). A child who is temporarily
4566     committed shall be released at the expiration of the 72 hours unless the procedures and findings
4567     required by this section for the commitment of a child are satisfied.
4568          (7) A local mental health authority shall have physical custody of each child committed
4569     to it under this section. The parent or legal guardian of a child committed to the physical
4570     custody of a local mental health authority under this section, retains legal custody of the child,
4571     unless legal custody has been otherwise modified by a court of competent jurisdiction. In cases
4572     when the Division of Child and Family Services or the Division of Juvenile Justice and Youth
4573     Services has legal custody of a child, that division shall retain legal custody for purposes of this
4574     part.
4575          (8) The cost of caring for and maintaining a child in the physical custody of a local
4576     mental health authority shall be assessed to and paid by the child's parents, according to their
4577     ability to pay. For purposes of this section, the Division of Child and Family Services or the
4578     Division of Juvenile Justice and Youth Services shall be financially responsible, in addition to
4579     the child's parents, if the child is in the legal custody of either of those divisions at the time the
4580     child is committed to the physical custody of a local mental health authority under this section,
4581     unless Medicaid regulation or contract provisions specify otherwise. The Office of Recovery
4582     Services shall assist those divisions in collecting the costs assessed pursuant to this section.

4583          (9) Whenever application is made for commitment of a minor to a local mental health
4584     authority under any provision of this section by a person other than the child's parent or
4585     guardian, the local mental health authority or its designee shall notify the child's parent or
4586     guardian. The parents shall be provided sufficient time to prepare and appear at any scheduled
4587     proceeding.
4588          (10) (a) Each child committed pursuant to this section is entitled to an appeal within 30
4589     days after any order for commitment. The appeal may be brought on the child's own petition or
4590     on petition of the child's parent or legal guardian, to the juvenile court in the district where the
4591     child resides or is currently physically located. With regard to a child in the custody of the
4592     Division of Child and Family Services or the Division of Juvenile Justice and Youth Services,
4593     the attorney general's office shall handle the appeal, otherwise the appropriate county attorney's
4594     office is responsible for appeals brought pursuant to this Subsection (10)(a).
4595          (b) Upon receipt of the petition for appeal, the court shall appoint a designated
4596     examiner previously unrelated to the case, to conduct an examination of the child in accordance
4597     with the criteria described in Subsection (4), and file a written report with the court. The court
4598     shall then conduct an appeal hearing to determine whether the findings described in Subsection
4599     (4) exist by clear and convincing evidence.
4600          (c) Prior to the time of the appeal hearing, the appropriate local mental health authority,
4601     its designee, or the mental health professional who has been in charge of the child's care prior
4602     to commitment, shall provide the court and the designated examiner for the appeal hearing with
4603     the following information, as it relates to the period of current admission:
4604          (i) the original petition for commitment;
4605          (ii) admission notes;
4606          (iii) diagnosis;
4607          (iv) physicians' orders;
4608          (v) progress notes;
4609          (vi) nursing notes; and
4610          (vii) medication records.
4611          (d) Both the neutral and detached fact finder and the designated examiner appointed for
4612     the appeal hearing shall be provided with an opportunity to review the most current
4613     information described in Subsection (10)(c) prior to the appeal hearing.

4614          (e) The child, the child's parent or legal guardian, the person who submitted the
4615     original petition for commitment, and a representative of the appropriate local mental health
4616     authority shall be notified by the court of the date and time of the appeal hearing. Those
4617     persons shall be afforded an opportunity to appear at the hearing. In reaching its decision, the
4618     court shall review the record and findings of the neutral and detached fact finder, the report of
4619     the designated examiner appointed pursuant to Subsection (10)(b), and may, in its discretion,
4620     allow or require the testimony of the neutral and detached fact finder, the designated examiner,
4621     the child, the child's parent or legal guardian, the person who brought the initial petition for
4622     commitment, or any other person whose testimony the court deems relevant. The court may
4623     allow the child to waive the right to appear at the appeal hearing, for good cause shown. If that
4624     waiver is granted, the purpose shall be made a part of the court's record.
4625          (11) Each local mental health authority has an affirmative duty to conduct periodic
4626     evaluations of the mental health and treatment progress of every child committed to its physical
4627     custody under this section, and to release any child who has sufficiently improved so that the
4628     criteria justifying commitment no longer exist.
4629          (12) (a) A local mental health authority or its designee, in conjunction with the child's
4630     current treating mental health professional may release an improved child to a less restrictive
4631     environment, as they determine appropriate. Whenever the local mental health authority or its
4632     designee, and the child's current treating mental health professional, determine that the
4633     conditions justifying commitment no longer exist, the child shall be discharged and released to
4634     the child's parent or legal guardian. With regard to a child who is in the physical custody of the
4635     State Hospital, the treating psychiatrist or clinical director of the State Hospital shall be the
4636     child's current treating mental health professional.
4637          (b) A local mental health authority or its designee, in conjunction with the child's
4638     current treating mental health professional, is authorized to issue a written order for the
4639     immediate placement of a child not previously released from an order of commitment into a
4640     more restrictive environment, if the local authority or its designee and the child's current
4641     treating mental health professional has reason to believe that the less restrictive environment in
4642     which the child has been placed is exacerbating the child's mental illness, or increasing the risk
4643     of harm to self or others.
4644          (c) The written order described in Subsection (12)(b) shall include the reasons for

4645     placement in a more restrictive environment and shall authorize any peace officer to take the
4646     child into physical custody and transport the child to a facility designated by the appropriate
4647     local mental health authority in conjunction with the child's current treating mental health
4648     professional. Prior to admission to the more restrictive environment, copies of the order shall
4649     be personally delivered to the child, the child's parent or legal guardian, the administrator of the
4650     more restrictive environment, or the administrator's designee, and the child's former treatment
4651     provider or facility.
4652          (d) If the child has been in a less restrictive environment for more than 30 days and is
4653     aggrieved by the change to a more restrictive environment, the child or the child's
4654     representative may request a review within 30 days of the change, by a neutral and detached
4655     fact finder as described in Subsection (3). The fact finder shall determine whether:
4656          (i) the less restrictive environment in which the child has been placed is exacerbating
4657     the child's mental illness or increasing the risk of harm to self or others; or
4658          (ii) the less restrictive environment in which the child has been placed is not
4659     exacerbating the child's mental illness or increasing the risk of harm to self or others, in which
4660     case the fact finder shall designate that the child remain in the less restrictive environment.
4661          (e) Nothing in this section prevents a local mental health authority or its designee, in
4662     conjunction with the child's current mental health professional, from discharging a child from
4663     commitment or from placing a child in an environment that is less restrictive than that
4664     designated by the neutral and detached fact finder.
4665          (13) Each local mental health authority or its designee, in conjunction with the child's
4666     current treating mental health professional shall discharge any child who, in the opinion of that
4667     local authority, or its designee, and the child's current treating mental health professional, no
4668     longer meets the criteria specified in Subsection (4), except as provided by Section 26B-5-405.
4669     The local authority and the mental health professional shall assure that any further supportive
4670     services required to meet the child's needs upon release will be provided.
4671          (14) Even though a child has been committed to the physical custody of a local mental
4672     health authority under this section, the child is still entitled to additional due process
4673     proceedings, in accordance with Section [26B-5-704] 26B-5-404, before any treatment that
4674     may affect a constitutionally protected liberty or privacy interest is administered. Those
4675     treatments include, but are not limited to, antipsychotic medication, electroshock therapy, and

4676     psychosurgery.
4677          Section 51. Section 26B-6-401 is amended to read:
4678          26B-6-401. Definitions.
4679          As used in this part:
4680          (1) "Approved provider" means a person approved by the division to provide
4681     [home-based] home- and community-based services.
4682          (2) "Board" means the Utah State Developmental Center Board created under Section
4683     26B-1-429.
4684          (3) (a) "Brain injury" means an acquired injury to the brain that is neurological in
4685     nature, including a cerebral vascular accident.
4686          (b) "Brain injury" does not include a deteriorating disease.
4687          (4) "Designated intellectual disability professional" means:
4688          (a) a psychologist licensed under Title 58, Chapter 61, Psychologist Licensing Act,
4689     who:
4690          (i) (A) has at least one year of specialized training in working with persons with an
4691     intellectual disability; or
4692          (B) has at least one year of clinical experience with persons with an intellectual
4693     disability; and
4694          (ii) is designated by the division as specially qualified, by training and experience, in
4695     the treatment of an intellectual disability; or
4696          (b) a clinical social worker, certified social worker, marriage and family therapist, or
4697     professional counselor, licensed under Title 58, Chapter 60, Mental Health Professional
4698     Practice Act, who:
4699          (i) has at least two years of clinical experience with persons with an intellectual
4700     disability; and
4701          (ii) is designated by the division as specially qualified, by training and experience, in
4702     the treatment of an intellectual disability.
4703          (5) "Deteriorating disease" includes:
4704          (a) multiple sclerosis;
4705          (b) muscular dystrophy;
4706          (c) Huntington's chorea;

4707          (d) Alzheimer's disease;
4708          (e) ataxia; or
4709          (f) cancer.
4710          (6) "Developmental center" means the Utah State Developmental Center, established in
4711     accordance with Part 5, Utah State Developmental Center.
4712          (7) "Director" means the director of the Division of Services for People with
4713     Disabilities.
4714          (8) "Direct service worker" means a person who provides services to a person with a
4715     disability:
4716          (a) when the services are rendered in:
4717          (i) the physical presence of the person with a disability; or
4718          (ii) a location where the person rendering the services has access to the physical
4719     presence of the person with a disability; and
4720          (b) (i) under a contract with the division;
4721          (ii) under a grant agreement with the division; or
4722          (iii) as an employee of the division.
4723          (9) (a) "Disability" means a severe, chronic disability that:
4724          (i) is attributable to:
4725          (A) an intellectual disability;
4726          (B) a condition that qualifies a person as a person with a related condition, as defined
4727     in 42 C.F.R. Sec. 435.1010;
4728          (C) a physical disability; or
4729          (D) a brain injury;
4730          (ii) is likely to continue indefinitely;
4731          (iii) (A) for a condition described in Subsection (9)(a)(i)(A), (B), or (C), results in a
4732     substantial functional limitation in three or more of the following areas of major life activity:
4733          (I) self-care;
4734          (II) receptive and expressive language;
4735          (III) learning;
4736          (IV) mobility;
4737          (V) self-direction;

4738          (VI) capacity for independent living; or
4739          (VII) economic self-sufficiency; or
4740          (B) for a condition described in Subsection (9)(a)(i)(D), results in a substantial
4741     limitation in three or more of the following areas:
4742          (I) memory or cognition;
4743          (II) activities of daily life;
4744          (III) judgment and self-protection;
4745          (IV) control of emotions;
4746          (V) communication;
4747          (VI) physical health; or
4748          (VII) employment; and
4749          (iv) requires a combination or sequence of special interdisciplinary or generic care,
4750     treatment, or other services that:
4751          (A) may continue throughout life; and
4752          (B) must be individually planned and coordinated.
4753          (b) "Disability" does not include a condition due solely to:
4754          (i) mental illness;
4755          (ii) personality disorder;
4756          (iii) deafness or being hard of hearing;
4757          (iv) visual impairment;
4758          (v) learning disability;
4759          (vi) behavior disorder;
4760          (vii) substance abuse; or
4761          (viii) the aging process.
4762          (10) "Division" means the Division of Services for People with Disabilities.
4763          (11) "Eligible to receive division services" or "eligibility" means qualification, based
4764     on criteria established by the division, to receive services that are administered by the division.
4765          (12) "Endorsed program" means a facility or program that:
4766          (a) is operated:
4767          (i) by the division; or
4768          (ii) under contract with the division; or

4769          (b) provides services to a person committed to the division under Part 6, Admission to
4770     an Intermediate Care Facility for People with an Intellectual Disability.
4771          (13) "Licensed physician" means:
4772          (a) an individual licensed to practice medicine under:
4773          (i) Title 58, Chapter 67, Utah Medical Practice Act; or
4774          (ii) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or
4775          (b) a medical officer of the United States Government while in this state in the
4776     performance of official duties.
4777          (14) "Limited support services" means services that are administered by the division to
4778     individuals with a disability:
4779          (a) under a waiver authorized under 42 U.S.C. Sec. 1396n(c) by the Centers for
4780     Medicare and Medicaid Services that permits the division to limit services to an individual who
4781     is eligible to receive division services; and
4782          (b) through a program that:
4783          (i) was not operated by the division on or before January 1, 2020; and
4784          (ii) (A) limits the kinds of services that an individual may receive; or
4785          (B) sets a maximum total dollar amount for program services provided to each
4786     individual.
4787          (15) "Physical disability" means a medically determinable physical impairment that has
4788     resulted in the functional loss of two or more of a person's limbs.
4789          (16) "Public funds" means state or federal funds that are disbursed by the division.
4790          (17) "Resident" means an individual under observation, care, or treatment in an
4791     intermediate care facility for people with an intellectual disability.
4792          (18) "Sustainability fund" means the Utah State Developmental Center Long-Term
4793     Sustainability Fund created in Section 26B-1-331.
4794          Section 52. Section 26B-7-213 is amended to read:
4795          26B-7-213. Sexually transmitted infections -- Examinations by authorities --
4796     Treatment of infected persons.
4797          State, county, and municipal health officers within their respective jurisdictions may
4798     make examinations of persons reasonably suspected of being infected with [venereal disease]
4799     sexually transmitted infections. Persons infected with [venereal disease] sexually transmitted

4800     infections shall be required to report for treatment to either a reputable physician or physician
4801     assistant and continue treatment until cured or to submit to treatment provided at public
4802     expense until cured.
4803          Section 53. Section 26B-7-215 is amended to read:
4804          26B-7-215. Sexually transmitted infections -- Examination and treatment of
4805     persons in prison or jail.
4806          (1) (a) All persons confined in any state, county, or city prison or jail shall be
4807     examined, and if infected, treated for [venereal diseases] sexually transmitted infections by the
4808     health authorities.
4809          (b) The prison authorities of every state, county, or city prison or jail shall make
4810     available to the health authorities such portion of the prison or jail as may be necessary for a
4811     clinic or hospital wherein all persons suffering with [venereal disease] sexually transmitted
4812     infections at the time of the expiration of their terms of imprisonment, shall be isolated and
4813     treated at public expense until cured.
4814          (2) (a) The department may require persons suffering with [venereal disease] sexually
4815     transmitted infections at the time of the expiration of their terms of imprisonment to report for
4816     treatment to a licensed physician or physician assistant or submit to treatment provided at
4817     public expense in lieu of isolation.
4818          (b) Nothing in this section shall interfere with the service of any sentence imposed by a
4819     court as a punishment for the commission of crime.
4820          Section 54. Section 26B-8-201 is amended to read:
4821          26B-8-201. Definitions.
4822          As used in this part:
4823          (1) "Dead body" means the same as that term is defined in Section 26B-8-101.
4824          (2) (a) "Death by violence" means death that resulted by the decedent's exposure to
4825     physical, mechanical, or chemical forces.
4826          (b) "Death by violence" includes death that appears to have been due to homicide,
4827     death that occurred during or in an attempt to commit rape, mayhem, kidnapping, robbery,
4828     burglary, housebreaking, extortion, or blackmail accompanied by threats of violence, assault
4829     with a dangerous weapon, assault with intent to commit any offense punishable by
4830     imprisonment for more than one year, arson punishable by imprisonment for more than one

4831     year, or any attempt to commit any of the foregoing offenses.
4832          (3) "Immediate relative" means an individual's spouse, child, parent, sibling,
4833     grandparent, or grandchild.
4834          (4) "Health care professional" means any of the following while acting in a
4835     professional capacity:
4836          (a) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or Title
4837     58, Chapter 68, Utah Osteopathic Medical Practice Act;
4838          (b) a physician assistant licensed under Title 58, Chapter 70a, Utah Physician Assistant
4839     Act; or
4840          (c) an advance practice registered nurse licensed under Subsection 58-31b-301(2)(e).
4841          (5) "Medical examiner" means the state medical examiner appointed pursuant to
4842     Section 26B-8-202 or a deputy appointed by the medical examiner.
4843          (6) "Medical examiner record" means:
4844          (a) all information that the medical examiner obtains regarding a decedent; [and]
4845          (b) reports that the medical examiner makes regarding a decedent[.]; and
4846          (c) all administrative forms and correspondence related to the decedent's case.
4847          (7) "Regional pathologist" means [a trained] an American Board of Pathology certified
4848     pathologist licensed to practice medicine and surgery in the state, appointed by the medical
4849     examiner pursuant to Subsection 26B-8-202(3).
4850          (8) "Sudden death while in apparent good health" means apparently instantaneous
4851     death without obvious natural cause, death during or following an unexplained syncope or
4852     coma, or death during an acute or unexplained rapidly fatal illness.
4853          (9) "Sudden [infant death syndrome] unexpected infant death" means the death of a
4854     child who was thought to be in good health or whose terminal illness appeared to be so mild
4855     that the possibility of a fatal outcome was not anticipated.
4856          (10) "Suicide" means death caused by an intentional and voluntary act of an individual
4857     who understands the physical nature of the act and intends by such act to accomplish
4858     self-destruction.
4859          (11) "Unattended death" means a death that occurs more than 365 days after the day on
4860     which a health care professional examined or treated the deceased individual for any purpose,
4861     including writing a prescription.

4862          (12) (a) "Unavailable for postmortem investigation" means that a dead body is:
4863          (i) transported out of state;
4864          (ii) buried at sea;
4865          (iii) cremated;
4866          (iv) processed by alkaline hydrolysis; or
4867          (v) otherwise made unavailable to the medical examiner for postmortem investigation
4868     or autopsy.
4869          (b) "Unavailable for postmortem investigation" does not include embalming or burial
4870     of a dead body pursuant to the requirements of law.
4871          (13) "Within the scope of the decedent's employment" means all acts reasonably
4872     necessary or incident to the performance of work, including matters of personal convenience
4873     and comfort not in conflict with specific instructions.
4874          Section 55. Section 26B-8-202 is amended to read:
4875          26B-8-202. Chief medical examiner -- Appointment -- Qualifications -- Authority.
4876          (1) The executive director[, with the advice of an advisory board consisting of the
4877     chairman of the Department of Pathology at the University of Utah medical school and the
4878     dean of the law school at the University of Utah,] shall appoint a chief medical examiner who
4879     shall be licensed to practice medicine in the state and shall meet the qualifications of a forensic
4880     pathologist, certified by the American Board of Pathology.
4881          (2) (a) The medical examiner shall serve at the will of the executive director.
4882          (b) The medical examiner has authority to:
4883          (i) employ medical, technical and clerical personnel as may be required to effectively
4884     administer this chapter, subject to the rules of the department and the state merit system;
4885          (ii) conduct investigations and pathological examinations;
4886          (iii) perform autopsies authorized in this title;
4887          (iv) conduct or authorize necessary examinations on dead bodies; and
4888          (v) notwithstanding the provisions of Subsection 26B-8-321(3), retain tissues and
4889     biological samples:
4890          (A) for scientific purposes;
4891          (B) where necessary to accurately certify the cause and manner of death; or
4892          (C) for tissue from an unclaimed body, subject to Section 26B-8-225, in order to

4893     donate the tissue or biological sample to an individual who is affiliated with an established
4894     search and rescue dog organization, for the purpose of training a dog to search for human
4895     remains.
4896          (c) In the case of an unidentified body, the medical examiner shall authorize or conduct
4897     investigations, tests and processes in order to determine its identity as well as the cause of
4898     death.
4899          (3) The medical examiner may appoint regional pathologists, each of whom shall be
4900     approved by the executive director.
4901          Section 56. Section 26B-8-203 is amended to read:
4902          26B-8-203. County medical examiners.
4903          The county executive, with the advice and consent of the county legislative body and
4904     approval of the chief medical examiner, may appoint medical examiners for their respective
4905     counties.
4906          Section 57. Section 26B-8-205 is amended to read:
4907          26B-8-205. Jurisdiction of medical examiner.
4908          Upon notification under Section 26B-8-206 or investigation by the medical examiner's
4909     office, the medical examiner shall assume [custody of] jurisdiction over a deceased body if it
4910     appears that death:
4911          (1) was by violence, gunshot, suicide, or accident;
4912          (2) was sudden death while in apparent good health;
4913          (3) occurred unattended, except that an autopsy may only be performed in accordance
4914     with the provisions of Subsection 26B-8-207(3);
4915          (4) occurred under suspicious or unusual circumstances;
4916          (5) resulted from poisoning or overdose of drugs;
4917          (6) resulted from a disease that may constitute a threat to the public health;
4918          (7) resulted from disease, injury, toxic effect, or unusual exertion incurred within the
4919     scope of the decedent's employment;
4920          (8) was due to [sudden infant death syndrome] sudden unexpected infant death;
4921          (9) occurred while the decedent was in prison, jail, police custody, the state hospital, or
4922     in a detention or medical facility operated for the treatment of persons with a mental illness,
4923     persons who are emotionally disturbed, or delinquent persons;

4924          (10) resulted directly from the actions of a law enforcement officer, as defined in
4925     Section 53-13-103;
4926          (11) was associated with diagnostic or therapeutic procedures; or
4927          (12) was described in this section when request is made to assume custody by a county
4928     or district attorney or law enforcement agency in connection with a potential homicide
4929     investigation or prosecution.
4930          Section 58. Section 26B-8-207 is amended to read:
4931          26B-8-207. Custody of dead body and personal effects -- Examination of scene of
4932     death -- Preservation of body -- Autopsies.
4933          (1) (a) Upon notification of a death under Section 26B-8-206, the medical examiner
4934     shall assume [custody of] jurisdiction over the deceased body, clothing on the body, biological
4935     samples taken, and any article on or near the body which may aid the medical examiner in
4936     determining the cause of death except those articles which will assist the investigative agency
4937     to proceed without delay with the investigation.
4938          (b) In all cases the scene of the event may not be disturbed until authorization is given
4939     by the senior ranking peace officer from the law enforcement agency having jurisdiction of the
4940     case and conducting the investigation.
4941          (c) Where death appears to have occurred under circumstances listed in Section
4942     26B-8-205, the person or persons finding or having custody of the body, or jurisdiction over
4943     the investigation of the death, shall take reasonable precautions to preserve the body and body
4944     fluids so that minimum deterioration takes place.
4945          (d) A person may not move a body [in the custody] under the jurisdiction of the
4946     medical examiner unless:
4947          (i) the medical examiner, or district attorney or county attorney that has criminal
4948     jurisdiction, authorizes the person to move the body;
4949          (ii) a designee of an individual listed in this Subsection (1)(d) authorizes the person to
4950     move the body;
4951          (iii) not moving the body would be an affront to public decency or impractical; or
4952          (iv) the medical examiner determines the cause of death is likely due to natural causes.
4953          (e) The body can under direction of the medical examiner or the medical examiner's
4954     designee be moved to a place specified by the medical examiner or the medical examiner's

4955     designee.
4956          (2) (a) If the medical examiner has [custody of] jurisdiction over a body, a person may
4957     not clean or embalm the body without first obtaining the medical examiner's permission.
4958          (b) An intentional or knowing violation of Subsection (2)(a) is a class B misdemeanor.
4959          (3) (a) When the medical examiner assumes lawful [custody of] jurisdiction over a
4960     body under Subsection 26B-8-205(3) solely because the death was unattended, an autopsy may
4961     not be performed unless requested by the district attorney, county attorney having criminal
4962     jurisdiction, or law enforcement agency having jurisdiction of the place where the body is
4963     found.
4964          (b) The county attorney or district attorney and law enforcement agency having
4965     jurisdiction shall consult with the medical examiner to determine the need for an autopsy.
4966          (c) If the deceased chose not to be seen or treated by a health care professional for a
4967     spiritual or religious reason, a district attorney, county attorney, or law enforcement agency,
4968     may not request an autopsy or inquest under Subsection (3)(a) solely because of the deceased's
4969     choice.
4970          (d) The medical examiner or medical examiner's designee may not conduct a requested
4971     autopsy described in Subsection (3)(a) if the medical examiner or medical examiner's designee
4972     determines:
4973          (i) the request violates Subsection (3)(c); or
4974          (ii) the cause of death can be determined without performing an autopsy.
4975          Section 59. Section 26B-8-210 is amended to read:
4976          26B-8-210. Medical examiner to report death caused by prescribed controlled
4977     substance poisoning or overdose.
4978          (1) If a medical examiner determines that the death of a person who is 12 years old or
4979     older at the time of death resulted from poisoning or overdose involving a [prescribed]
4980     controlled substance prescribed to the decedent, the medical examiner shall, within three
4981     business days after the day on which the medical examiner determines the cause of death, send
4982     a written report to the Division of Professional Licensing, created in Section 58-1-103, that
4983     includes:
4984          (a) the decedent's name;
4985          (b) each drug or other substance found in the decedent's system that may have

4986     contributed to the poisoning or overdose, if known; and
4987          (c) the name of each person the medical examiner has reason to believe may have
4988     prescribed a controlled substance described in Subsection (1)(b) to the decedent.
4989          (2) This section does not create a new cause of action.
4990          Section 60. Section 26B-8-217 is amended to read:
4991          26B-8-217. Records of medical examiner -- Confidentiality.
4992          (1) The medical examiner shall maintain complete, original records for the medical
4993     examiner record, which shall:
4994          (a) be properly indexed, giving the name, if known, or otherwise identifying every
4995     individual whose death is investigated;
4996          (b) indicate the place where the body was found;
4997          (c) indicate the date of death;
4998          (d) indicate the cause and manner of death;
4999          (e) indicate the occupation of the decedent, if available;
5000          (f) include all other relevant information concerning the death; and
5001          (g) include a full report and detailed findings of the autopsy or report of the
5002     investigation.
5003          (2) (a) Upon written request from an individual described in Subsections (2)(a)(i)
5004     through (iv), the medical examiner shall provide a copy of the [medical examiner's final report
5005     of examination for the decedent, including the] autopsy report, toxicology report, lab reports,
5006     [and] investigative reports, documents generated by the medical examiner related to any report,
5007     and any other specifically requested portions of the medical examiner record, if any, to any of
5008     the following:
5009          (i) a decedent's immediate relative;
5010          (ii) a decedent's legal representative;
5011          (iii) a physician or physician assistant who attended the decedent during the year before
5012     the decedent's death; or
5013          (iv) a county attorney, a district attorney, a criminal defense attorney, or other law
5014     enforcement official with jurisdiction, as necessary for the performance of the attorney or
5015     official's professional duties.
5016          (b) [Upon] Subject to Subsection (c), upon written request from the director or a

5017     designee of the director of an entity described in Subsections (2)(b)(i) through (iv), the medical
5018     examiner may provide a copy of [the of the medical examiner's final report of examination for
5019     the decedent, including any other reports] any medical examiner report or other portions of the
5020     medical examiner's record described in Subsection (2)(a), to any of the following entities as
5021     necessary for performance of the entity's official purposes:
5022          (i) a local health department;
5023          (ii) a local mental health authority;
5024          (iii) a public health authority; or
5025          (iv) another state or federal governmental agency.
5026          (c) The medical examiner may provide a copy of [the medical examiner's final report
5027     of examination, including any other reports] a report or portion of the medical examiner's
5028     record described in Subsection (2)(a), if the [final] report or portion of the medical examiner's
5029     record relates to an issue of public health or safety, as further defined by rule made by the
5030     department in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
5031          (3) Reports provided under Subsection (2) may not include records that the medical
5032     examiner obtains from a third party in the course of investigating the decedent's death.
5033          (4) The medical examiner may provide a medical examiner record to a researcher who:
5034          (a) has an advanced degree;
5035          (b) (i) is affiliated with an accredited college or university, a hospital, or another
5036     system of care, including an emergency medical response or a local health agency; or
5037          (ii) is part of a research firm contracted with an accredited college or university, a
5038     hospital, or another system of care;
5039          (c) requests a medical examiner record for a research project or a quality improvement
5040     initiative that will have a public health benefit, as determined by the department; and
5041          (d) provides to the medical examiner an approval from:
5042          (i) the researcher's sponsoring organization; and
5043          (ii) the Utah Department of Health and Human Services Institutional Review Board.
5044          (5) Records provided under Subsection (4) may not include a third party record, unless:
5045          (a) a court has ordered disclosure of the third party record; and
5046          (b) disclosure is conducted in compliance with state and federal law.
5047          (6) A person who obtains a medical examiner record under Subsection (4) shall:

5048          (a) maintain the confidentiality of the medical examiner record by removing personally
5049     identifying information about a decedent or the decedent's family and any other information
5050     that may be used to identify a decedent before using the medical examiner record in research;
5051          (b) conduct any research within and under the supervision of the Office of the Medical
5052     Examiner, if the medical examiner record contains a third party record with personally
5053     identifiable information;
5054          (c) limit the use of a medical examiner record to the purpose for which the person
5055     requested the medical examiner record;
5056          (d) destroy a medical examiner record and the data abstracted from the medical
5057     examiner record at the conclusion of the research for which the person requested the medical
5058     examiner record;
5059          (e) reimburse the medical examiner, as provided in Section 26B-1-209, for any costs
5060     incurred by the medical examiner in providing a medical examiner record;
5061          (f) allow the medical examiner to review, before public release, a publication in which
5062     data from a medical examiner record is referenced or analyzed; and
5063          (g) provide the medical examiner access to the researcher's database containing data
5064     from a medical examiner record, until the day on which the researcher permanently destroys
5065     the medical examiner record and all data obtained from the medical examiner record.
5066          (7) The department may make rules, in accordance with Title 63G, Chapter 3, Utah
5067     Administrative Rulemaking Act, and in consideration of applicable state and federal law, to
5068     establish permissible uses and disclosures of a medical examiner record or other record
5069     obtained under this section.
5070          (8) Except as provided in this chapter or ordered by a court, the medical examiner may
5071     not disclose any part of a medical examiner record.
5072          (9) A person who obtains a medical examiner record under Subsection (4) is guilty of a
5073     class B misdemeanor, if the person fails to comply with the requirements of Subsections (6)(a)
5074     through (d).
5075          Section 61. Section 26B-8-221 is amended to read:
5076          26B-8-221. Authority of county attorney or district attorney to subpoena
5077     witnesses and compel testimony -- Determination if decedent died by unlawful means.
5078          (1) The district attorney or county attorney having criminal jurisdiction may subpoena

5079     witnesses and compel testimony concerning the death of any person and have such testimony
5080     reduced to writing under his direction and may employ a [shorthand] court reporter for that
5081     purpose at the same compensation as is allowed to reporters in the district courts. When the
5082     testimony has been taken down by the [shorthand] court reporter, a transcript thereof, duly
5083     certified, shall constitute the deposition of the witness.
5084          (2) Upon review of all facts and testimony taken concerning the death of a person, the
5085     district attorney or county attorney having criminal jurisdiction shall determine if the decedent
5086     died by unlawful means and shall also determine if criminal prosecution shall be instituted.
5087          Section 62. Section 26B-8-223 is amended to read:
5088          26B-8-223. Authority of examiner to provide organ or other tissue for transplant
5089     purposes.
5090          (1) When requested by the licensed physician of a patient who is in need of an organ or
5091     other tissue for transplant purpose, by a legally created Utah eye bank, organ bank or medical
5092     facility, the medical examiner may provide an organ or other tissue if:
5093          (a) a decedent who may provide a suitable organ or other tissue for the transplant is in
5094     the custody of the medical examiner;
5095          (b) the medical examiner is assured that the requesting party has made reasonable
5096     search for and inquiry of next of kin of the decedent and that no objection by the next of kin is
5097     known by the requesting party; and
5098          (c) the removal of the organ or other tissue will not interfere with the investigation or
5099     autopsy or alter the post-mortem facial appearance.
5100          (2) When the medical examiner [is in custody of] has jurisdiction over a decedent who
5101     may provide a suitable organ or other tissue for transplant purposes, he may contact the
5102     appropriate eye bank, organ bank or medical facility and notify them concerning the suitability
5103     of the organ or other tissue. In such contact the medical examiner may disclose the name of the
5104     decedent so that necessary clearances can be obtained.
5105          (3) No person shall be held civilly or criminally liable for any acts performed pursuant
5106     to this section.
5107          Section 63. Section 26B-8-225 is amended to read:
5108          26B-8-225. Burial of an unclaimed body -- Request by the school of medicine at
5109     the University of Utah -- Medical examiner may retain tissue for dog training.

5110          (1) Except as described in Subsection (2) or (3), a county shall provide, at the county's
5111     expense, decent [burial for] disposition of an unclaimed body found in the county.
5112          (2) A county is not responsible for decent [burial] disposition of an unclaimed body
5113     found in the county if the body is requested by the dean of the school of medicine at the
5114     University of Utah under Section 53B-17-301.
5115          (3) For an unclaimed body that is temporarily in the medical examiner's custody before
5116     [burial] disposition under Subsection (1), the medical examiner may retain tissue from the
5117     unclaimed body in order to donate the tissue to an individual who is affiliated with an
5118     established search and rescue dog organization, for the purpose of training a dog to search for
5119     human remains.
5120          Section 64. Section 26B-8-227 is amended to read:
5121          26B-8-227. Registry of unidentified deceased persons.
5122          (1) If the identity of a deceased person over which the medical examiner has
5123     jurisdiction under Section 26B-8-205 is unknown, the medical examiner shall do the following
5124     [before releasing the body to the county in which the body was found as provided in Section
5125     26B-8-225]:
5126          (a) assign a unique identifying number to the body;
5127          (b) create and maintain a file under the assigned number;
5128          (c) examine the body, take samples, and perform other related tasks for the purpose of
5129     deriving information that may be useful in ascertaining the identity of the deceased person;
5130          (d) use the identifying number in all records created by the medical examiner that
5131     pertains to the body;
5132          (e) record all information pertaining to the body in the file created and maintained
5133     under Subsection (1)(b);
5134          (f) communicate the unique identifying number to the county in which the body was
5135     found; and
5136          (g) access information from available government sources and databases in an attempt
5137     to ascertain the identity of the deceased person.
5138          [(2) A county which has received a body to which Subsection (1) applies:]
5139          [(a) shall adopt and use the same identifying number assigned by Subsection (1) in all
5140     records created by the county that pertain to the body;]

5141          [(b) require any funeral director or sexton who is involved in the disposition of the
5142     body to adopt and use the same identifying number assigned by Subsection (1) in all records
5143     created by the funeral director or sexton pertaining to the body; and]
5144          [(c) shall provide a decent burial for the body.]
5145          [(3) Within 30 days of receiving a body to which Subsection (1) applies, the county
5146     shall inform the medical examiner of the disposition of the body including the burial plot. The
5147     medical examiner shall record this information in the file created and maintained under
5148     Subsection (1)(b).]
5149          [(4) The requirements of Subsections (1) and (6) apply to a county examiner appointed
5150     under Section 26B-8-203, with the additional requirements that the county examiner:]
5151          [(a) obtain a unique identifying number from the medical examiner for the body; and]
5152          [(b) send to the medical examiner a copy of the file created and maintained in
5153     accordance with Subsection (1)(b), including the disposition of the body and burial plot, within
5154     30 days of releasing the body.]
5155          [(5) The medical examiner shall maintain a file received under Subsection (4) in the
5156     same way that it maintains a file created and maintained by the medical examiner in accordance
5157     with Subsection (1)(b).]
5158          [(6)] (2) The medical examiner shall cooperate and share information generated and
5159     maintained under this section with a person who demonstrates:
5160          (a) a legitimate personal or governmental interest in determining the identity of a
5161     deceased person; and
5162          (b) a reasonable belief that the body of that deceased person may have come into the
5163     custody of the medical examiner.
5164          Section 65. Section 26B-8-229 is amended to read:
5165          26B-8-229. Psychological autopsy examiner.
5166          (1) With funds appropriated by the Legislature for this purpose, the department shall
5167     provide compensation, at a standard rate determined by the department, to a psychological
5168     autopsy examiner.
5169          (2) The psychological autopsy examiner shall:
5170          (a) work with the medical examiner to compile data regarding suicide related deaths;
5171          (b) as relatives, associates, and acquaintances of the deceased are willing, gather

5172     information [from relatives of the deceased] regarding the [psychological reasons for]
5173     circumstances that preceded the decedent's death;
5174          (c) maintain a database of information described in Subsections (2)(a) and (b);
5175          (d) in accordance with all applicable privacy laws subject to approval by the
5176     department, share the database described in Subsection (2)(c) with the University of Utah
5177     Department of Psychiatry or other university-based departments conducting research on
5178     suicide;
5179          (e) coordinate no less than monthly with the suicide prevention coordinator described
5180     in Subsection 26B-5-611(2); and
5181          (f) coordinate no less than quarterly with the state suicide prevention coalition.
5182          Section 66. Section 34A-6-107 is amended to read:
5183          34A-6-107. Research and related activities.
5184          (1) (a) The division, after consultation with other appropriate agencies, shall conduct,
5185     directly or by grants or contracts, whether federal or otherwise, research, experiments, and
5186     demonstrations in the area of occupational safety and health, including studies of psychological
5187     factors involved in innovative methods, techniques, and approaches for dealing with
5188     occupational safety and health problems.
5189          (b) (i) The division, to comply with its responsibilities under this section, and to
5190     develop needed information regarding toxic substances or harmful physical agents, may make
5191     rules requiring employers to measure, record, and make reports on the exposure of employees
5192     to substances or physical agents reasonably believed to endanger the health or safety of
5193     employees.
5194          (ii) The division may establish programs for medical examinations and tests necessary
5195     for determining the incidence of occupational diseases and the susceptibility of employees to
5196     the diseases.
5197          (iii) Nothing in this chapter authorizes or requires a medical examination,
5198     immunization, or treatment for persons who object on religious grounds, except when
5199     necessary for the protection of the health or safety of others.
5200          (iv) Any employer who is required to measure and record employee exposure to
5201     substances or physical agents as provided under Subsection (1)(b) may receive full or partial
5202     financial or other assistance to defray additional expense incurred by measuring and recording

5203     as provided in this Subsection (1)(b).
5204          (c) (i) Following a written request by any employer or authorized representative of
5205     employees, specifying with reasonable particularity the grounds on which the request is made,
5206     the division shall determine whether any substance normally found in a workplace has toxic
5207     effects in the concentrations used or found, and shall submit its determination both to
5208     employers and affected employees as soon as possible.
5209          (ii) The division shall immediately take action necessary under Section 34A-6-202 or
5210     34A-6-305 if the division determines that:
5211          (A) any substance is toxic at the concentrations used or found in a workplace; and
5212          (B) the substance is not covered by an occupational safety or health standard
5213     promulgated under Section 34A-6-202.
5214          (2) The division may inspect and question employers and employees as provided in
5215     Section 34A-6-301, to carry out its functions and responsibilities under this section.
5216          (3) The division is authorized to enter into contracts, agreements, or other
5217     arrangements with appropriate federal or state agencies, or private organizations to conduct
5218     studies about its responsibilities under this chapter. In carrying out its responsibilities under
5219     this subsection, the division shall cooperate with the Department of [Health] Health and
5220     Human Services and the Department of Environmental Quality to avoid any duplication of
5221     efforts under this section.
5222          (4) Information obtained by the division under this section shall be disseminated to
5223     employers and employees and organizations of them.
5224          Section 67. Section 53-2a-802 is amended to read:
5225          53-2a-802. Definitions.
5226          (1) (a) "Absent" means:
5227          (i) not physically present or not able to be communicated with for 48 hours; or
5228          (ii) for local government officers, as defined by local ordinances.
5229          (b) "Absent" does not include a person who can be communicated with via telephone,
5230     radio, or telecommunications.
5231          (2) "Department" means the Department of Government Operations, the Department of
5232     Agriculture and Food, the Alcoholic Beverage Services Commission, the Department of
5233     Commerce, the Department of Cultural and Community Engagement, the Department of

5234     Corrections, the Department of Environmental Quality, the Department of Financial
5235     Institutions, the Department of [Health] Health and Human Services, the Department of
5236     Workforce Services, the Labor Commission, the National Guard, the Department of Insurance,
5237     the Department of Natural Resources, the Department of Public Safety, the Public Service
5238     Commission, [the Department of Human Services,] the State Tax Commission, the Department
5239     of Transportation, any other major administrative subdivisions of state government, the State
5240     Board of Education, the Utah Board of Higher Education, the Utah Housing Corporation, the
5241     State Retirement Board, and each institution of higher education within the system of higher
5242     education.
5243          (3) "Division" means the Division of Emergency Management established in Title 53,
5244     Chapter 2a, Part 1, Emergency Management Act.
5245          (4) "Emergency interim successor" means a person designated by this part to exercise
5246     the powers and discharge the duties of an office when the person legally exercising the powers
5247     and duties of the office is unavailable.
5248          (5) "Executive director" means the person with ultimate responsibility for managing
5249     and overseeing the operations of each department, however denominated.
5250          (6) (a) "Office" includes all state and local offices, the powers and duties of which are
5251     defined by constitution, statutes, charters, optional plans, ordinances, articles, or by-laws.
5252          (b) "Office" does not include the office of governor or the legislative or judicial offices.
5253          (7) "Place of governance" means the physical location where the powers of an office
5254     are being exercised.
5255          (8) "Political subdivision" includes counties, cities, towns, metro townships, districts,
5256     authorities, and other public corporations and entities whether organized and existing under
5257     charter or general law.
5258          (9) "Political subdivision officer" means a person holding an office in a political
5259     subdivision.
5260          (10) "State officer" means the attorney general, the state treasurer, the state auditor, and
5261     the executive director of each department.
5262          (11) "Unavailable" means:
5263          (a) absent from the place of governance during a disaster that seriously disrupts normal
5264     governmental operations, whether or not that absence or inability would give rise to a vacancy

5265     under existing constitutional or statutory provisions; or
5266          (b) as otherwise defined by local ordinance.
5267          Section 68. Section 53-2d-404 (Effective 07/01/24) is amended to read:
5268          53-2d-404 (Effective 07/01/24). Permits for emergency medical service vehicles
5269     and nonemergency secured behavioral health transport vehicles.
5270          (1) (a) To ensure that emergency medical service vehicles and nonemergency secured
5271     behavioral health transport vehicles are adequately staffed, safe, maintained, properly
5272     equipped, and safely operated, the committee shall establish permit requirements at levels it
5273     considers appropriate in the following categories:
5274          (i) ambulance;
5275          (ii) emergency medical response vehicle; and
5276          (iii) nonemergency secured behavioral health transport vehicle.
5277          (b) The permit requirements under Subsections (1)(a)(i) and (ii) shall include a
5278     requirement that [beginning on or after January 31, 2014,] every operator of an ambulance or
5279     emergency medical response vehicle annually provide proof of the successful completion of an
5280     emergency vehicle operator's course approved by the bureau for all ambulances and emergency
5281     medical response vehicle operators.
5282          (2) The bureau shall, based on the requirements established in Subsection (1), issue
5283     permits to emergency medical service vehicles and nonemergency secured behavioral health
5284     transport vehicles.
5285          Section 69. Section 53-2d-503 (Effective 07/01/24) is amended to read:
5286          53-2d-503 (Effective 07/01/24). Establishment of maximum rates.
5287          (1) The bureau shall, after receiving recommendations under Subsection (2), establish
5288     maximum rates for ground ambulance providers and paramedic providers that are just and
5289     reasonable.
5290          (2) The committee may make recommendations to the bureau on the maximum rates
5291     that should be set under Subsection (1).
5292          (3) (a) [The bureau shall prohibit ground] Ground ambulance providers and paramedic
5293     providers [from charging] may not charge fees for transporting a patient when the provider
5294     does not transport the patient.
5295          (b) The provisions of Subsection (3)(a) do not apply to ambulance providers or

5296     paramedic providers in a geographic service area which contains a town as defined in
5297     Subsection 10-2-301(2)(f).
5298          Section 70. Section 53-2d-703 (Effective 07/01/24) is amended to read:
5299          53-2d-703 (Effective 07/01/24). Volunteer Emergency Medical Service Personnel
5300     Health Insurance Program -- Creation -- Administration -- Eligibility -- Benefits --
5301     Rulemaking -- Advisory board.
5302          (1) As used in this section:
5303          (a) "Health benefit plan" means the same as that term is defined in Section 31A-1-301.
5304          (b) "Local government entity" means a political subdivision that:
5305          (i) is licensed as a ground ambulance provider under Part 5, Ambulance and Paramedic
5306     Providers; and
5307          (ii) [as of January 1, 2022,] does not offer health insurance benefits to volunteer
5308     emergency medical service personnel.
5309          (c) "PEHP" means the Public Employees' Benefit and Insurance Program created in
5310     Section 49-20-103.
5311          (d) "Political subdivision" means a county, a municipality, a limited purpose
5312     government entity described in Title 17B, Limited Purpose Local Government Entities -
5313     Special Districts, or Title 17D, Limited Purpose Local Government Entities - Other Entities, or
5314     an entity created by an interlocal agreement under Title 11, Chapter 13, Interlocal Cooperation
5315     Act.
5316          (e) "Qualifying association" means an association that represents two or more political
5317     subdivisions in the state.
5318          (2) The Volunteer Emergency Medical Service Personnel Health Insurance Program
5319     shall promote recruitment and retention of volunteer emergency medical service personnel by
5320     making health insurance available to volunteer emergency medical service personnel.
5321          (3) The bureau shall contract with a qualifying association to create, implement, and
5322     administer the Volunteer Emergency Medical Service Personnel Health Insurance Program
5323     described in this section.
5324          (4) Participation in the program is limited to emergency medical service personnel
5325     who:
5326          (a) are licensed under Section 53-2d-402 and are able to perform all necessary

5327     functions associated with the license;
5328          (b) provide emergency medical services under the direction of a local governmental
5329     entity:
5330          (i) by responding to 20% of calls for emergency medical services in a rolling
5331     twelve-month period;
5332          (ii) within a county of the third, fourth, fifth, or sixth class; and
5333          (iii) as a volunteer under the Fair Labor Standards Act, in accordance with 29 C.F.R.
5334     Sec. 553.106;
5335          (c) are not eligible for a health benefit plan through an employer or a spouse's
5336     employer;
5337          (d) are not eligible for medical coverage under a government sponsored healthcare
5338     program; and
5339          (e) reside in the state.
5340          (5) (a) A participant in the program is eligible to participate in PEHP in accordance
5341     with Subsection (5)(b) and Subsection 49-20-201(3).
5342          (b) Benefits available to program participants under PEHP are limited to health
5343     insurance that:
5344          (i) covers the program participant and the program participant's eligible dependents on
5345     a July 1 plan year;
5346          (ii) accepts enrollment during an open enrollment period or for a special enrollment
5347     event, including the initial eligibility of a program participant;
5348          (iii) if the program participant is no longer eligible for benefits, terminates on the last
5349     day of the last month for which the individual is a participant in the Volunteer Emergency
5350     Medical Service Personnel Health Insurance Program; and
5351          (iv) is not subject to continuation rights under state or federal law.
5352          (6) (a) The bureau may make rules in accordance with Title 63G, Chapter 3, Utah
5353     Administrative Rulemaking Act, to define additional criteria regarding benefit design and
5354     eligibility for the program.
5355          (b) The bureau shall convene an advisory board:
5356          (i) to advise the bureau on making rules under Subsection (6)(a); and
5357          (ii) that includes representation from at least the following entities:

5358          (A) the qualifying association that receives the contract under Subsection (3); and
5359          (B) PEHP.
5360          (7) For purposes of this section, the qualifying association that receives the contract
5361     under Subsection (3) shall be considered the public agency for whom the program participant is
5362     volunteering under 29 C.F.R. Sec. 553.101.
5363          Section 71. Section 53-10-404 is amended to read:
5364          53-10-404. DNA specimen analysis -- Requirement to obtain the specimen.
5365          (1) As used in this section, "person" refers to any person as described under Section
5366     53-10-403.
5367          (2) (a) A person under Section 53-10-403 or any person required to register as a sex
5368     offender under Title 77, Chapter 41, Sex and Kidnap Offender Registry, shall provide a DNA
5369     specimen and shall reimburse the agency responsible for obtaining the DNA specimen $150 for
5370     the cost of obtaining the DNA specimen unless:
5371          (i) the person was booked under Section 53-10-403 and is not required to reimburse the
5372     agency under Section 53-10-404.5; or
5373          (ii) the agency determines the person lacks the ability to pay.
5374          (b) (i) (A) The responsible agencies shall establish guidelines and procedures for
5375     determining if the person is able to pay the fee.
5376          (B) An agency's implementation of Subsection (2)(b)(i) meets an agency's obligation to
5377     determine an inmate's ability to pay.
5378          (ii) An agency's guidelines and procedures may provide for the assessment of $150 on
5379     the inmate's county trust fund account and may allow a negative balance in the account until
5380     the $150 is paid in full.
5381          (3) (a) (i) All fees collected under Subsection (2) shall be deposited in the DNA
5382     Specimen Restricted Account created in Section 53-10-407, except that the agency collecting
5383     the fee may retain not more than $25 per individual specimen for the costs of obtaining the
5384     saliva DNA specimen.
5385          (ii) The agency collecting the $150 fee may not retain from each separate fee more than
5386     $25, and no amount of the $150 fee may be credited to any other fee or agency obligation.
5387          (b) The responsible agency shall determine the method of collecting the DNA
5388     specimen. Unless the responsible agency determines there are substantial reasons for using a

5389     different method of collection or the person refuses to cooperate with the collection, the
5390     preferred method of collection shall be obtaining a saliva specimen.
5391          (c) The responsible agency may use reasonable force, as established by its guidelines
5392     and procedures, to collect the DNA sample if the person refuses to cooperate with the
5393     collection.
5394          (d) If the judgment places the person on probation, the person shall submit to the
5395     obtaining of a DNA specimen as a condition of the probation.
5396          (e) (i) Under this section a person is required to provide one DNA specimen and pay
5397     the collection fee as required under this section.
5398          (ii) The person shall provide an additional DNA specimen only if the DNA specimen
5399     previously provided is not adequate for analysis.
5400          (iii) The collection fee is not imposed for a second or subsequent DNA specimen
5401     collected under this section.
5402          (f) Any agency that is authorized to obtain a DNA specimen under this part may collect
5403     any outstanding amount of a fee due under this section from any person who owes any portion
5404     of the fee and deposit the amount in the DNA Specimen Restricted Account created in Section
5405     53-10-407.
5406          (4) (a) The responsible agency shall cause a DNA specimen to be obtained as soon as
5407     possible and transferred to the Department of Public Safety:
5408          (i) after a conviction or a finding of jurisdiction by the juvenile court;
5409          (ii) on and after January 1, 2011, through December 31, 2014, after the booking of a
5410     person for any offense under Subsection 53-10-403(1)(c); and
5411          (iii) on and after January 1, 2015, after the booking of a person for any felony offense,
5412     as provided under Subsection 53-10-403(1)(d)(ii).
5413          (b) On and after May 13, 2014, through December 31, 2014, the responsible agency
5414     may cause a DNA specimen to be obtained and transferred to the Department of Public Safety
5415     after the booking of a person for any felony offense, as provided under Subsection
5416     53-10-403(1)(d)(i).
5417          (c) If notified by the Department of Public Safety that a DNA specimen is not adequate
5418     for analysis, the agency shall, as soon as possible:
5419          (i) obtain and transmit an additional DNA specimen; or

5420          (ii) request that another agency that has direct access to the person and that is
5421     authorized to collect DNA specimens under this section collect the necessary second DNA
5422     specimen and transmit it to the Department of Public Safety.
5423          (d) Each agency that is responsible for collecting DNA specimens under this section
5424     shall establish:
5425          (i) a tracking procedure to record the handling and transfer of each DNA specimen it
5426     obtains; and
5427          (ii) a procedure to account for the management of all fees it collects under this section.
5428          (5) (a) The Department of Corrections is the responsible agency whenever the person is
5429     committed to the custody of or is under the supervision of the Department of Corrections.
5430          (b) The juvenile court is the responsible agency regarding a minor under Subsection
5431     53-10-403(3), but if the minor has been committed to the legal custody of the [Division of
5432     Juvenile Justice Services] Division of Juvenile Justice and Youth Services, that division is the
5433     responsible agency if a DNA specimen of the minor has not previously been obtained by the
5434     juvenile court under Section 80-6-608.
5435          (c) The sheriff operating a county jail is the responsible agency regarding the collection
5436     of DNA specimens from persons who:
5437          (i) have pled guilty to or have been convicted of an offense listed under Subsection
5438     53-10-403(2) but who have not been committed to the custody of or are not under the
5439     supervision of the Department of Corrections;
5440          (ii) are incarcerated in the county jail:
5441          (A) as a condition of probation for a felony offense; or
5442          (B) for a misdemeanor offense for which collection of a DNA specimen is required;
5443          (iii) on and after January 1, 2011, through May 12, 2014, are booked at the county jail
5444     for any offense under Subsection 53-10-403(1)(c).; and
5445          (iv) are booked at the county jail:
5446          (A) by a law enforcement agency that is obtaining a DNA specimen for any felony
5447     offense on or after May 13, 2014, through December 31, 2014, under Subsection
5448     53-10-404(4)(b); or
5449          (B) on or after January 1, 2015, for any felony offense.
5450          (d) Each agency required to collect a DNA specimen under this section shall:

5451          (i) designate employees to obtain the saliva DNA specimens required under this
5452     section; and
5453          (ii) ensure that employees designated to collect the DNA specimens receive appropriate
5454     training and that the specimens are obtained in accordance with generally accepted protocol.
5455          (6) (a) As used in this Subsection (6), "department" means the Department of
5456     Corrections.
5457          (b) Priority of obtaining DNA specimens by the department is:
5458          (i) first, to obtain DNA specimens of persons who as of July 1, 2002, are in the custody
5459     of or under the supervision of the department before these persons are released from
5460     incarceration, parole, or probation, if their release date is prior to that of persons under
5461     Subsection (6)(b)(ii), but in no case later than July 1, 2004; and
5462          (ii) second, the department shall obtain DNA specimens from persons who are
5463     committed to the custody of the department or who are placed under the supervision of the
5464     department after July 1, 2002, within 120 days after the commitment, if possible, but not later
5465     than prior to release from incarceration if the person is imprisoned, or prior to the termination
5466     of probation if the person is placed on probation.
5467          (c) The priority for obtaining DNA specimens from persons under Subsection (6)(b)(ii)
5468     is:
5469          (i) first, persons on probation;
5470          (ii) second, persons on parole; and
5471          (iii) third, incarcerated persons.
5472          (d) Implementation of the schedule of priority under Subsection (6)(c) is subject to the
5473     priority of Subsection (6)(b)(i), to ensure that the Department of Corrections obtains DNA
5474     specimens from persons in the custody of or under the supervision of the Department of
5475     Corrections as of July 1, 2002, prior to their release.
5476          (7) (a) As used in this Subsection (7):
5477          (i) "Court" means the juvenile court.
5478          (ii) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
5479     Justice and Youth Services.
5480          (b) Priority of obtaining DNA specimens by the court from minors under Section
5481     53-10-403 whose cases are under the jurisdiction of the court but who are not in the legal

5482     custody of the division shall be:
5483          (i) first, to obtain specimens from minors whose cases, as of July 1, 2002, are under the
5484     court's jurisdiction, before the court's jurisdiction over the minors' cases terminates; and
5485          (ii) second, to obtain specimens from minors whose cases are under the jurisdiction of
5486     the court after July 1, 2002, within 120 days of the minor's case being found to be within the
5487     court's jurisdiction, if possible, but no later than before the court's jurisdiction over the minor's
5488     case terminates.
5489          (c) Priority of obtaining DNA specimens by the division from minors under Section
5490     53-10-403 who are committed to the legal custody of the division shall be:
5491          (i) first, to obtain specimens from minors who as of July 1, 2002, are within the
5492     division's legal custody and who have not previously provided a DNA specimen under this
5493     section, before termination of the division's legal custody of these minors; and
5494          (ii) second, to obtain specimens from minors who are placed in the legal custody of the
5495     division after July 1, 2002, within 120 days of the minor's being placed in the custody of the
5496     division, if possible, but no later than before the termination of the court's jurisdiction over the
5497     minor's case.
5498          (8) (a) The Department of Corrections, the juvenile court, the [Division of Juvenile
5499     Justice Services] Division of Juvenile Justice and Youth Services, and all law enforcement
5500     agencies in the state shall by policy establish procedures for obtaining saliva DNA specimens,
5501     and shall provide training for employees designated to collect saliva DNA specimens.
5502          (b) (i) The department may designate correctional officers, including those employed
5503     by the adult probation and parole section of the department, to obtain the saliva DNA
5504     specimens required under this section.
5505          (ii) The department shall ensure that the designated employees receive appropriate
5506     training and that the specimens are obtained in accordance with accepted protocol.
5507          (c) Blood DNA specimens shall be obtained in accordance with Section 53-10-405.
5508          Section 72. Section 53-10-407 is amended to read:
5509          53-10-407. DNA Specimen Restricted Account.
5510          (1) There is created the DNA Specimen Restricted Account, which is referred to in this
5511     section as "the account."
5512          (2) The sources of money for the account are:

5513          (a) DNA collection fees paid under Section 53-10-404;
5514          (b) any appropriations made to the account by the Legislature; and
5515          (c) all federal money provided to the state for the purpose of funding the collection or
5516     analysis of DNA specimens collected under Section 53-10-403.
5517          (3) The account shall earn interest, and this interest shall be deposited in the account.
5518          (4) The Legislature may appropriate money from the account solely for the following
5519     purposes:
5520          (a) to the Department of Corrections for the costs of collecting DNA specimens as
5521     required under Section 53-10-403;
5522          (b) to the juvenile court for the costs of collecting DNA specimens as required under
5523     Sections 53-10-403 and 80-6-608;
5524          (c) to the [Division of Juvenile Justice Services] Division of Juvenile Justice and
5525     Youth Services for the costs of collecting DNA specimens as required under Sections
5526     53-10-403 and 80-5-201; and
5527          (d) to the Department of Public Safety for the costs of:
5528          (i) storing and analyzing DNA specimens in accordance with the requirements of this
5529     part;
5530          (ii) DNA testing which cannot be performed by the Utah State Crime Lab, as provided
5531     in Subsection 78B-9-301(7); and
5532          (iii) reimbursing sheriffs for collecting the DNA specimens as provided under Sections
5533     53-10-404 and 53-10-404.5.
5534          (5) Appropriations from the account to the Department of Corrections, the juvenile
5535     court, the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth
5536     Services, and to the Department of Public Safety are nonlapsing.
5537          Section 73. Section 53E-10-301 is amended to read:
5538          53E-10-301. Definitions.
5539          As used in this part:
5540          (1) "Career and technical education course" means a concurrent enrollment course in
5541     career and technical education, as determined by the policy established by the Utah Board of
5542     Higher Education under Section 53E-10-302.
5543          (2) "Concurrent enrollment" means enrollment in a course offered through the

5544     concurrent enrollment program described in Section 53E-10-302.
5545          (3) "Educator" means the same as that term is defined in Section 53E-6-102.
5546          (4) "Eligible instructor" means an instructor who meets the requirements described in
5547     Subsection 53E-10-302(6).
5548          (5) "Eligible student" means a student who:
5549          (a) (i) is enrolled in, and counted in average daily membership in, a public school
5550     within the state; or
5551          (ii) is in the custody of the [Division of Juvenile Justice Services] Division of Juvenile
5552     Justice and Youth Services and subject to the jurisdiction of the Youth Parole Authority;
5553          (b) has on file a plan for college and career readiness as described in Section
5554     53E-2-304; and
5555          (c) is in grade 9, 10, 11, or 12.
5556          (6) "Institution of higher education" means an institution described in Subsection
5557     53B-1-102(1)(a).
5558          (7) "License" means the same as that term is defined in Section 53E-6-102.
5559          (8) "Local education agency" or "LEA" means a school district or charter school.
5560          (9) "Qualifying experience" means an LEA employee's experience in an academic field
5561     that:
5562          (a) qualifies the LEA employee to teach a concurrent enrollment course in the
5563     academic field; and
5564          (b) may include the LEA employee's:
5565          (i) number of years teaching in the academic field;
5566          (ii) holding a higher level secondary teaching credential issued by the state board;
5567          (iii) research, publications, or other scholarly work in the academic field;
5568          (iv) continuing professional education in the academic field;
5569          (v) portfolio of work related to the academic field; or
5570          (vi) professional work experience or certifications in the academic field.
5571          (10) "Value of the weighted pupil unit" means the amount established each year in the
5572     enacted public education budget that is multiplied by the number of weighted pupil units to
5573     yield the funding level for the basic state-supported school program.
5574          Section 74. Section 53G-8-211 is amended to read:

5575          53G-8-211. Responses to school-based behavior.
5576          (1) As used in this section:
5577          (a) "Evidence-based" means a program or practice that has:
5578          (i) had multiple randomized control studies or a meta-analysis demonstrating that the
5579     program or practice is effective for a specific population;
5580          (ii) been rated as effective by a standardized program evaluation tool; or
5581          (iii) been approved by the state board.
5582          (b) "Habitual truant" means a school-age child who:
5583          (i) is in grade 7 or above, unless the school-age child is under 12 years old;
5584          (ii) is subject to the requirements of Section 53G-6-202; and
5585          (iii) (A) is truant at least 10 times during one school year; or
5586          (B) fails to cooperate with efforts on the part of school authorities to resolve the
5587     school-age child's attendance problem as required under Section 53G-6-206.
5588          (c) "Minor" means the same as that term is defined in Section 80-1-102.
5589          (d) "Mobile crisis outreach team" means the same as that term is defined in Section
5590     [62A-15-102] 26B-5-101.
5591          (e) "Prosecuting attorney" means the same as that term is defined in Subsections
5592     80-1-102(65)(b) and (c).
5593          (f) "Restorative justice program" means a school-based program or a program used or
5594     adopted by a local education agency that is designed:
5595          (i) to enhance school safety, reduce school suspensions, and limit referrals to law
5596     enforcement agencies and courts; and
5597          (ii) to help minors take responsibility for and repair harmful behavior that occurs in
5598     school.
5599          (g) "School administrator" means a principal of a school.
5600          (h) "School is in session" means a day during which the school conducts instruction for
5601     which student attendance is counted toward calculating average daily membership.
5602          (i) "School resource officer" means a law enforcement officer, as defined in Section
5603     53-13-103, who contracts with, is employed by, or whose law enforcement agency contracts
5604     with a local education agency to provide law enforcement services for the local education
5605     agency.

5606          (j) "School-age child" means the same as that term is defined in Section 53G-6-201.
5607          (k) (i) "School-sponsored activity" means an activity, fundraising event, club, camp,
5608     clinic, or other event or activity that is authorized by a specific local education agency or public
5609     school, according to LEA governing board policy, and satisfies at least one of the following
5610     conditions:
5611          (A) the activity is managed or supervised by a local education agency or public school,
5612     or local education agency or public school employee;
5613          (B) the activity uses the local education agency's or public school's facilities,
5614     equipment, or other school resources; or
5615          (C) the activity is supported or subsidized, more than inconsequentially, by public
5616     funds, including the public school's activity funds or Minimum School Program dollars.
5617          (ii) "School-sponsored activity" includes preparation for and involvement in a public
5618     performance, contest, athletic competition, demonstration, display, or club activity.
5619          (l) (i) "Status offense" means an offense that would not be an offense but for the age of
5620     the offender.
5621          (ii) "Status offense" does not mean an offense that by statute is a misdemeanor or
5622     felony.
5623          (2) This section applies to a minor enrolled in school who is alleged to have committed
5624     an offense on school property where the student is enrolled:
5625          (a) when school is in session; or
5626          (b) during a school-sponsored activity.
5627          (3) If a minor is alleged to have committed an offense on school property that is a class
5628     C misdemeanor, an infraction, or a status offense, the school administrator, the school
5629     administrator's designee, or a school resource officer may refer the minor:
5630          (a) to an evidence-based alternative intervention, including:
5631          (i) a mobile crisis outreach team;
5632          (ii) a youth services center, as defined in Section 80-5-102;
5633          (iii) a youth court or comparable restorative justice program;
5634          (iv) an evidence-based alternative intervention created and developed by the school or
5635     school district;
5636          (v) an evidence-based alternative intervention that is jointly created and developed by a

5637     local education agency, the state board, the juvenile court, local counties and municipalities,
5638     the Department of Health and Human Services; or
5639          (vi) a tobacco cessation or education program if the offense is a violation of Section
5640     76-10-105; or
5641          (b) for prevention and early intervention youth services, as described in Section
5642     80-5-201, by the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth
5643     Services if the minor refuses to participate in an evidence-based alternative intervention
5644     described in Subsection (3)(a).
5645          (4) Except as provided in Subsection (5), if a minor is alleged to have committed an
5646     offense on school property that is a class C misdemeanor, an infraction, or a status offense, a
5647     school administrator, the school administrator's designee, or a school resource officer may refer
5648     a minor to a law enforcement officer or agency or a court only if:
5649          (a) the minor allegedly committed the same offense on school property on two previous
5650     occasions; and
5651          (b) the minor was referred to an evidence-based alternative intervention, or to
5652     prevention or early intervention youth services, as described in Subsection (3) for both of the
5653     two previous offenses.
5654          (5) If a minor is alleged to have committed a traffic offense that is an infraction, a
5655     school administrator, the school administrator's designee, or a school resource officer may refer
5656     the minor to a law enforcement officer or agency, a prosecuting attorney, or a court for the
5657     traffic offense.
5658          (6) Notwithstanding Subsection (4), a school resource officer may:
5659          (a) investigate possible criminal offenses and conduct, including conducting probable
5660     cause searches;
5661          (b) consult with school administration about the conduct of a minor enrolled in a
5662     school;
5663          (c) transport a minor enrolled in a school to a location if the location is permitted by
5664     law;
5665          (d) take temporary custody of a minor in accordance with Section 80-6-201; or
5666          (e) protect the safety of students and the school community, including the use of
5667     reasonable and necessary physical force when appropriate based on the totality of the

5668     circumstances.
5669          (7) (a) If a minor is referred to a court or a law enforcement officer or agency under
5670     Subsection (4), the school or the school district shall appoint a school representative to
5671     continue to engage with the minor and the minor's family through the court process.
5672          (b) A school representative appointed under Subsection (7)(a) may not be a school
5673     resource officer.
5674          (c) A school district or school shall include the following in the school district's or
5675     school's referral to the court or the law enforcement officer or agency:
5676          (i) attendance records for the minor;
5677          (ii) a report of evidence-based alternative interventions used by the school before the
5678     referral, including outcomes;
5679          (iii) the name and contact information of the school representative assigned to actively
5680     participate in the court process with the minor and the minor's family;
5681          (iv) if the minor was referred to prevention or early intervention youth services under
5682     Subsection (3)(b), a report from the [Division of Juvenile Justice Services] Division of Juvenile
5683     Justice and Youth Services that demonstrates the minor's failure to complete or participate in
5684     prevention and early intervention youth services under Subsection (3)(b); and
5685          (v) any other information that the school district or school considers relevant.
5686          (d) A minor referred to a court under Subsection (4) may not be ordered to or placed in
5687     secure detention, including for a contempt charge or violation of a valid court order under
5688     Section 78A-6-353, when the underlying offense is a status offense or infraction.
5689          (e) If a minor is referred to a court under Subsection (4), the court may use, when
5690     available, the resources of the [Division of Juvenile Justice Services] Division of Juvenile
5691     Justice and Youth Services or the [Division of Substance Abuse and Mental Health] Office of
5692     Substance Use and Mental Health to address the minor.
5693          (8) If a minor is alleged to have committed an offense on school property that is a class
5694     B misdemeanor or a class A misdemeanor, the school administrator, the school administrator's
5695     designee, or a school resource officer may refer the minor directly to a court or to the
5696     evidence-based alternative interventions in Subsection (3)(a).
5697          Section 75. Section 53G-8-213 is amended to read:
5698          53G-8-213. Reintegration plan for student alleged to have committed violent

5699     felony or weapon offense.
5700          (1) As used in this section:
5701          (a) "Multidisciplinary team" means the local education agency, the juvenile court, the
5702     [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services, a
5703     school resource officer if applicable, and any other relevant party that should be involved in a
5704     reintegration plan.
5705          (b) "Violent felony" means the same as that term is defined in Section 76-3-203.5.
5706          (2) If a school district receives a notification from the juvenile court or a law
5707     enforcement agency that a student was arrested for, charged with, or adjudicated in the juvenile
5708     court for a violent felony or an offense in violation of Title 76, Chapter 10, Part 5, Weapons,
5709     the school shall develop a reintegration plan for the student with a multidisciplinary team, the
5710     student, and the student's parent or guardian, within five days after the day on which the school
5711     receives a notification.
5712          (3) The school may deny admission to the student until the school completes the
5713     reintegration plan under Subsection (2).
5714          (4) The reintegration plan under Subsection (2) shall address:
5715          (a) a behavioral intervention for the student;
5716          (b) a short-term mental health or counseling service for the student; and
5717          (c) an academic intervention for the student.
5718          Section 76. Section 53G-10-406 is amended to read:
5719          53G-10-406. Underage Drinking and Substance Abuse Prevention Program --
5720     State board rules.
5721          (1) As used in this section:
5722          (a) "Advisory council" means the Underage Drinking and Substance Abuse Prevention
5723     Program Advisory Council created in this section.
5724          (b) "Program" means the Underage Drinking and Substance Abuse Prevention Program
5725     created in this section.
5726          (c) "School-based prevention program" means an evidence-based program that:
5727          (i) is aimed at preventing underage consumption of alcohol and underage use of
5728     electronic cigarette products;
5729          (ii) is delivered by methods that engage students in storytelling and visualization;

5730          (iii) addresses the behavioral risk factors associated with underage drinking and use of
5731     electronic cigarette products; and
5732          (iv) provides practical tools to address the dangers of underage drinking and use of
5733     electronic cigarette products.
5734          (2) There is created the Underage Drinking and Substance Abuse Prevention Program
5735     that consists of:
5736          (a) a school-based prevention program for students in grade 4 or 5;
5737          (b) a school-based prevention program for students in grade 7 or 8; and
5738          (c) a school-based prevention program for students in grade 9 or 10 that increases
5739     awareness of the dangers of driving under the influence of alcohol.
5740          (3) (a) Beginning with the 2018-19 school year, an LEA shall offer the program each
5741     school year to each student in grade 7 or 8 and grade 9 or 10.
5742          (b) In addition to Subsection (3)(a), beginning with the 2020-21 school year, an LEA
5743     shall offer the program each school year to each student in grade 4 or 5.
5744          (c) An LEA shall select from the providers qualified by the state board under
5745     Subsection (6) to offer the program.
5746          (4) The state board shall administer the program with input from the advisory council.
5747          (5) There is created the Underage Drinking and Substance Abuse Prevention Program
5748     Advisory Council comprised of the following members:
5749          (a) the executive director of the Department of Alcoholic Beverage Services or the
5750     executive director's designee;
5751          (b) the executive director of the Department of Health and Human Services or the
5752     executive director's designee;
5753          (c) the director of the [Division of Substance Abuse and Mental Health] Office of
5754     Substance Use and Mental Health or the director's designee;
5755          (d) the director of the Division of Child and Family Services or the director's designee;
5756          (e) the director of the [Division of Juvenile Justice Services] Division of Juvenile
5757     Justice and Youth Services or the director's designee;
5758          (f) the state superintendent or the state superintendent's designee; and
5759          (g) two members of the state board, appointed by the chair of the state board.
5760          (6) (a) In accordance with Title 63G, Chapter 6a, Utah Procurement Code, the state

5761     board shall qualify one or more providers to provide the program to an LEA.
5762          (b) In selecting a provider described in Subsection (6)(a), the state board shall consider:
5763          (i) whether the provider's program complies with the requirements described in this
5764     section;
5765          (ii) the extent to which the provider's prevention program aligns with core standards for
5766     Utah public schools; and
5767          (iii) the provider's experience in providing a program that is effective.
5768          (7) (a) The state board shall use money from the Underage Drinking and Substance
5769     Abuse Prevention Program Restricted Account described in Section 53F-9-304 for the
5770     program.
5771          (b) The state board may use money from the Underage Drinking Prevention Program
5772     Restricted Account to fund up to .5 of a full-time equivalent position to administer the
5773     program.
5774          (8) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
5775     state board shall make rules that:
5776          (a) beginning with the 2018-19 school year, require an LEA to offer the Underage
5777     Drinking and Substance Abuse Prevention Program each school year to each student in grade 7
5778     or 8 and grade 9 or 10;
5779          (b) beginning with the 2020-21 school year, require an LEA to offer the Underage
5780     Drinking and Substance Abuse Prevention Program each school year to each student in grade 4
5781     or 5; and
5782          (c) establish criteria for the state board to use in selecting a provider described in
5783     Subsection (6).
5784          Section 77. Section 58-17b-309.7 is amended to read:
5785          58-17b-309.7. Opioid treatment program.
5786          (1) As used in this section:
5787          (a) "Covered provider" means an individual who is licensed to engage in:
5788          (i) the practice of advanced practice registered nursing as defined in Section
5789     58-31b-102;
5790          (ii) the practice of registered nursing as defined in Section 58-31b-102; or
5791          (iii) practice as a physician assistant as defined in Section 58-70a-102.

5792          (b) "Opioid treatment program" means a program or practitioner that is:
5793          (i) engaged in dispensing an opiate medication assisted treatment for opioid use
5794     disorder;
5795          (ii) registered under 21 U.S.C. Sec. 823(g)(1);
5796          (iii) licensed by the [Office of Licensing] Division of Licensing and Background
5797     Checks within the Department of Health and Human Services created in Section 26B-2-103;
5798     and
5799          (iv) certified by the federal Substance Abuse and Mental Health Services
5800     Administration in accordance with 42 C.F.R. 8.11.
5801          (2) A covered provider may dispense opiate medication assisted treatment at an opioid
5802     treatment program if the covered provider:
5803          (a) is operating under the direction of a pharmacist;
5804          (b) dispenses the opiate medication assisted treatment under the direction of a
5805     pharmacist; and
5806          (c) acts in accordance with division rule made under Subsection (3).
5807          (3) The division shall, in consultation with practitioners who work in an opioid
5808     treatment program, make rules in accordance with Title 63G, Chapter 3, Utah Administrative
5809     Rulemaking Act, to establish guidelines under which a covered provider may dispense opiate
5810     medication assisted treatment to a patient in an opioid treatment program under this section.
5811          Section 78. Section 58-17b-620 is amended to read:
5812          58-17b-620. Prescriptions issued within the public health system.
5813          (1) As used in this section:
5814          (a) "Department of Health and Human Services" means the Department of Health and
5815     Human Services created in Section 26B-1-201.
5816          (b) "Health department" means either the Department of Health and Human Services or
5817     a local health department.
5818          (c) "Local health departments" mean the local health departments created in Title 26A,
5819     Chapter 1, Local Health Departments.
5820          (2) When it is necessary to treat a reportable disease or non-emergency condition that
5821     has a direct impact on public health, a health department may implement the prescription
5822     procedure described in Subsection (3) for a prescription drug that is not a controlled substance

5823     for use in:
5824          (a) a clinic; or
5825          (b) a remote or temporary off-site location, including a triage facility established in the
5826     community, that provides:
5827          (i) treatment for sexually transmitted infections;
5828          (ii) fluoride treatment;
5829          (iii) travel immunization;
5830          (iv) preventative treatment for an individual with latent tuberculosis infection;
5831          (v) preventative treatment for an individual at risk for an infectious disease that has a
5832     direct impact on public health when the treatment is indicated to prevent the spread of disease
5833     or to mitigate the seriousness of infection in the exposed individual; or
5834          (vi) other treatment as defined by the Department of Health and Human Services by
5835     rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
5836          (3) In a circumstance described in Subsection (2), an individual with prescriptive
5837     authority may write a prescription for each contact, as defined in Section 26B-7-201, of a
5838     patient of the individual with prescriptive authority without a face-to-face exam, if:
5839          (a) the individual with prescriptive authority is treating the patient for a reportable
5840     disease or non-emergency condition having a direct impact on public health; and
5841          (b) the contact's condition is the same as the patient of the individual with prescriptive
5842     authority.
5843          (4) The following prescription procedure shall be carried out in accordance with the
5844     requirements of Subsection (5) and may be used only in the circumstances described under
5845     Subsections (2) and (3):
5846          (a) a physician writes and signs a prescription for a prescription drug, other than a
5847     controlled substance, without the name and address of the patient and without the date the
5848     prescription is provided to the patient; and
5849          (b) the physician authorizes a registered nurse employed by the health department to
5850     complete the prescription written under this Subsection (4) by inserting the patient's name and
5851     address, and the date the prescription is provided to the patient, in accordance with the
5852     physician's standing written orders and a written health department protocol approved by the
5853     [physician and the medical director] public health department physician medical director or the

5854     physician medical director of the state Department of Health and Human Services licensed
5855     under Chapter 67, Utah Medical Practices Act, or Chapter 68, Utah Osteopathic Medical
5856     Practice Act.
5857          (5) A physician assumes responsibility for all prescriptions issued under this section in
5858     the physician's name.
5859          (6) (a) All prescription forms to be used by a physician and health department in
5860     accordance with this section shall be serially numbered according to a numbering system
5861     assigned to that health department.
5862          (b) All prescriptions issued shall contain all information required under this chapter
5863     and rules adopted under this chapter.
5864          (7) Notwithstanding Sections 58-17b-302 and 58-17b-309, a nurse who is employed by
5865     a health department and licensed under Chapter 31b, Nurse Practice Act, may dispense a drug
5866     to treat a sexually transmitted infection if the drug is:
5867          (a) a prepackaged drug as defined in Section 58-17b-802;
5868          (b) dispensed under a prescription authorized by this section;
5869          (c) provided at a location that is described in Subsection (2)(a) or (b) and operated by
5870     the health department;
5871          (d) provided in accordance with a dispensing standard that is issued by a physician who
5872     is employed by the health department; and
5873          (e) if applicable, in accordance with requirements established by the division in
5874     collaboration with the board under Subsection (8).
5875          (8) The division may make rules in collaboration with the board and in accordance
5876     with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to establish specific
5877     requirements regarding the dispensing of a drug under Subsection (7).
5878          Section 79. Section 63B-3-102 is amended to read:
5879          63B-3-102. Maximum amount -- Projects authorized.
5880          (1) The total amount of bonds issued under this part may not exceed $64,600,000.
5881          (2) (a) Proceeds from the issuance of bonds shall be provided to the division to provide
5882     funds to pay all or part of the cost of acquiring and constructing the projects listed in this
5883     Subsection (2).
5884          (b) These costs may include the cost of acquiring land, interests in land, easements and

5885     rights-of-way, improving sites, and acquiring, constructing, equipping, and furnishing facilities
5886     and all structures, roads, parking facilities, utilities, and improvements necessary, incidental, or
5887     convenient to the facilities, interest estimated to accrue on these bonds during the period to be
5888     covered by construction of the projects plus a period of six months after the end of the
5889     construction period and all related engineering, architectural, and legal fees.
5890          (c) For the division, proceeds shall be provided for the following:
5891      CAPITAL IMPROVEMENTS
5892      1Alterations, Repairs, and Improvements
$5,000,000
5893      TOTAL IMPROVEMENTS
$5,000,000

5894      CAPITAL AND ECONOMIC DEVELOPMENT
5895     

PRIORITY
PROJECT



PROJECT
DESCRIPTION



AMOUNT
FUNDED
ESTIMATED
OPERATIONS
AND
MAINTENANCE
COSTS
5896      1University of Utah
Marriott Library Phase III (Final)
$13,811,500$881,600
5897      2Bridgerland Applied Technology Center
Utah State University Space
$2,400,000
$0
5898      3Weber State University -
Heat Plant
$2,332,100$9,600
5899      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
5900      5Snow College - Administrative
Services/Student Center
$3,885,100$224,500
5901      6Ogden Weber Applied Technology
Center - Metal Trades Building Design
and Equipment Purchase
$750,000$0
5902      7Department of Corrections B-Block
Remodel
$1,237,100$72,000
5903      8Utah State University - Old Main Phase
III Design
$550,000$0
5904      9Department of Corrections - 144 bed
Uintah Expansion
$6,700,000$168,800
5905      10Southern Utah University
Administrative Services/Student Center
$5,630,400$314,200
5906      11Anasazi Museum$760,200$8,500
5907      12Hill Air Force Base - Easements
Purchase
$9,500,000$0
5908      13Signetics Building Remodel$2,000,000$0
5909      14Antelope Island Visitors Center$750,000$30,000
5910      15State Fair Park - Master Study$150,000$0
5911      16Utah National Guard - Draper Land$380,800$0
5912      17Davis Applied Technology Center -
Design
$325,000$0
5913      18Palisade State Park - Land and Park
Development
$800,000$0
5914      19Department of Health and Human
Services - Cedar City Land
$80,000$0
5915      20Department of Health and Human
Services - Clearfield Land
$163,400$0
5916      21Electronic technology, equipment, and
hardware
$2,500,000$0
5917      TOTAL CAPITAL AND ECONOMIC DEVELOPMENT          $58,885,600
5918      TOTAL IMPROVEMENTS AND CAPITAL
AND ECONOMIC DEVELOPMENT                    $63,885,600

5919          (d) For purposes of this section, operations and maintenance costs:
5920          (i) are estimates only;
5921          (ii) may include any operations and maintenance costs already funded in existing
5922     agency budgets; and
5923          (iii) are not commitments by this Legislature or future Legislatures to fund those
5924     operations and maintenance costs.
5925          (3) (a) The amounts funded as listed in Subsection (2) are estimates only and do not
5926     constitute a limitation on the amount that may be expended for any project.
5927          (b) The board may revise these estimates and redistribute the amount estimated for a
5928     project among the projects authorized.
5929          (c) The commission, by resolution and in consultation with the board, may delete one
5930     or more projects from this list if the inclusion of that project or those projects in the list could
5931     be construed to violate state law or federal law or regulation.
5932          (4) (a) The division may enter into agreements related to these projects before the
5933     receipt of proceeds of bonds issued under this chapter.
5934          (b) The division shall make those expenditures from unexpended and unencumbered
5935     building funds already appropriated to the Capital Projects Fund.
5936          (c) The division shall reimburse the Capital Projects Fund upon receipt of the proceeds
5937     of bonds issued under this chapter.
5938          (d) The commission may, by resolution, make any statement of intent relating to that
5939     reimbursement that is necessary or desirable to comply with federal tax law.
5940          (5) (a) For those projects for which only partial funding is provided in Subsection (2),
5941     it is the intent of the Legislature that the balance necessary to complete the projects be
5942     addressed by future Legislatures, either through appropriations or through the issuance or sale
5943     of bonds.
5944          (b) For those phased projects, the division may enter into contracts for amounts not to
5945     exceed the anticipated full project funding but may not allow work to be performed on those
5946     contracts in excess of the funding already authorized by the Legislature.

5947          (c) Those contracts shall contain a provision for termination of the contract for the
5948     convenience of the state.
5949          (d) It is also the intent of the Legislature that this authorization to the division does not
5950     bind future Legislatures to fund projects initiated from this authorization.
5951          Section 80. Section 63B-3-301 is amended to read:
5952          63B-3-301. Legislative intent -- Additional projects.
5953          (1) It is the intent of the Legislature that, for any lease purchase agreement that the
5954     Legislature may authorize the Division of Facilities Construction and Management to enter into
5955     during its 1994 Annual General Session, the State Building Ownership Authority, at the
5956     reasonable rates and amounts it may determine, and with technical assistance from the state
5957     treasurer, the director of the Division of Finance, and the executive director of the Governor's
5958     Office of Planning and Budget, may seek out the most cost effective and prudent lease
5959     purchase plans available to the state and may, pursuant to Chapter 1, Part 3, State Building
5960     Ownership Authority Act, certificate out interests in, or obligations of the authority pertaining
5961     to:
5962          (a) the lease purchase obligation; or
5963          (b) lease rental payments under the lease purchase obligation.
5964          (2) It is the intent of the Legislature that the Department of Transportation dispose of
5965     surplus real properties and use the proceeds from those properties to acquire or construct
5966     through the Division of Facilities Construction and Management a new District Two Complex.
5967          (3) It is the intent of the Legislature that the Division of Facilities Construction and
5968     Management allocate funds from the Capital Improvement appropriation and donations to
5969     cover costs associated with the upgrade of the Governor's Residence that go beyond the
5970     restoration costs which can be covered by insurance proceeds.
5971          (4) (a) It is the intent of the Legislature to authorize the State Building Ownership
5972     Authority under authority of Chapter 1, Part 3, State Building Ownership Authority Act, to
5973     issue or execute obligations or enter into or arrange for a lease purchase agreement in which
5974     participation interests may be created, to provide up to $10,600,000 for the construction of a
5975     Natural Resources Building in Salt Lake City, together with additional amounts necessary to:
5976          (i) pay costs of issuance;
5977          (ii) pay capitalized interest; and

5978          (iii) fund any debt service reserve requirements.
5979          (b) It is the intent of the Legislature that the authority seek out the most cost effective
5980     and prudent lease purchase plan available with technical assistance from the state treasurer, the
5981     director of the Division of Finance, and the executive director of the Governor's Office of
5982     Planning and Budget.
5983          (c) It is the intent of the Legislature that the operating budget for the Department of
5984     Natural Resources not be increased to fund these lease payments.
5985          (5) (a) It is the intent of the Legislature to authorize the State Building Ownership
5986     Authority under authority of Chapter 1, Part 3, State Building Ownership Authority Act, to
5987     issue or execute obligations or enter into or arrange for a lease purchase agreement in which
5988     participation interests may be created, to provide up to $8,300,000 for the acquisition of the
5989     office buildings currently occupied by the Department of Environmental Quality and
5990     approximately 19 acres of additional vacant land at the Airport East Business Park in Salt Lake
5991     City, together with additional amounts necessary to:
5992          (i) pay costs of issuance;
5993          (ii) pay capitalized interest; and
5994          (iii) fund any debt service reserve requirements.
5995          (b) It is the intent of the Legislature that the authority seek out the most cost effective
5996     and prudent lease purchase plan available with technical assistance from the state treasurer, the
5997     director of the Division of Finance, and the executive director of the Governor's Office of
5998     Planning and Budget.
5999          (6) (a) It is the intent of the Legislature to authorize the State Building Ownership
6000     Authority under authority of Chapter 1, Part 3, State Building Ownership Authority Act, to
6001     issue or execute obligations or enter into or arrange for a lease purchase agreement in which
6002     participation interests may be created, to provide up to $9,000,000 for the acquisition or
6003     construction of up to two field offices for the Department of Health and Human Services in the
6004     southwestern portion of Salt Lake County, together with additional amounts necessary to:
6005          (i) pay costs of issuance;
6006          (ii) pay capitalized interest; and
6007          (iii) fund any debt service reserve requirements.
6008          (b) It is the intent of the Legislature that the authority seek out the most cost effective

6009     and prudent lease purchase plan available with technical assistance from the state treasurer, the
6010     director of the Division of Finance, and the executive director of the Governor's Office of
6011     Planning and Budget.
6012          (7) (a) It is the intent of the Legislature to authorize the State Building Ownership
6013     Authority under authority of Chapter 1, Part 3, State Building Ownership Authority Act, to
6014     issue or execute obligations or enter into or arrange for lease purchase agreements in which
6015     participation interests may be created, to provide up to $5,000,000 for the acquisition or
6016     construction of up to 13 stores for the Department of Alcoholic Beverage Services, together
6017     with additional amounts necessary to:
6018          (i) pay costs of issuance;
6019          (ii) pay capitalized interest; and
6020          (iii) fund any debt service reserve requirements.
6021          (b) It is the intent of the Legislature that the authority seek out the most cost effective
6022     and prudent lease purchase plan available with technical assistance from the state treasurer, the
6023     director of the Division of Finance, and the executive director of the Governor's Office of
6024     Planning and Budget.
6025          (c) It is the intent of the Legislature that the operating budget for the Department of
6026     Alcoholic Beverage Services not be increased to fund these lease payments.
6027          (8) (a) It is the intent of the Legislature to authorize the State Building Ownership
6028     Authority under authority of Chapter 1, Part 3, State Building Ownership Authority Act, to
6029     issue or execute obligations or enter into or arrange for a lease purchase agreement in which
6030     participation interests may be created, to provide up to $6,800,000 for the construction of a
6031     Prerelease and Parole Center for the Department of Corrections, containing a minimum of 300
6032     beds, together with additional amounts necessary to:
6033          (i) pay costs of issuance;
6034          (ii) pay capitalized interest; and
6035          (iii) fund any debt service reserve requirements.
6036          (b) It is the intent of the Legislature that the authority seek out the most cost effective
6037     and prudent lease purchase plan available with technical assistance from the state treasurer, the
6038     director of the Division of Finance, and the executive director of the Governor's Office of
6039     Planning and Budget.

6040          (9) If S.B. 275, 1994 General Session, which authorizes funding for a Courts Complex
6041     in Salt Lake City, becomes law, it is the intent of the Legislature that:
6042          (a) the Legislative Management Committee, the Interim Appropriation Subcommittees
6043     for General Government and Capital Facilities and Executive Offices, Courts, and Corrections,
6044     the Office of the Legislative Fiscal Analyst, the Governor's Office of Planning and Budget, and
6045     the Division of Facilities Construction and Management participate in a review of the proposed
6046     facility design for the Courts Complex no later than December 1994; and
6047          (b) although this review will not affect the funding authorization issued by the 1994
6048     Legislature, it is expected that Division of Facilities Construction and Management will give
6049     proper attention to concerns raised in these reviews and make appropriate design changes
6050     pursuant to the review.
6051          (10) It is the intent of the Legislature that:
6052          (a) the Division of Facilities Construction and Management, in cooperation with the
6053     [Division of Youth Corrections renamed in 2003 to the Division of Juvenile Justice Services]
6054     Division of Juvenile Justice and Youth Services, formerly known as the Division of Youth
6055     Corrections and then the Division of Juvenile Justice Services, develop a flexible use prototype
6056     facility for [the Division of Youth Corrections renamed in 2003 to the Division of Juvenile
6057     Justice Services] the Division of Juvenile Justice and Youth Services;
6058          (b) the development process use existing prototype proposals unless it can be
6059     quantifiably demonstrated that the proposals cannot be used;
6060          (c) the facility is designed so that with minor modifications, it can accommodate
6061     detention, observation and assessment, transition, and secure programs as needed at specific
6062     geographical locations;
6063          (d) (i) funding as provided in the fiscal year 1995 bond authorization for the Division
6064     of Youth Corrections [renamed in 2003 to the Division of Juvenile Justice Services], now
6065     known as the Division of Juvenile Justice and Youth Services is used to design and construct
6066     one facility and design the other;
6067          (ii) the [Division of Youth Corrections renamed in 2003 to the Division of Juvenile
6068     Justice Services] Division of Juvenile Justice and Youth Services shall:
6069          (A) determine the location for the facility for which design and construction are fully
6070     funded; and

6071          (B) in conjunction with the Division of Facilities Construction and Management,
6072     determine the best methodology for design and construction of the fully funded facility;
6073          (e) the Division of Facilities Construction and Management submit the prototype as
6074     soon as possible to the Infrastructure and General Government Appropriations Subcommittee
6075     and Executive Offices, Criminal Justice, and Legislature Appropriation Subcommittee for
6076     review;
6077          (f) the Division of Facilities Construction and Management issue a Request for
6078     Proposal for one of the facilities, with that facility designed and constructed entirely by the
6079     winning firm;
6080          (g) the other facility be designed and constructed under the existing Division of
6081     Facilities Construction and Management process;
6082          (h) that both facilities follow the program needs and specifications as identified by
6083     Division of Facilities Construction and Management and the [Division of Youth Corrections
6084     renamed in 2003 to the Division of Juvenile Justice Services] Division of Juvenile Justice and
6085     Youth Services in the prototype; and
6086          (i) the fully funded facility should be ready for occupancy by September 1, 1995.
6087          (11) It is the intent of the Legislature that the fiscal year 1995 funding for the State Fair
6088     Park Master Study be used by the Division of Facilities Construction and Management to
6089     develop a master plan for the State Fair Park that:
6090          (a) identifies capital facilities needs, capital improvement needs, building
6091     configuration, and other long term needs and uses of the State Fair Park and its buildings; and
6092          (b) establishes priorities for development, estimated costs, and projected timetables.
6093          (12) It is the intent of the Legislature that:
6094          (a) the Division of Facilities Construction and Management, in cooperation with the
6095     Division of State Parks, formerly known as the Division of Parks and Recreation, and
6096     surrounding counties, develop a master plan and general program for the phased development
6097     of Antelope Island;
6098          (b) the master plan:
6099          (i) establish priorities for development;
6100          (ii) include estimated costs and projected time tables; and
6101          (iii) include recommendations for funding methods and the allocation of

6102     responsibilities between the parties; and
6103          (c) the results of the effort be reported to the Natural Resources, Agriculture, and
6104     Environmental Quality Appropriations Subcommittee and Infrastructure and General
6105     Government Appropriations Subcommittee.
6106          (13) It is the intent of the Legislature to authorize the University of Utah to use:
6107          (a) bond reserves to plan, design, and construct the Kingsbury Hall renovation under
6108     the supervision of the director of the Division of Facilities Construction and Management
6109     unless supervisory authority is delegated by the director; and
6110          (b) donated and other nonappropriated funds to plan, design, and construct the Biology
6111     Research Building under the supervision of the director of the Division of Facilities
6112     Construction and Management unless supervisory authority is delegated by the director.
6113          (14) It is the intent of the Legislature to authorize Utah State University to use:
6114          (a) federal and other funds to plan, design, and construct the Bee Lab under the
6115     supervision of the director of the Division of Facilities Construction and Management unless
6116     supervisory authority is delegated by the director;
6117          (b) donated and other nonappropriated funds to plan, design, and construct an Athletic
6118     Facility addition and renovation under the supervision of the director of the Division of
6119     Facilities Construction and Management unless supervisory authority is delegated by the
6120     director;
6121          (c) donated and other nonappropriated funds to plan, design, and construct a renovation
6122     to the Nutrition and Food Science Building under the supervision of the director of the
6123     Division of Facilities Construction and Management unless supervisory authority is delegated
6124     by the director; and
6125          (d) federal and private funds to plan, design, and construct the Millville Research
6126     Facility under the supervision of the director of the Division of Facilities Construction and
6127     Management unless supervisory authority is delegated by the director.
6128          (15) It is the intent of the Legislature to authorize Salt Lake Community College to use:
6129          (a) institutional funds to plan, design, and construct a remodel to the Auto Trades
6130     Office and Learning Center under the supervision of the director of the Division of Facilities
6131     Construction and Management unless supervisory authority is delegated by the director;
6132          (b) institutional funds to plan, design, and construct the relocation and expansion of a

6133     temporary maintenance compound under the supervision of the director of the Division of
6134     Facilities Construction and Management unless supervisory authority is delegated by the
6135     director; and
6136          (c) institutional funds to plan, design, and construct the Alder Amphitheater under the
6137     supervision of the director of the Division of Facilities Construction and Management unless
6138     supervisory authority is delegated by the director.
6139          (16) It is the intent of the Legislature to authorize Southern Utah University to use:
6140          (a) federal funds to plan, design, and construct a Community Services Building under
6141     the supervision of the director of the Division of Facilities Construction and Management
6142     unless supervisory authority is delegated by the director; and
6143          (b) donated and other nonappropriated funds to plan, design, and construct a stadium
6144     expansion under the supervision of the director of the Division of Facilities Construction and
6145     Management unless supervisory authority is delegated by the director.
6146          (17) It is the intent of the Legislature to authorize the Department of Corrections to use
6147     donated funds to plan, design, and construct a Prison Chapel at the Central Utah Correctional
6148     Facility in Gunnison under the supervision of the director of the Division of Facilities
6149     Construction and Management unless supervisory authority is delegated by the director.
6150          (18) If the Utah National Guard does not relocate in the Signetics Building, it is the
6151     intent of the Legislature to authorize the Guard to use federal funds and funds from Provo City
6152     to plan and design an Armory in Provo, Utah, under the supervision of the director of the
6153     Division of Facilities Construction and Management unless supervisory authority is delegated
6154     by the director.
6155          (19) It is the intent of the Legislature that the Utah Department of Transportation use
6156     $250,000 of the fiscal year 1995 highway appropriation to fund an environmental study in
6157     Ogden, Utah of the 2600 North Corridor between Washington Boulevard and I-15.
6158          (20) It is the intent of the Legislature that the Ogden-Weber Applied Technology
6159     Center use the money appropriated for fiscal year 1995 to design the Metal Trades Building
6160     and purchase equipment for use in that building that could be used in metal trades or other
6161     programs in other Applied Technology Centers.
6162          (21) It is the intent of the Legislature that the Bridgerland Applied Technology Center
6163     and the Ogden-Weber Applied Technology Center projects as designed in fiscal year 1995 be

6164     considered as the highest priority projects for construction funding in fiscal year 1996.
6165          (22) It is the intent of the Legislature that:
6166          (a) the Division of Facilities Construction and Management complete physical space
6167     utilization standards by June 30, 1995, for the use of technology education activities;
6168          (b) these standards are to be developed with and approved by the State Board of
6169     Education, the Board of Regents, and the Division of Facilities Construction and Management;
6170          (c) these physical standards be used as the basis for:
6171          (i) determining utilization of any technology space based on number of stations capable
6172     and occupied for any given hour of operation; and
6173          (ii) requests for any new space or remodeling;
6174          (d) the fiscal year 1995 projects at the Bridgerland Applied Technology Center and the
6175     Ogden-Weber Applied Technology Center are exempt from this process; and
6176          (e) the design of the Davis Applied Technology Center take into account the utilization
6177     formulas established by the Division of Facilities Construction and Management.
6178          (23) It is the intent of the Legislature that Utah Valley State College may use the
6179     money from the bond allocated to the remodel of the Signetics building to relocate its technical
6180     education programs at other designated sites or facilities under the supervision of the director
6181     of the Division of Facilities Construction and Management unless supervisory authority is
6182     delegated by the director.
6183          (24) It is the intent of the Legislature that the money provided for the fiscal year 1995
6184     project for the Bridgerland Applied Technology Center be used to design and construct the
6185     space associated with Utah State University and design the technology center portion of the
6186     project.
6187          (25) It is the intent of the Legislature that the governor provide periodic reports on the
6188     expenditure of the funds provided for electronic technology, equipment, and hardware to the
6189     Infrastructure and General Government Appropriations Subcommittee, and the Legislative
6190     Management Committee.
6191          Section 81. Section 63B-4-102 is amended to read:
6192          63B-4-102. Maximum amount -- Projects authorized.
6193          (1) The total amount of bonds issued under this part may not exceed $45,300,000.
6194          (2) (a) Proceeds from the issuance of bonds shall be provided to the division to provide

6195     funds to pay all or part of the cost of acquiring and constructing the projects listed in this
6196     Subsection (2).
6197          (b) These costs may include the cost of acquiring land, interests in land, easements and
6198     rights-of-way, improving sites, and acquiring, constructing, equipping, and furnishing facilities
6199     and all structures, roads, parking facilities, utilities, and improvements necessary, incidental, or
6200     convenient to the facilities, interest estimated to accrue on these bonds during the period to be
6201     covered by construction of the projects plus a period of six months after the end of the
6202     construction period, and all related engineering, architectural, and legal fees.
6203          (c) For the division, proceeds shall be provided for the following:
6204      CAPITAL IMPROVEMENTS
6205      Alterations, Repairs, and Improvements$7,200,000
6206      TOTAL IMPROVEMENTS$7,200,000

6207      CAPITAL AND ECONOMIC DEVELOPMENT
6208     

     PROJECT
     DESCRIPTION



AMOUNT
FUNDED
ESTIMATED
OPERATIONS
AND
MAINTENANCE
COSTS
6209      Corrections - Uinta IVA$11,300,000$212,800
6210      Utah County Youth Correctional Facility$6,650,000$245,000
6211      Ogden Weber Applied Technology Center -
Metal Trades
$5,161,000$176,000
6212      Project Reserve Fund$3,500,000None
6213      Weber State University - Browning Center
Remodel
$3,300,000None
6214      Heber Wells Building Remodel$2,000,000None
6215      Higher Education Davis County - Land Purchase$1,600,000None
6216      National Guard -- Provo Armory$1,500,000$128,000
6217      Department of Natural Resources - Pioneer
Trails Visitor Center
$900,000$65,000
6218      Higher Education Design Projects$800,000Varies depending
upon projects
selected
6219      Salt Lake Community College - South Valley
Planning
$300,000None
6220      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
6221      TOTAL CAPITAL AND ECONOMIC DEVELOPMENT$37,131,000
6222      TOTAL IMPROVEMENTS AND CAPITAL AND ECONOMIC
DEVELOPMENT
$44,331,000

6223          (d) For purposes of this section, operations and maintenance costs:
6224          (i) are estimates only;
6225          (ii) may include any operations and maintenance costs already funded in existing
6226     agency budgets; and
6227          (iii) are not commitments by this Legislature or future Legislatures to fund those
6228     operations and maintenance costs.
6229          (3) (a) The amounts funded as listed in Subsection (2) are estimates only and do not
6230     constitute a limitation on the amount that may be expended for any project.
6231          (b) The board may revise these estimates and redistribute the amount estimated for a
6232     project among the projects authorized.
6233          (c) The commission, by resolution and in consultation with the board, may delete one
6234     or more projects from this list if the inclusion of that project or those projects in the list could
6235     be construed to violate state law or federal law or regulation.
6236          (4) (a) The division may enter into agreements related to these projects before the
6237     receipt of proceeds of bonds issued under this chapter.

6238          (b) The division shall make those expenditures from unexpended and unencumbered
6239     building funds already appropriated to the Capital Projects Fund.
6240          (c) The division shall reimburse the Capital Projects Fund upon receipt of the proceeds
6241     of bonds issued under this chapter.
6242          (d) The commission may, by resolution, make any statement of intent relating to that
6243     reimbursement that is necessary or desirable to comply with federal tax law.
6244          (5) (a) For those projects for which only partial funding is provided in Subsection (2),
6245     it is the intent of the Legislature that the balance necessary to complete the projects be
6246     addressed by future Legislatures, either through appropriations or through the issuance or sale
6247     of bonds.
6248          (b) For those phased projects, the division may enter into contracts for amounts not to
6249     exceed the anticipated full project funding but may not allow work to be performed on those
6250     contracts in excess of the funding already authorized by the Legislature.
6251          (c) Those contracts shall contain a provision for termination of the contract for the
6252     convenience of the state.
6253          (d) It is also the intent of the Legislature that this authorization to the division does not
6254     bind future Legislatures to fund projects initiated from this authorization.
6255          Section 82. Section 63B-11-702 is amended to read:
6256          63B-11-702. Other capital facility authorizations and intent language.
6257          (1) It is the intent of the Legislature that:
6258          (a) Salt Lake Community College use donations and other institutional funds to plan,
6259     design, and construct a renovation of and addition to the Grand Theater under the direction of
6260     the director of the Division of Facilities Construction and Management unless supervisory
6261     authority has been delegated;
6262          (b) no state funds be used for any portion of this project; and
6263          (c) the college may request state funds for operations and maintenance to the extent
6264     that the college is able to demonstrate to the Board of Regents that the facility meets approved
6265     academic and training purposes under Board of Regents policy R710.
6266          (2) It is the intent of the Legislature that:
6267          (a) the University of Utah use donations, grants, and other institutional funds to plan,
6268     design, and construct a Department of Chemistry Gauss House under the direction of the

6269     director of the Division of Facilities Construction and Management unless supervisory
6270     authority has been delegated;
6271          (b) no state funds be used for any portion of this project; and
6272          (c) the university may request state funds for operations and maintenance to the extent
6273     that the university is able to demonstrate to the Board of Regents that the facility meets
6274     approved academic and training purposes under Board of Regents policy R710.
6275          (3) It is the intent of the Legislature that:
6276          (a) the University of Utah use donations and other institutional funds to plan, design,
6277     and construct an expansion of the Eccles Health Science Library and the associated parking
6278     structure under the direction of the director of the Division of Facilities Construction and
6279     Management unless supervisory authority has been delegated;
6280          (b) no state funds be used for any portion of this project; and
6281          (c) the university may request state funds for operations and maintenance to the extent
6282     that the university is able to demonstrate to the Board of Regents that the facility meets
6283     approved academic and training purposes under Board of Regents policy R710.
6284          (4) It is the intent of the Legislature that:
6285          (a) the University of Utah use donations and other institutional funds to plan, design,
6286     and construct a Phase II Addition to the Moran Eye Center under the direction of the director of
6287     the Division of Facilities Construction and Management unless supervisory authority has been
6288     delegated;
6289          (b) no state funds be used for any portion of this project; and
6290          (c) the university may not request state funds for operations and maintenance.
6291          (5) It is the intent of the Legislature that:
6292          (a) the University of Utah use donations and other institutional funds to plan, design,
6293     and construct a Children's Dance Theatre under the direction of the director of the Division of
6294     Facilities Construction and Management unless supervisory authority has been delegated;
6295          (b) no state funds be used for any portion of this project; and
6296          (c) the university may not request state funds for operations and maintenance.
6297          (6) It is the intent of the Legislature that:
6298          (a) Utah State University use donations and other institutional funds to plan, design,
6299     and construct a Teaching Pavilion at its Animal Science Farm under the direction of the

6300     director of the Division of Facilities Construction and Management unless supervisory
6301     authority has been delegated;
6302          (b) no state funds be used for any portion of this project; and
6303          (c) the university may request state funds for operations and maintenance to the extent
6304     that the university is able to demonstrate to the Board of Regents that the facility meets
6305     approved academic and training purposes under Board of Regents policy R710.
6306          (7) It is the intent of the Legislature that:
6307          (a) the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth
6308     Services use donations to plan, design, and construct a chapel at the Slate Canyon Youth
6309     Corrections Facility under the direction of the director of the Division of Facilities
6310     Construction and Management unless supervisory authority has been delegated;
6311          (b) no state funds be used for any portion of this project; and
6312          (c) the division may not request additional state funding for operations and
6313     maintenance.
6314          (8) It is the intent of the Legislature that the Utah National Guard use federal funds and
6315     proceeds from the sale of property to acquire a site for new facilities in Salt Lake or Davis
6316     County.
6317          (9) It is the intent of the Legislature that:
6318          (a) the Utah National Guard use donations and grants to plan, design, and construct the
6319     renovation and expansion of the Fort Douglas Military Museum under the direction of the
6320     director of the Division of Facilities Construction and Management unless supervisory
6321     authority has been delegated;
6322          (b) no state funds be used for any portion of this project; and
6323          (c) the National Guard may not request additional state funding for operations and
6324     maintenance.
6325          (10) It is the intent of the Legislature that:
6326          (a) the Division of Facilities Construction and Management pursue the exchange of
6327     public safety facilities in Orem if:
6328          (i) the land and newly constructed replacement facilities meet the needs of the Driver
6329     License Division and the Utah Highway Patrol; and
6330          (ii) the replacement property and facilities can be obtained at a cost that is not less than

6331     the market value of the existing property and facilities; and
6332          (b) the division confirms the value of the properties to be exchanged.
6333          Section 83. Section 63I-1-226 (Superseded 07/01/24) is amended to read:
6334          63I-1-226 (Superseded 07/01/24). Repeal dates: Titles 26A through 26B.
6335          (1) Subsection 26B-1-204(2)(i), related to the Primary Care Grant Committee, is
6336     repealed July 1, 2025.
6337          (2) Section 26B-1-315, which creates the Medicaid Expansion Fund, is repealed July 1,
6338     [2024] 2034.
6339          (3) Section 26B-1-319, which creates the Neuro-Rehabilitation Fund, is repealed
6340     January 1, 2025.
6341          (4) Section 26B-1-320, which creates the Pediatric Neuro-Rehabilitation Fund, is
6342     repealed January 1, 2025.
6343          (5) Subsection 26B-1-324(4), the language that states "the Behavioral Health Crisis
6344     Response Commission, as defined in Section 63C-18-202," is repealed December 31, 2026.
6345          (6) Subsection 26B-1-329(6), related to the Behavioral Health Crisis Response
6346     Commission, is repealed December 31, 2026.
6347          (7) Section 26B-1-402, related to the Rare Disease Advisory Council Grant Program, is
6348     repealed July 1, 2026.
6349          (8) Section 26B-1-409, which creates the Utah Digital Health Service Commission, is
6350     repealed July 1, 2025.
6351          (9) Section 26B-1-410, which creates the Primary Care Grant Committee, is repealed
6352     July 1, 2025.
6353          (10) Section 26B-1-416, which creates the Utah Children's Health Insurance Program
6354     Advisory Council, is repealed July 1, 2025.
6355          (11) Section 26B-1-417, which creates the Brain Injury Advisory Committee, is
6356     repealed July 1, 2025.
6357          (12) Section 26B-1-418, which creates the Neuro-Rehabilitation Fund and Pediatric
6358     Neuro-Rehabilitation Fund Advisory Committee, is repealed January 1, 2025.
6359          (13) Section 26B-1-422, which creates the Early Childhood Utah Advisory Council, is
6360     repealed July 1, 2029.
6361          (14) Section 26B-1-428, which creates the Youth Electronic Cigarette, Marijuana, and

6362     Other Drug Prevention Program, is repealed July 1, 2025.
6363          (15) Section 26B-1-430, which creates the Coordinating Council for Persons with
6364     Disabilities, is repealed July 1, 2027.
6365          (16) Section 26B-1-431, which creates the Forensic Mental Health Coordinating
6366     Council, is repealed July 1, 2023.
6367          (17) Section 26B-1-432, which creates the Newborn Hearing Screening Committee, is
6368     repealed July 1, 2026.
6369          (18) Section 26B-1-434, regarding the Correctional Postnatal and Early Childhood
6370     Advisory Board, is repealed July 1, 2026.
6371          (19) Section 26B-2-407, related to drinking water quality in child care centers, is
6372     repealed July 1, 2027.
6373          (20) Subsection 26B-3-107(9), which addresses reimbursement for dental hygienists, is
6374     repealed July 1, 2028.
6375          (21) Section 26B-3-136, which creates the Children's Health Care Coverage Program,
6376     is repealed July 1, 2025.
6377          (22) Section 26B-3-137, related to reimbursement for the National Diabetes Prevention
6378     Program, is repealed June 30, 2027.
6379          (23) Subsection 26B-3-213(2), the language that states "and the Behavioral Health
6380     Crisis Response Commission created in Section 63C-18-202" is repealed December 31, 2026.
6381          (24) Sections 26B-3-302 through 26B-3-309, regarding the Drug Utilization Review
6382     Board, are repealed July 1, 2027.
6383          (25) Title 26B, Chapter 3, Part 5, Inpatient Hospital Assessment, is repealed July 1,
6384     [2024] 2034.
6385          (26) Title 26B, Chapter 3, Part 6, Medicaid Expansion Hospital Assessment, is
6386     repealed July 1, [2024] 2034.
6387          (27) Title 26B, Chapter 3, Part 7, Hospital Provider Assessment, is repealed July 1,
6388     2028.
6389          (28) Section 26B-3-910, regarding alternative eligibility, is repealed July 1, 2028.
6390          (29) Section 26B-4-136, related to the Volunteer Emergency Medical Service
6391     Personnel Health Insurance Program, is repealed July 1, 2027.
6392          (30) Section 26B-4-710, related to rural residency training programs, is repealed July 1,

6393     2025.
6394          (31) Subsections 26B-5-112(1) and (5), the language that states "In consultation with
6395     the Behavioral Health Crisis Response Commission, established in Section 63C-18-202," is
6396     repealed December 31, 2026.
6397          (32) Section 26B-5-112.5 is repealed December 31, 2026.
6398          (33) Section 26B-5-114, related to the Behavioral Health Receiving Center Grant
6399     Program, is repealed December 31, 2026.
6400          (34) Section 26B-5-118, related to collaborative care grant programs, is repealed
6401     December 31, 2024.
6402          (35) Section 26B-5-120 is repealed December 31, 2026.
6403          (36) In relation to the Utah Assertive Community Treatment Act, on July 1, 2024:
6404          (a) Subsection 26B-5-606(2)(a)(i), the language that states "and" is repealed; and
6405          (b) Subsections 26B-5-606(2)(a)(ii), 26B-5-606(2)(b), and 26B-5-606(2)(c) are
6406     repealed.
6407          (37) In relation to the Behavioral Health Crisis Response Commission, on December
6408     31, 2026:
6409          (a) Subsection 26B-5-609(1)(a) is repealed;
6410          (b) Subsection 26B-5-609(3)(a), the language that states "With recommendations from
6411     the commission," is repealed;
6412          (c) Subsection 26B-5-610(1)(b) is repealed;
6413          (d) Subsection 26B-5-610(2)(b), the language that states "and in consultation with the
6414     commission," is repealed; and
6415          (e) Subsection 26B-5-610(4), the language that states "In consultation with the
6416     commission," is repealed.
6417          (38) Subsections 26B-5-611(1)(a) and (10), in relation to the Utah Substance Use and
6418     Mental Health Advisory Council, are repealed January 1, 2033.
6419          (39) Section 26B-5-612, related to integrated behavioral health care grant programs, is
6420     repealed December 31, 2025.
6421          (40) Subsection 26B-7-119(5), related to reports to the Legislature on the outcomes of
6422     the Hepatitis C Outreach Pilot Program, is repealed July 1, 2028.
6423          (41) Section 26B-7-224, related to reports to the Legislature on violent incidents and

6424     fatalities involving substance abuse, is repealed December 31, 2027.
6425          (42) Title 26B, Chapter 8, Part 5, Utah Health Data Authority, is repealed July 1, 2024.
6426          (43) Section 26B-8-513, related to identifying overuse of non-evidence-based health
6427     care, is repealed December 31, 2023.
6428          Section 84. Section 63I-1-226 (Effective 07/01/24) is amended to read:
6429          63I-1-226 (Effective 07/01/24). Repeal dates: Titles 26A through 26B.
6430          (1) Subsection 26B-1-204(2)(i), related to the Primary Care Grant Committee, is
6431     repealed July 1, 2025.
6432          (2) Section 26B-1-315, which creates the Medicaid Expansion Fund, is repealed July 1,
6433     [2024] 2034.
6434          (3) Section 26B-1-319, which creates the Neuro-Rehabilitation Fund, is repealed
6435     January 1, 2025.
6436          (4) Section 26B-1-320, which creates the Pediatric Neuro-Rehabilitation Fund, is
6437     repealed January 1, 2025.
6438          (5) Subsection 26B-1-324(4), the language that states "the Behavioral Health Crisis
6439     Response Commission, as defined in Section 63C-18-202," is repealed December 31, 2026.
6440          (6) Subsection 26B-1-329(6), related to the Behavioral Health Crisis Response
6441     Commission, is repealed December 31, 2026.
6442          (7) Section 26B-1-402, related to the Rare Disease Advisory Council Grant Program, is
6443     repealed July 1, 2026.
6444          (8) Section 26B-1-409, which creates the Utah Digital Health Service Commission, is
6445     repealed July 1, 2025.
6446          (9) Section 26B-1-410, which creates the Primary Care Grant Committee, is repealed
6447     July 1, 2025.
6448          (10) Section 26B-1-416, which creates the Utah Children's Health Insurance Program
6449     Advisory Council, is repealed July 1, 2025.
6450          (11) Section 26B-1-417, which creates the Brain Injury Advisory Committee, is
6451     repealed July 1, 2025.
6452          (12) Section 26B-1-418, which creates the Neuro-Rehabilitation Fund and Pediatric
6453     Neuro-Rehabilitation Fund Advisory Committee, is repealed January 1, 2025.
6454          (13) Section 26B-1-422, which creates the Early Childhood Utah Advisory Council, is

6455     repealed July 1, 2029.
6456          (14) Section 26B-1-428, which creates the Youth Electronic Cigarette, Marijuana, and
6457     Other Drug Prevention Program, is repealed July 1, 2025.
6458          (15) Section 26B-1-430, which creates the Coordinating Council for Persons with
6459     Disabilities, is repealed July 1, 2027.
6460          (16) Section 26B-1-431, which creates the Forensic Mental Health Coordinating
6461     Council, is repealed July 1, 2023.
6462          (17) Section 26B-1-432, which creates the Newborn Hearing Screening Committee, is
6463     repealed July 1, 2026.
6464          (18) Section 26B-1-434, regarding the Correctional Postnatal and Early Childhood
6465     Advisory Board, is repealed July 1, 2026.
6466          (19) Section 26B-2-407, related to drinking water quality in child care centers, is
6467     repealed July 1, 2027.
6468          (20) Subsection 26B-3-107(9), which addresses reimbursement for dental hygienists, is
6469     repealed July 1, 2028.
6470          (21) Section 26B-3-136, which creates the Children's Health Care Coverage Program,
6471     is repealed July 1, 2025.
6472          (22) Section 26B-3-137, related to reimbursement for the National Diabetes Prevention
6473     Program, is repealed June 30, 2027.
6474          (23) Subsection 26B-3-213(2), the language that states "and the Behavioral Health
6475     Crisis Response Commission created in Section 63C-18-202" is repealed December 31, 2026.
6476          (24) Sections 26B-3-302 through 26B-3-309, regarding the Drug Utilization Review
6477     Board, are repealed July 1, 2027.
6478          (25) Title 26B, Chapter 3, Part 5, Inpatient Hospital Assessment, is repealed July 1,
6479     [2024] 2034.
6480          (26) Title 26B, Chapter 3, Part 6, Medicaid Expansion Hospital Assessment, is
6481     repealed July 1, 2024.
6482          (27) Title 26B, Chapter 3, Part 7, Hospital Provider Assessment, is repealed July 1,
6483     2028.
6484          (28) Section 26B-3-910, regarding alternative eligibility, is repealed July 1, 2028.
6485          (29) Section 26B-4-710, related to rural residency training programs, is repealed July 1,

6486     2025.
6487          (30) Subsections 26B-5-112(1) and (5), the language that states "In consultation with
6488     the Behavioral Health Crisis Response Commission, established in Section 63C-18-202," is
6489     repealed December 31, 2026.
6490          (31) Section 26B-5-112.5 is repealed December 31, 2026.
6491          (32) Section 26B-5-114, related to the Behavioral Health Receiving Center Grant
6492     Program, is repealed December 31, 2026.
6493          (33) Section 26B-5-118, related to collaborative care grant programs, is repealed
6494     December 31, 2024.
6495          (34) Section 26B-5-120 is repealed December 31, 2026.
6496          (35) In relation to the Utah Assertive Community Treatment Act, on July 1, 2024:
6497          (a) Subsection 26B-5-606(2)(a)(i), the language that states "and" is repealed; and
6498          (b) Subsections 26B-5-606(2)(a)(ii), 26B-5-606(2)(b), and 26B-5-606(2)(c) are
6499     repealed.
6500          (36) In relation to the Behavioral Health Crisis Response Commission, on December
6501     31, 2026:
6502          (a) Subsection 26B-5-609(1)(a) is repealed;
6503          (b) Subsection 26B-5-609(3)(a), the language that states "With recommendations from
6504     the commission," is repealed;
6505          (c) Subsection 26B-5-610(1)(b) is repealed;
6506          (d) Subsection 26B-5-610(2)(b), the language that states "and in consultation with the
6507     commission," is repealed; and
6508          (e) Subsection 26B-5-610(4), the language that states "In consultation with the
6509     commission," is repealed.
6510          (37) Subsections 26B-5-611(1)(a) and (10), in relation to the Utah Substance Use and
6511     Mental Health Advisory Council, are repealed January 1, 2033.
6512          (38) Section 26B-5-612, related to integrated behavioral health care grant programs, is
6513     repealed December 31, 2025.
6514          (39) Subsection 26B-7-119(5), related to reports to the Legislature on the outcomes of
6515     the Hepatitis C Outreach Pilot Program, is repealed July 1, 2028.
6516          (40) Section 26B-7-224, related to reports to the Legislature on violent incidents and

6517     fatalities involving substance abuse, is repealed December 31, 2027.
6518          (41) Title 26B, Chapter 8, Part 5, Utah Health Data Authority, is repealed July 1, 2024.
6519          (42) Section 26B-8-513, related to identifying overuse of non-evidence-based health
6520     care, is repealed December 31, 2023.
6521          Section 85. Section 63M-7-208 is amended to read:
6522          63M-7-208. Juvenile justice oversight -- Delegation -- Effective dates.
6523          (1) The State Commission on Criminal and Juvenile Justice shall:
6524          (a) support implementation and expansion of evidence-based juvenile justice programs
6525     and practices, including assistance regarding implementation fidelity, quality assurance, and
6526     ongoing evaluation;
6527          (b) examine and make recommendations on the use of third-party entities or an
6528     intermediary organization to assist with implementation and to support the performance-based
6529     contracting system authorized in Subsection (1)(m);
6530          (c) oversee the development of performance measures to track juvenile justice reforms,
6531     and ensure early and ongoing stakeholder engagement in identifying the relevant performance
6532     measures;
6533          (d) evaluate currently collected data elements throughout the juvenile justice system
6534     and contract reporting requirements to streamline reporting, reduce redundancies, eliminate
6535     inefficiencies, and ensure a focus on recidivism reduction;
6536          (e) review averted costs from reductions in out-of-home placements for juvenile justice
6537     youth placed with the [Division of Juvenile Justice Services] Division of Juvenile Justice and
6538     Youth Services and the Division of Child and Family Services, and make recommendations to
6539     prioritize the reinvestment and realignment of resources into community-based programs for
6540     youth living at home, including the following:
6541          (i) statewide expansion of:
6542          (A) juvenile receiving centers, as defined in Section 80-1-102;
6543          (B) mobile crisis outreach teams, as defined in Section [62A-15-102] 26B-5-101;
6544          (C) youth courts; and
6545          (D) victim-offender mediation;
6546          (ii) statewide implementation of nonresidential diagnostic assessment;
6547          (iii) statewide availability of evidence-based programs and practices including

6548     cognitive behavioral and family therapy programs for minors assessed by a validated risk and
6549     needs assessment as moderate or high risk;
6550          (iv) implementation and infrastructure to support the sustainability and fidelity of
6551     evidence-based juvenile justice programs, including resources for staffing, transportation, and
6552     flexible funds; and
6553          (v) early intervention programs such as family strengthening programs, family
6554     wraparound services, and proven truancy interventions;
6555          (f) assist the Administrative Office of the Courts in the development of a statewide
6556     sliding scale for the assessment of fines, fees, and restitution, based on the ability of the minor's
6557     family to pay;
6558          (g) analyze the alignment of resources and the roles and responsibilities of agencies,
6559     such as the operation of early intervention services, receiving centers, and diversion, and make
6560     recommendations to reallocate functions as appropriate, in accordance with Section 80-5-401;
6561          (h) comply with the data collection and reporting requirements under Section
6562     80-6-104;
6563          (i) develop a reasonable timeline within which all programming delivered to minors in
6564     the juvenile justice system must be evidence-based or consist of practices that are rated as
6565     effective for reducing recidivism by a standardized program evaluation tool;
6566          (j) provide guidelines to be considered by the Administrative Office of the Courts and
6567     the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services in
6568     developing tools considered by the Administrative Office of the Courts and the [Division of
6569     Juvenile Justice Services] Division of Juvenile Justice and Youth Services in developing or
6570     selecting tools to be used for the evaluation of juvenile justice programs;
6571          (k) develop a timeline to support improvements to juvenile justice programs to achieve
6572     reductions in recidivism and review reports from relevant state agencies on progress toward
6573     reaching that timeline;
6574          (l) subject to Subsection (2), assist in the development of training for juvenile justice
6575     stakeholders, including educators, law enforcement officers, probation staff, judges, [Division
6576     of Juvenile Justice Services] Division of Juvenile Justice and Youth Services staff, Division of
6577     Child and Family Services staff, and program providers;
6578          (m) subject to Subsection (3), assist in the development of a performance-based

6579     contracting system, which shall be developed by the Administrative Office of the Courts and
6580     the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services for
6581     contracted services in the community and contracted out-of-home placement providers;
6582          (n) assist in the development of a validated detention risk assessment tool that is
6583     developed or adopted and validated by the Administrative Office of the Courts and the
6584     [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services as
6585     provided in Section 80-5-203; and
6586          (o) annually issue and make public a report to the governor, president of the Senate,
6587     speaker of the House of Representatives, and chief justice of the Utah Supreme Court on the
6588     progress of the reforms and any additional areas in need of review.
6589          (2) Training described in Subsection (1)(l) should include instruction on
6590     evidence-based programs and principles of juvenile justice, such as risk, needs, responsivity,
6591     and fidelity, and shall be supplemented by the following topics:
6592          (a) adolescent development;
6593          (b) identifying and using local behavioral health resources;
6594          (c) cross-cultural awareness;
6595          (d) graduated responses;
6596          (e) Utah juvenile justice system data and outcomes; and
6597          (f) gangs.
6598          (3) The system described in Subsection (1)(m) shall provide incentives for:
6599          (a) the use of evidence-based juvenile justice programs and practices rated as effective
6600     by the tools selected in accordance with Subsection (1)(j);
6601          (b) the use of three-month timelines for program completion; and
6602          (c) evidence-based programs and practices for minors living at home in rural areas.
6603          (4) The State Commission on Criminal and Juvenile Justice may delegate the duties
6604     imposed under this section to a subcommittee or board established by the State Commission on
6605     Criminal and Juvenile Justice in accordance with Subsection 63M-7-204(2).
6606          Section 86. Section 63M-7-401 is amended to read:
6607          63M-7-401. Creation -- Members -- Appointment -- Qualifications.
6608          (1) There is created a state commission to be known as the Sentencing Commission
6609     composed of 28 members. The commission shall develop by-laws and rules in compliance

6610     with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, and elect its officers.
6611          (2) The commission's members shall be:
6612          (a) two members of the House of Representatives, appointed by the speaker of the
6613     House and not of the same political party;
6614          (b) two members of the Senate, appointed by the president of the Senate and not of the
6615     same political party;
6616          (c) the executive director of the Department of Corrections or a designee appointed by
6617     the executive director;
6618          (d) the director of the [Division of Juvenile Justice Services] Division of Juvenile
6619     Justice and Youth Services or a designee appointed by the director;
6620          (e) the executive director of the Commission on Criminal and Juvenile Justice or a
6621     designee appointed by the executive director;
6622          (f) the chair of the Board of Pardons and Parole or a designee appointed by the chair;
6623          (g) the chair of the Youth Parole Authority or a designee appointed by the chair;
6624          (h) two trial judges and an appellate judge appointed by the chair of the Judicial
6625     Council;
6626          (i) two juvenile court judges designated by the chair of the Judicial Council;
6627          (j) an attorney in private practice who is a member of the Utah State Bar, experienced
6628     in criminal defense, and appointed by the Utah Bar Commission;
6629          (k) an attorney who is a member of the Utah State Bar, experienced in the defense of
6630     minors in juvenile court, and appointed by the Utah Bar Commission;
6631          (l) the director of Salt Lake Legal Defenders or a designee appointed by the director;
6632          (m) the attorney general or a designee appointed by the attorney general;
6633          (n) a criminal prosecutor appointed by the Statewide Association of Public Attorneys;
6634          (o) a juvenile court prosecutor appointed by the Statewide Association of Public
6635     Attorneys;
6636          (p) a representative of the Utah Sheriff's Association appointed by the governor;
6637          (q) a chief of police appointed by the governor;
6638          (r) a licensed professional appointed by the governor who assists in the rehabilitation
6639     of adult offenders;
6640          (s) a licensed professional appointed by the governor who assists in the rehabilitation

6641     of juvenile offenders;
6642          (t) two members from the public appointed by the governor who exhibit sensitivity to
6643     the concerns of victims of crime and the ethnic composition of the population;
6644          (u) one member from the public at large appointed by the governor; and
6645          (v) a representative of an organization that specializes in civil rights or civil liberties on
6646     behalf of incarcerated individuals appointed by the governor.
6647          Section 87. Section 63M-7-601 is amended to read:
6648          63M-7-601. Creation -- Members -- Chair.
6649          (1) There is created within the governor's office the Utah Council on Victims of Crime.
6650          (2) The council is composed of 28 voting members as follows:
6651          (a) a representative of the State Commission on Criminal and Juvenile Justice
6652     appointed by the executive director;
6653          (b) a representative of the Department of Corrections appointed by the executive
6654     director;
6655          (c) a representative of the Board of Pardons and Parole appointed by the chair;
6656          (d) a representative of the Department of Public Safety appointed by the commissioner;
6657          (e) a representative of the [Division of Juvenile Justice Services] Division of Juvenile
6658     Justice and Youth Services appointed by the director;
6659          (f) a representative of the Utah Office for Victims of Crime appointed by the director;
6660          (g) a representative of the Office of the Attorney General appointed by the attorney
6661     general;
6662          (h) a representative of the United States Attorney for the district of Utah appointed by
6663     the United States Attorney;
6664          (i) a representative of Utah's Native American community appointed by the director of
6665     the Division of Indian Affairs after input from federally recognized tribes in Utah;
6666          (j) a professional or volunteer working in the area of violence against women and
6667     families appointed by the governor;
6668          (k) a representative of the Department of Health and Human Services Violence and
6669     Injury Prevention Program appointed by the program's manager;
6670          (l) the chair of each judicial district's victims' rights committee;
6671          (m) a representative of the Statewide Association of Public Attorneys appointed by that

6672     association;
6673          (n) a representative of the Utah Chiefs of Police Association appointed by the president
6674     of that association;
6675          (o) a representative of the Utah Sheriffs' Association appointed by the president of that
6676     association;
6677          (p) a representative of a Children's Justice Center appointed by the attorney general;
6678          (q) the director of the Division of Child and Family Services or that individual's
6679     designee;
6680          (r) the chair of the Utah Victim Services Commission or the chair's designee; and
6681          (s) the following members appointed by the members in Subsections (2)(a) through
6682     (2)(r) to serve four-year terms:
6683          (i) an individual who engages in community based advocacy;
6684          (ii) a citizen representative; and
6685          (iii) a citizen representative who has been a victim of crime.
6686          (3) The council shall annually elect:
6687          (a) one member to serve as chair;
6688          (b) one member to serve as vice-chair; and
6689          (c) one member to serve as treasurer.
6690          Section 88. Section 63M-7-702 is amended to read:
6691          63M-7-702. Domestic Violence Offender Treatment Board -- Creation --
6692     Membership -- Quorum -- Per diem -- Staff support -- Meetings.
6693          (1) There is created within the commission the Domestic Violence Offender Treatment
6694     Board consisting of the following members:
6695          (a) the executive director of the Department of Corrections, or the executive director's
6696     designee;
6697          (b) the executive director of the Department of Health and Human Services, or the
6698     executive director's designee;
6699          (c) one individual who represents a state program that focuses on prevention of injury
6700     and domestic violence appointed by the executive director of the Department of Health and
6701     Human Services;
6702          (d) the commissioner of public safety for the Department of Public Safety, or the

6703     commissioner's designee;
6704          (e) the chair of the Utah Victim Services Commission or the chair's designee;
6705          (f) the director of the Utah Office for Victims of Crime, or the director's designee;
6706          (g) the chair of the Board of Pardons and Parole, or the chair's designee;
6707          (h) the director of the [Division of Juvenile Justice Services] Division of Juvenile
6708     Justice and Youth Services, or the director's designee;
6709          (i) one individual who represents the Administrative Office of the Courts appointed by
6710     the state court administrator; and
6711          (j) ten individuals appointed by the executive director of the commission, including:
6712          (i) the following four individuals licensed under Title 58, Chapter 60, Mental Health
6713     Professional Practice Act:
6714          (A) a clinical social worker;
6715          (B) a marriage and family therapist;
6716          (C) a professional counselor; and
6717          (D) a psychologist;
6718          (ii) one individual who represents an association of criminal defense attorneys;
6719          (iii) one criminal defense attorney who primarily represents indigent criminal
6720     defendants;
6721          (iv) one individual who represents an association of prosecuting attorneys;
6722          (v) one individual who represents law enforcement;
6723          (vi) one individual who represents an association of criminal justice victim advocates;
6724     and
6725          (vii) one individual who represents a nonprofit organization that provides domestic
6726     violence victim advocate services.
6727          (2) (a) A member may not serve on the board for more than eight consecutive years.
6728          (b) If a vacancy occurs in the membership of the board appointed under Subsection (1),
6729     the member shall be replaced in the same manner in which the original appointment was made.
6730          (c) A member of the board serves until the member's successor is appointed.
6731          (3) The members of the board shall vote on a chair and co-chair of the board to serve
6732     for two years.
6733          (4) (a) A majority of the board members constitutes a quorum.

6734          (b) The action of a majority of a quorum constitutes an action of the board.
6735          (5) A board member may not receive compensation or benefits for the member's
6736     service on the board, but may receive per diem and reimbursement for travel expenses incurred
6737     as a board member at the rates established by the Division of Finance under:
6738          (a) Sections 63A-3-106 and 63A-3-107; and
6739          (b) rules made by the Division of Finance under Sections 63A-3-106 and 63A-3-107.
6740          (6) The commission shall provide staff support to the board.
6741          (7) The board shall meet at least quarterly on a date the board sets.
6742          Section 89. Section 63M-7-802 is amended to read:
6743          63M-7-802. Sex Offense Management Board - Creation - Members appointment -
6744     Qualifications - Terms.
6745          (1) There is created within the commission the Sex Offense Management Board
6746     consisting of the following members:
6747          (a) the executive director of the Department of Corrections, or the executive director's
6748     designee;
6749          (b) the commissioner of the Department of Public Safety, or the commissioner's
6750     designee;
6751          (c) the attorney general, or the attorney general's designee;
6752          (d) an officer with the adult probation and parole section of the Department of
6753     Corrections with experience supervising adults convicted of sex offenses, appointed by the
6754     executive director of the Department of Corrections;
6755          (e) the executive director of the Department of Health and Human Services, or the
6756     executive director's designee;
6757          (f) an individual who represents the Administrative Office of the Courts appointed by
6758     the state court administrator;
6759          (g) the director of the Utah Office for Victims of Crime, or the director's designee;
6760          (h) the director of the [Division of Juvenile Justice Services] Division of Juvenile
6761     Justice and Youth Services, or the director's designee;
6762          (i) the chair of the Board of Pardons and Parole, or the chair's designee; and
6763          (j) nine individuals appointed by the executive director of the commission, including:
6764          (i) the following two individuals licensed under Title 58, Chapter 60, Mental Health

6765     Professional Practice Act:
6766          (A) an individual with experience in the treatment of adults convicted of sex offenses
6767     in the community;
6768          (B) an individual with experience in the treatment of juveniles adjudicated of sex
6769     offenses in the community;
6770          (ii) an individual who represents an association of criminal defense attorneys;
6771          (iii) an individual who is a criminal defense attorney experienced in indigent criminal
6772     defense;
6773          (iv) an individual who represents an association of prosecuting attorneys;
6774          (v) an individual who represents law enforcement;
6775          (vi) an individual who represents an association of criminal justice victim advocates;
6776          (vii) an individual who is a clinical polygraph examiner experienced in providing
6777     polygraph examinations to individuals convicted of sex offenses; and
6778          (viii) an individual who has been previously convicted of a sex offense and has
6779     successfully completed treatment and supervision for the offense.
6780          (2) (a) A member described in Subsection (1)(j) shall serve a four-year term.
6781          (b) If a vacancy occurs among a member described in Subsection (1)(j), the executive
6782     director of the commission may appoint a new individual to fill the remainder of the term.
6783          (c) When a term of a member described in Subsection (1)(j) expires, the executive
6784     director of the commission shall appoint a new member or reappoint the member whose term
6785     has expired to a new four-year term.
6786          (3) The members of the board shall vote on a chair and co-chair of the board from
6787     among the members described in Subsection (1) to serve a two-year term.
6788          (4) A majority of the board constitutes a quorum.
6789          (5) A board member may not receive compensation or benefits for the member's
6790     service on the board, but may receive per diem and reimbursement for travel expenses incurred
6791     as a board member at rates established by the Division of Finance under:
6792          (a) Sections 63A-3-106 and 63A-3-107; and
6793          (b) rules made by the Division of Finance under Sections 63A-3-106 and 63A-3-107.
6794          (6) The commission shall provide staff support to the board.
6795          (7) The board shall meet at least six times per year on dates the board sets.

6796          Section 90. Section 67-5b-101 is amended to read:
6797          67-5b-101. Definitions.
6798          As used in this part:
6799          (1) "Center" means a Children's Justice Center established in accordance with Section
6800     67-5b-102.
6801          (2) "Child abuse case" means a juvenile, civil, or criminal case involving a child abuse
6802     victim.
6803          (3) "Child abuse victim" means a child 17 years [of age] old or younger who is:
6804          (a) a victim of:
6805          (i) sexual abuse; or
6806          (ii) physical abuse; or
6807          (b) a victim or a critical witness in any criminal case, such as a child endangerment
6808     case described in Section 76-5-112.5.
6809          (4) "Officers and employees" means any person performing services for two or more
6810     public agencies as agreed in a memorandum of understanding in accordance with Section
6811     67-5b-104.
6812          (5) "Public agency" means a municipality, a county, the attorney general, the Division
6813     of Child and Family Services, the [Division of Juvenile Justice Services] Division of Juvenile
6814     Justice and Youth Services, the Department of Corrections, the juvenile court, or the
6815     Administrative Office of the Courts.
6816          (6) "Satellite office" means a child-friendly facility supervised by a Children's Justice
6817     Center established in accordance with Section 67-5b-102.
6818          (7) (a) "Volunteer" means any individual who donates service without pay or other
6819     compensation except expenses actually and reasonably incurred as approved by the supervising
6820     agency.
6821          (b) "Volunteer" does not include an individual participating in human subjects research
6822     or a court-ordered compensatory service worker as defined in Section 67-20-2.
6823          Section 91. Section 76-3-401.5 is amended to read:
6824          76-3-401.5. Concurrent or consecutive sentence with a juvenile disposition.
6825          (1) As used in this section:
6826          (a) "Authority" means the Youth Parole Authority created in Section 80-5-701.

6827          (b) "Board" means the Board of Pardons and Parole created in Section 77-27-2.
6828          (c) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
6829     Justice and Youth Services created in Section 80-5-103.
6830          (d) (i) "Juvenile disposition" means an order for commitment to the custody of the
6831     division under Subsection 80-6-703(2).
6832          (ii) "Juvenile disposition" includes an order for secure care under Subsection
6833     80-6-705(1).
6834          (e) "Secure correctional facility" means the same as that term is defined in Section
6835     64-13-1.
6836          (f) "Secure care" means the same as that term is defined in Section 80-1-102.
6837          (2) If a defendant who is 18 years old or older is serving a juvenile disposition, a court
6838     may not terminate the juvenile disposition for the defendant when:
6839          (a) the defendant is convicted of an offense; and
6840          (b) the court imposes a sentence under Section 76-3-201 for the offense.
6841          (3) (a) If a defendant who is 18 years old or older is convicted and sentenced for an
6842     offense and the defendant is serving a juvenile disposition at the time of sentencing, the court
6843     shall determine whether the sentence is to run concurrently or consecutively to the juvenile
6844     disposition.
6845          (b) The court shall state on the record and in the order of judgment and commitment
6846     whether the sentence imposed is to run concurrently or consecutively with the juvenile
6847     disposition.
6848          (c) In determining whether a sentence is to run concurrently or consecutively with a
6849     juvenile disposition, the court shall consider:
6850          (i) the gravity and circumstances of the offense for which the defendant is convicted;
6851          (ii) the number of victims; and
6852          (iii) the history, character, and rehabilitative needs of the defendant.
6853          (d) If an order of judgment and commitment does not clearly state whether the sentence
6854     is to run consecutively or concurrently with the juvenile disposition, the division shall request
6855     clarification from the court.
6856          (e) Upon receipt of the request under Subsection (3)(d), the court shall enter a clarified
6857     order of judgment and commitment stating whether the sentence is to run concurrently or

6858     consecutively to the juvenile disposition.
6859          (4) If a court orders a sentence for imprisonment to run concurrently with a juvenile
6860     disposition for secure care, the defendant shall serve the sentence in secure care until the
6861     juvenile disposition is terminated by the authority in accordance with Section 80-6-804.
6862          (5) If a court orders a sentence for imprisonment in a county jail to run concurrently
6863     with a juvenile disposition for secure care and the disposition is terminated before the
6864     defendant's sentence for imprisonment in the county jail is terminated, the division shall:
6865          (a) notify the county jail at least 14 days before the day on which the defendant's
6866     disposition is terminated or the defendant is released from secure care; and
6867          (b) facilitate the transfer or release of the defendant in accordance with the order of
6868     judgment and commitment imposed by the court.
6869          (6) (a) If a court orders a sentence for imprisonment in a secure correctional facility to
6870     run concurrently with a juvenile disposition for secure care:
6871          (i) the board has authority over the defendant for purposes of ordering parole, pardon,
6872     commutation, termination of sentence, remission of fines or forfeitures, restitution, and any
6873     other authority granted by law; and
6874          (ii) the court and the division shall immediately notify the board that the defendant will
6875     remain in secure care as described in Subsection (4) for the board to schedule a hearing for the
6876     defendant in accordance with board procedures.
6877          (b) If a court orders a sentence for imprisonment in a secure correctional facility to run
6878     concurrently with a juvenile disposition for secure care and the juvenile disposition is
6879     terminated before the defendant's sentence is terminated, the division shall:
6880          (i) notify the board and the Department of Corrections at least 14 days before the day
6881     on which the defendant's disposition is terminated or the defendant is released from the secure
6882     care; and
6883          (ii) facilitate a release or transfer of the defendant in accordance with the order of
6884     judgment and commitment imposed by the court.
6885          Section 92. Section 76-5-101 is amended to read:
6886          76-5-101. Definitions.
6887          Unless otherwise provided, as used in this part:
6888          (1) "Detained individual" means an individual detained under Section 77-7-15.

6889          (2) "Prisoner" means an individual who is in custody of a peace officer pursuant to a
6890     lawful arrest or who is confined in a jail or other penal institution or a facility used for
6891     confinement of delinquent juveniles operated by the [Division of Juvenile Justice Services]
6892     Division of Juvenile Justice and Youth Services regardless of whether the confinement is legal.
6893          Section 93. Section 76-5-413 is amended to read:
6894          76-5-413. Custodial sexual relations with youth receiving state services --
6895     Penalties -- Defenses and limitations.
6896          (1) (a) As used in this section:
6897          (i) "Actor" means:
6898          (A) an individual employed by the Department of Health and Human Services created
6899     in Section 26B-1-201, or an employee of a private provider or contractor; or
6900          (B) an individual employed by the juvenile court of the state, or an employee of a
6901     private provider or contractor.
6902          (ii) "Department" means the Department of Health and Human Services created in
6903     Section 26B-1-201.
6904          (iii) "Juvenile court" means the juvenile court of the state created in Section
6905     78A-6-102.
6906          (iv) "Private provider or contractor" means a person that contracts with the:
6907          (A) department to provide services or functions that are part of the operation of the
6908     department; or
6909          (B) juvenile court to provide services or functions that are part of the operation of the
6910     juvenile court.
6911          (v) "Youth receiving state services" means an individual:
6912          (A) younger than 18 years old, except as provided under Subsection (1)(a)(v)(B), who
6913     is:
6914          (I) in the custody of the department under Section 80-6-703; or
6915          (II) receiving services from any division of the department if any portion of the costs of
6916     these services is covered by public money; or
6917          (B) younger than 21 years old:
6918          (I) who is in the custody of the [Division of Juvenile Justice Services] Division of
6919     Juvenile Justice and Youth Services, or the Division of Child and Family Services; or

6920          (II) whose case is under the jurisdiction of the juvenile court.
6921          (b) Terms defined in Section 76-1-101.5 apply to this section.
6922          (2) (a) Under circumstances not amounting to an offense listed in Subsection (4), an
6923     actor commits custodial sexual relations with a youth receiving state services if:
6924          (i) the actor commits any of the acts described in Subsection (2)(b); and
6925          (ii) (A) the actor knows that the individual is a youth receiving state services; or
6926          (B) a reasonable person in the actor's position should have known under the
6927     circumstances that the individual was a youth receiving state services.
6928          (b) Acts referred to in Subsection (2)(a)(i) are:
6929          (i) having sexual intercourse with a youth receiving state services;
6930          (ii) engaging in any sexual act with a youth receiving state services involving the
6931     genitals of one individual and the mouth or anus of another individual; or
6932          (iii) (A) causing the penetration, however slight, of the genital or anal opening of a
6933     youth receiving state services by any foreign object, substance, instrument, or device, including
6934     a part of the human body; and
6935          (B) with the intent to cause substantial emotional or bodily pain to any individual or
6936     with the intent to arouse or gratify the sexual desire of any individual.
6937          (c) Any touching, even if accomplished through clothing, is sufficient to constitute the
6938     relevant element of a violation of Subsection (2)(a).
6939          (3) (a) A violation of Subsection (2) is a third degree felony.
6940          (b) Notwithstanding Subsection (3)(a), if the youth receiving state services is younger
6941     than 18 years old, a violation of Subsection (2) is a second degree felony.
6942          (c) If the act committed under Subsection (2) amounts to an offense subject to a greater
6943     penalty under another provision of state law than is provided under this Subsection (3), this
6944     Subsection (3) does not prohibit prosecution and sentencing for the more serious offense.
6945          (4) The offenses referred to in Subsection (2) are:
6946          (a) unlawful sexual activity with a minor, in violation of Section 76-5-401;
6947          (b) rape, in violation of Section 76-5-402;
6948          (c) rape of a child, in violation of Section 76-5-402.1;
6949          (d) object rape, in violation of Section 76-5-402.2;
6950          (e) object rape of a child, in violation of Section 76-5-402.3;

6951          (f) forcible sodomy, in violation of Section 76-5-403;
6952          (g) sodomy on a child, in violation of Section 76-5-403.1;
6953          (h) forcible sexual abuse, in violation of Section 76-5-404;
6954          (i) sexual abuse of a child, in violation of Section 76-5-404.1;
6955          (j) aggravated sexual abuse of a child, in violation of Section 76-5-404.3;
6956          (k) aggravated sexual assault, in violation of Section 76-5-405; or
6957          (l) an attempt to commit an offense listed in Subsections (4)(a) through (4)(k).
6958          (5) (a) It is not a defense to the commission of, or an attempt to commit, the offense
6959     described in Subsection (2) if the youth receiving state services is younger than 18 years old,
6960     that the actor:
6961          (i) mistakenly believed the youth receiving state services to be 18 years old or older at
6962     the time of the alleged offense; or
6963          (ii) was unaware of the true age of the youth receiving state services.
6964          (b) Consent of the youth receiving state services is not a defense to any violation or
6965     attempted violation of Subsection (2).
6966          (6) It is a defense that the commission by the actor of an act under Subsection (2) is the
6967     result of compulsion, as the defense is described in Subsection 76-2-302(1).
6968          Section 94. Section 76-8-311.5 is amended to read:
6969          76-8-311.5. Aiding or concealing a juvenile offender -- Trespass of a secure care
6970     facility -- Criminal penalties.
6971          (1) As used in this section:
6972          (a) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
6973     Justice and Youth Services created in Section 80-5-103.
6974          (b) "Juvenile offender" means the same as that term is defined in Section 80-1-102.
6975          (c) "Secure care" means the same as that term is defined in Section 80-1-102.
6976          (d) "Secure care facility" means the same as that term is defined in Section 80-1-102.
6977          (2) An individual who commits any of the following offenses is guilty of a class A
6978     misdemeanor:
6979          (a) entering, or attempting to enter, a building or enclosure appropriated to the use of
6980     juvenile offenders, without permission;
6981          (b) entering any premises belonging to a secure care facility and committing or

6982     attempting to commit a trespass or damage on the premises of a secure care facility; or
6983          (c) willfully annoying or disturbing the peace and quiet of a secure care facility or of a
6984     juvenile offender in a secure care facility.
6985          (3) An individual is guilty of a third degree felony who:
6986          (a) knowingly harbors or conceals a juvenile offender who has:
6987          (i) escaped from secure care; or
6988          (ii) as described in Subsection (4), absconded from:
6989          (A) a facility or supervision; or
6990          (B) supervision of the division; or
6991          (b) willfully aided or assisted a juvenile offender who has been lawfully committed to a
6992     secure care facility in escaping or attempting to escape from the secure care facility.
6993          (4) As used in this section:
6994          (a) a juvenile offender absconds from a facility under this section when the juvenile
6995     offender:
6996          (i) leaves the facility without permission; or
6997          (ii) fails to return at a prescribed time.
6998          (b) A juvenile offender absconds from supervision when the juvenile offender:
6999          (i) changes the juvenile offender's residence from the residence that the juvenile
7000     offender reported to the division as the juvenile offender's correct address to another residence,
7001     without notifying the division or obtaining permission; or
7002          (ii) for the purpose of avoiding supervision:
7003          (A) hides at a different location from the juvenile offender's reported residence; or
7004          (B) leaves the juvenile offender's reported residence.
7005          Section 95. Section 77-16b-102 is amended to read:
7006          77-16b-102. Definitions.
7007          As used in this chapter:
7008          (1) "Correctional facility" means:
7009          (a) a county jail;
7010          (b) a secure correctional facility as defined by Section 64-13-1; or
7011          (c) a secure care facility as defined in Section 80-1-102.
7012          (2) "Correctional facility administrator" means:

7013          (a) a county sheriff in charge of a county jail;
7014          (b) a designee of the executive director of the Utah Department of Corrections; or
7015          (c) a designee of the director of the [Division of Juvenile Justice Services] Division of
7016     Juvenile Justice and Youth Services.
7017          (3) "Medical supervision" means under the direction of a licensed physician, physician
7018     assistant, or nurse practitioner.
7019          (4) "Mental health therapist" means the same as that term is defined in Section
7020     58-60-102.
7021          (5) "Prisoner" means:
7022          (a) any individual who is a pretrial detainee or who has been committed to the custody
7023     of a sheriff or the Utah Department of Corrections, and who is physically in a correctional
7024     facility; and
7025          (b) any individual who is 18 years old or older and younger than 21 years old, and who
7026     has been committed to the custody of the [Division of Juvenile Justice Services] Division of
7027     Juvenile Justice and Youth Services.
7028          Section 96. Section 77-38-3 is amended to read:
7029          77-38-3. Notification to victims -- Initial notice, election to receive subsequent
7030     notices -- Form of notice -- Protected victim information -- Pretrial criminal no contact
7031     order.
7032          (1) Within seven days after the day on which felony criminal charges are filed against a
7033     defendant, the prosecuting agency shall provide an initial notice to reasonably identifiable and
7034     locatable victims of the crime contained in the charges, except as otherwise provided in this
7035     chapter.
7036          (2) The initial notice to the victim of a crime shall provide information about electing
7037     to receive notice of subsequent important criminal justice hearings listed in Subsections
7038     77-38-2(5)(a) through (g) and rights under this chapter.
7039          (3) The prosecuting agency shall provide notice to a victim of a crime:
7040          (a) for the important criminal justice hearings, provided in Subsections 77-38-2(5)(a)
7041     through (g), which the victim has requested; and
7042          (b) for a restitution request to be submitted in accordance with Section 77-38b-202.
7043          (4) (a) The responsible prosecuting agency may provide initial and subsequent notices

7044     in any reasonable manner, including telephonically, electronically, orally, or by means of a
7045     letter or form prepared for this purpose.
7046          (b) In the event of an unforeseen important criminal justice hearing, described in
7047     Subsections 77-38-2(5)(a) through (g) for which a victim has requested notice, a good faith
7048     attempt to contact the victim by telephone shall be considered sufficient notice, provided that
7049     the prosecuting agency subsequently notifies the victim of the result of the proceeding.
7050          (5) (a) The court shall take reasonable measures to ensure that its scheduling practices
7051     for the proceedings provided in Subsections 77-38-2(5)(a) through (g) permit an opportunity
7052     for victims of crimes to be notified.
7053          (b) The court shall consider whether any notification system that the court might use to
7054     provide notice of judicial proceedings to defendants could be used to provide notice of judicial
7055     proceedings to victims of crimes.
7056          (6) A defendant or, if it is the moving party, the Division of Adult Probation and
7057     Parole, shall give notice to the responsible prosecuting agency of any motion for modification
7058     of any determination made at any of the important criminal justice hearings provided in
7059     Subsections 77-38-2(5)(a) through (g) in advance of any requested court hearing or action so
7060     that the prosecuting agency may comply with the prosecuting agency's notification obligation.
7061          (7) (a) Notice to a victim of a crime shall be provided by the Board of Pardons and
7062     Parole for the important criminal justice hearing under Subsection 77-38-2(5)(h).
7063          (b) The board may provide notice in any reasonable manner, including telephonically,
7064     electronically, orally, or by means of a letter or form prepared for this purpose.
7065          (8) Prosecuting agencies and the Board of Pardons and Parole are required to give
7066     notice to a victim of a crime for the proceedings provided in Subsections 77-38-2(5)(a) through
7067     (g) only where the victim has responded to the initial notice, requested notice of subsequent
7068     proceedings, and provided a current address and telephone number if applicable.
7069          (9) To facilitate the payment of restitution and the notice of hearings regarding
7070     restitution, a victim who seeks restitution and notice of restitution hearings shall provide the
7071     court with the victim's current address and telephone number.
7072          (10) (a) Law enforcement and criminal justice agencies shall refer any requests for
7073     notice or information about crime victim rights from victims to the responsible prosecuting
7074     agency.

7075          (b) In a case in which the Board of Pardons and Parole is involved, the responsible
7076     prosecuting agency shall forward any request for notice the prosecuting agency has received
7077     from a victim to the Board of Pardons and Parole.
7078          (11) In all cases where the number of victims exceeds 10, the responsible prosecuting
7079     agency may send any notices required under this chapter in the prosecuting agency's discretion
7080     to a representative sample of the victims.
7081          (12) (a) A victim's address, telephone number, and victim impact statement maintained
7082     by a peace officer, prosecuting agency, Youth Parole Authority, [Division of Juvenile Justice
7083     Services] Division of Juvenile Justice and Youth Services, Department of Corrections, Utah
7084     State Courts, and Board of Pardons and Parole, for purposes of providing notice under this
7085     section, are classified as protected under Subsection 63G-2-305(10).
7086          (b) The victim's address, telephone number, and victim impact statement is available
7087     only to the following persons or entities in the performance of their duties:
7088          (i) a law enforcement agency, including the prosecuting agency;
7089          (ii) a victims' right committee as provided in Section 77-37-5;
7090          (iii) a governmentally sponsored victim or witness program;
7091          (iv) the Department of Corrections;
7092          (v) the Utah Office for Victims of Crime;
7093          (vi) the Commission on Criminal and Juvenile Justice;
7094          (vii) the Utah State Courts; and
7095          (viii) the Board of Pardons and Parole.
7096          (13) The notice provisions as provided in this section do not apply to misdemeanors as
7097     provided in Section 77-38-5 and to important juvenile justice hearings as provided in Section
7098     77-38-2.
7099          (14) (a) When a defendant is charged with a felony crime under Sections 76-5-301
7100     through 76-5-310.1 regarding kidnapping, human trafficking, and human smuggling; Sections
7101     76-5-401 through 76-5-413.2 regarding sexual offenses; or Section 76-10-1306 regarding
7102     aggravated exploitation of prostitution, the court may, during any court hearing where the
7103     defendant is present, issue a pretrial criminal no contact order:
7104          (i) prohibiting the defendant from harassing, telephoning, contacting, or otherwise
7105     communicating with the victim directly or through a third party;

7106          (ii) ordering the defendant to stay away from the residence, school, place of
7107     employment of the victim, and the premises of any of these, or any specified place frequented
7108     by the victim or any designated family member of the victim directly or through a third party;
7109     and
7110          (iii) ordering any other relief that the court considers necessary to protect and provide
7111     for the safety of the victim and any designated family or household member of the victim.
7112          (b) Violation of a pretrial criminal no contact order issued pursuant to this section is a
7113     third degree felony.
7114          (c) (i) The court shall provide to the victim a certified copy of any pretrial criminal no
7115     contact order that has been issued if the victim can be located with reasonable effort.
7116          (ii) The court shall also transmit the pretrial criminal no contact order to the statewide
7117     domestic violence network in accordance with Section 78B-7-113.
7118          (15) (a) When a case involving a victim may resolve before trial with a plea deal, the
7119     prosecutor shall notify the victim of that possibility as soon as practicable.
7120          (b) Upon the request of a victim described in Subsection (15)(a), the prosecutor shall
7121     explain the available details of an anticipated plea deal.
7122          Section 97. Section 77-41-102 (Superseded 07/01/24) is amended to read:
7123          77-41-102 (Superseded 07/01/24). Definitions.
7124          As used in this chapter:
7125          (1) "Bureau" means the Bureau of Criminal Identification of the Department of Public
7126     Safety established in section 53-10-201.
7127          (2) "Business day" means a day on which state offices are open for regular business.
7128          (3) "Certificate of eligibility" means a document issued by the Bureau of Criminal
7129     Identification showing that the offender has met the requirements of Section 77-41-112.
7130          (4) (a) "Convicted" means a plea or conviction of:
7131          (i) guilty;
7132          (ii) guilty with a mental condition; or
7133          (iii) no contest.
7134          (b) "Convicted" includes, unless otherwise specified, the period a plea is held in
7135     abeyance pursuant to a plea in abeyance agreement as defined in Section 77-2a-1.
7136          (c) "Convicted" does not include:

7137          (i) a withdrawn or dismissed plea in abeyance;
7138          (ii) a diversion agreement; or
7139          (iii) an adjudication of a minor for an offense under Section 80-6-701.
7140          (5) "Department" means the Department of Corrections.
7141          (6) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
7142     Justice and Youth Services.
7143          (7) "Employed" or "carries on a vocation" includes employment that is full time or part
7144     time, whether financially compensated, volunteered, or for the purpose of government or
7145     educational benefit.
7146          (8) "Indian Country" means:
7147          (a) all land within the limits of any Indian reservation under the jurisdiction of the
7148     United States government, regardless of the issuance of any patent, and includes rights-of-way
7149     running through the reservation;
7150          (b) all dependent Indian communities within the borders of the United States whether
7151     within the original or subsequently acquired territory, and whether or not within the limits of a
7152     state; and
7153          (c) all Indian allotments, including the Indian allotments to which the Indian titles have
7154     not been extinguished, including rights-of-way running through the allotments.
7155          (9) "Jurisdiction" means any state, Indian Country, United States Territory, or any
7156     property under the jurisdiction of the United States military, Canada, the United Kingdom,
7157     Australia, or New Zealand.
7158          (10) "Kidnap offender" means any individual, other than a natural parent of the victim:
7159          (a) who has been convicted in this state of a violation of:
7160          (i) Subsection 76-5-301(2)(c) or (d), kidnapping;
7161          (ii) Section 76-5-301.1, child kidnapping;
7162          (iii) Section 76-5-302, aggravated kidnapping;
7163          (iv) Section 76-5-308, human trafficking for labor;
7164          (v) Section 76-5-308.3, human smuggling;
7165          (vi) Section 76-5-308, human smuggling, when the individual smuggled is under 18
7166     years old;
7167          (vii) Section 76-5-308.5, human trafficking of a child for labor;

7168          (viii) Section 76-5-310, aggravated human trafficking;
7169          (ix) Section 76-5-310.1, aggravated human smuggling;
7170          (x) Section 76-5-311, human trafficking of a vulnerable adult for labor; or
7171          (xi) attempting, soliciting, or conspiring to commit any felony offense listed in
7172     Subsections (10)(a)(i) through (x);
7173          (b) (i) who has been convicted of any crime, or an attempt, solicitation, or conspiracy
7174     to commit a crime in another jurisdiction, including any state, federal, or military court that is
7175     substantially equivalent to the offenses listed in Subsection (10)(a); and
7176          (ii) who is:
7177          (A) a Utah resident; or
7178          (B) not a Utah resident, but who, in any 12-month period, is in this state for a total of
7179     10 or more days, regardless of whether or not the offender intends to permanently reside in this
7180     state;
7181          (c) (i) (A) who is required to register as a kidnap offender in any other jurisdiction of
7182     original conviction;
7183          (B) who is required to register as a kidnap offender by any state, federal, or military
7184     court; or
7185          (C) who would be required to register as a kidnap offender if residing in the
7186     jurisdiction of the conviction regardless of the date of the conviction or any previous
7187     registration requirements; and
7188          (ii) in any 12-month period, who is in this state for a total of 10 or more days,
7189     regardless of whether or not the offender intends to permanently reside in this state;
7190          (d) (i) (A) who is a nonresident regularly employed or working in this state; or
7191          (B) who is a student in this state; and
7192          (ii) (A) who was convicted of one or more offenses listed in Subsection (10), or any
7193     substantially equivalent offense in another jurisdiction; or
7194          (B) as a result of the conviction, who is required to register in the individual's state of
7195     residence;
7196          (e) who is found not guilty by reason of insanity in this state or in any other jurisdiction
7197     of one or more offenses listed in Subsection (10); or
7198          (f) (i) who is adjudicated under Section 80-6-701 for one or more offenses listed in

7199     Subsection (10)(a); and
7200          (ii) who has been committed to the division for secure care, as defined in Section
7201     80-1-102, for that offense if:
7202          (A) the individual remains in the division's custody until 30 days before the individual's
7203     21st birthday;
7204          (B) the juvenile court extended the juvenile court's jurisdiction over the individual
7205     under Section 80-6-605 and the individual remains in the division's custody until 30 days
7206     before the individual's 25th birthday; or
7207          (C) the individual is moved from the division's custody to the custody of the
7208     department before expiration of the division's jurisdiction over the individual.
7209          (11) "Natural parent" means a minor's biological or adoptive parent, and includes the
7210     minor's noncustodial parent.
7211          (12) "Offender" means a kidnap offender as defined in Subsection (10) or a sex
7212     offender as defined in Subsection (18).
7213          (13) "Online identifier" or "Internet identifier":
7214          (a) means any electronic mail, chat, instant messenger, social networking, or similar
7215     name used for Internet communication; and
7216          (b) does not include date of birth, social security number, PIN number, or Internet
7217     passwords.
7218          (14) "Primary residence" means the location where the offender regularly resides, even
7219     if the offender intends to move to another location or return to another location at any future
7220     date.
7221          (15) "Register" means to comply with the requirements of this chapter and
7222     administrative rules of the department made under this chapter.
7223          (16) "Registration website" means the Sex and Kidnap Offender Notification and
7224     Registration website described in Section 77-41-110 and the information on the website.
7225          (17) "Secondary residence" means any real property that the offender owns or has a
7226     financial interest in, or any location where, in any 12-month period, the offender stays
7227     overnight a total of 10 or more nights when not staying at the offender's primary residence.
7228          (18) "Sex offender" means any individual:
7229          (a) convicted in this state of:

7230          (i) a felony or class A misdemeanor violation of Section 76-4-401, enticing a minor;
7231          (ii) Section 76-5b-202, sexual exploitation of a vulnerable adult;
7232          (iii) Section 76-5-308.1, human trafficking for sexual exploitation;
7233          (iv) Section 76-5-308.5, human trafficking of a child for sexual exploitation;
7234          (v) Section 76-5-310, aggravated human trafficking for sexual exploitation;
7235          (vi) Section 76-5-311, human trafficking of a vulnerable adult for sexual exploitation;
7236          (vii) Section 76-5-401, unlawful sexual activity with a minor, except as provided in
7237     Subsection 76-5-401(3)(b) or (c);
7238          (viii) Section 76-5-401.1, sexual abuse of a minor, except as provided in Subsection
7239     76-5-401.1(3);
7240          (ix) Section 76-5-401.2, unlawful sexual conduct with a 16 or 17 year old;
7241          (x) Section 76-5-402, rape;
7242          (xi) Section 76-5-402.1, rape of a child;
7243          (xii) Section 76-5-402.2, object rape;
7244          (xiii) Section 76-5-402.3, object rape of a child;
7245          (xiv) a felony violation of Section 76-5-403, forcible sodomy;
7246          (xv) Section 76-5-403.1, sodomy on a child;
7247          (xvi) Section 76-5-404, forcible sexual abuse;
7248          (xvii) Section 76-5-404.1, sexual abuse of a child, or Section 76-5-404.3, aggravated
7249     sexual abuse of a child;
7250          (xviii) Section 76-5-405, aggravated sexual assault;
7251          (xix) Section 76-5-412, custodial sexual relations, when the individual in custody is
7252     younger than 18 years old, if the offense is committed on or after May 10, 2011;
7253          (xx) Section 76-5b-201, sexual exploitation of a minor;
7254          (xxi) Section 76-5b-201.1, aggravated sexual exploitation of a minor;
7255          (xxii) Section 76-5b-204, sexual extortion or aggravated sexual extortion;
7256          (xxiii) Section 76-7-102, incest;
7257          (xxiv) Section 76-9-702, lewdness, if the individual has been convicted of the offense
7258     four or more times;
7259          (xxv) Section 76-9-702.1, sexual battery, if the individual has been convicted of the
7260     offense four or more times;

7261          (xxvi) any combination of convictions of Section 76-9-702, lewdness, and of Section
7262     76-9-702.1, sexual battery, that total four or more convictions;
7263          (xxvii) Section 76-9-702.5, lewdness involving a child;
7264          (xxviii) a felony or class A misdemeanor violation of Section 76-9-702.7, voyeurism;
7265          (xxix) Section 76-10-1306, aggravated exploitation of prostitution; or
7266          (xxx) attempting, soliciting, or conspiring to commit any felony offense listed in this
7267     Subsection (18)(a);
7268          (b) (i) who has been convicted of any crime, or an attempt, solicitation, or conspiracy
7269     to commit a crime in another jurisdiction, including any state, federal, or military court that is
7270     substantially equivalent to the offenses listed in Subsection (18)(a); and
7271          (ii) who is:
7272          (A) a Utah resident; or
7273          (B) not a Utah resident, but who, in any 12-month period, is in this state for a total of
7274     10 or more days, regardless of whether the offender intends to permanently reside in this state;
7275          (c) (i) (A) who is required to register as a sex offender in any other jurisdiction of
7276     original conviction;
7277          (B) who is required to register as a sex offender by any state, federal, or military court;
7278     or
7279          (C) who would be required to register as a sex offender if residing in the jurisdiction of
7280     the original conviction regardless of the date of the conviction or any previous registration
7281     requirements; and
7282          (ii) who, in any 12-month period, is in the state for a total of 10 or more days,
7283     regardless of whether or not the offender intends to permanently reside in this state;
7284          (d) (i) (A) who is a nonresident regularly employed or working in this state; or
7285          (B) who is a student in this state; and
7286          (ii) (A) who was convicted of one or more offenses listed in Subsection (18)(a), or any
7287     substantially equivalent offense in any jurisdiction; or
7288          (B) who is, as a result of the conviction, required to register in the individual's
7289     jurisdiction of residence;
7290          (e) who is found not guilty by reason of insanity in this state, or in any other
7291     jurisdiction of one or more offenses listed in Subsection (18)(a); or

7292          (f) (i) who is adjudicated under Section 80-6-701 for one or more offenses listed in
7293     Subsection (18)(a); and
7294          (ii) who has been committed to the division for secure care, as defined in Section
7295     80-1-102, for that offense if:
7296          (A) the individual remains in the division's custody until 30 days before the individual's
7297     21st birthday;
7298          (B) the juvenile court extended the juvenile court's jurisdiction over the individual
7299     under Section 80-6-605 and the individual remains in the division's custody until 30 days
7300     before the individual's 25th birthday; or
7301          (C) the individual is moved from the division's custody to the custody of the
7302     department before expiration of the division's jurisdiction over the individual.
7303          (19) "Traffic offense" does not include a violation of Title 41, Chapter 6a, Part 5,
7304     Driving Under the Influence and Reckless Driving.
7305          (20) "Vehicle" means any motor vehicle, aircraft, or watercraft subject to registration in
7306     any jurisdiction.
7307          Section 98. Section 77-41-102 (Effective 07/01/24) is amended to read:
7308          77-41-102 (Effective 07/01/24). Definitions.
7309          As used in this chapter:
7310          (1) "Bureau" means the Bureau of Criminal Identification of the Department of Public
7311     Safety established in section 53-10-201.
7312          (2) "Business day" means a day on which state offices are open for regular business.
7313          (3) "Certificate of eligibility" means a document issued by the Bureau of Criminal
7314     Identification showing that the offender has met the requirements of Section 77-41-112.
7315          (4) (a) "Convicted" means a plea or conviction of:
7316          (i) guilty;
7317          (ii) guilty with a mental illness; or
7318          (iii) no contest.
7319          (b) "Convicted" includes, unless otherwise specified, the period a plea is held in
7320     abeyance pursuant to a plea in abeyance agreement as defined in Section 77-2a-1.
7321          (c) "Convicted" does not include:
7322          (i) a withdrawn or dismissed plea in abeyance;

7323          (ii) a diversion agreement; or
7324          (iii) an adjudication of a minor for an offense under Section 80-6-701.
7325          (5) "Department" means the Department of Public Safety.
7326          (6) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
7327     Justice and Youth Services.
7328          (7) "Employed" or "carries on a vocation" includes employment that is full time or part
7329     time, whether financially compensated, volunteered, or for the purpose of government or
7330     educational benefit.
7331          (8) "Indian Country" means:
7332          (a) all land within the limits of any Indian reservation under the jurisdiction of the
7333     United States government, regardless of the issuance of any patent, and includes rights-of-way
7334     running through the reservation;
7335          (b) all dependent Indian communities within the borders of the United States whether
7336     within the original or subsequently acquired territory, and whether or not within the limits of a
7337     state; and
7338          (c) all Indian allotments, including the Indian allotments to which the Indian titles have
7339     not been extinguished, including rights-of-way running through the allotments.
7340          (9) "Jurisdiction" means any state, Indian Country, United States Territory, or any
7341     property under the jurisdiction of the United States military, Canada, the United Kingdom,
7342     Australia, or New Zealand.
7343          (10) "Kidnap offender" means any individual, other than a natural parent of the victim:
7344          (a) who has been convicted in this state of a violation of:
7345          (i) Subsection 76-5-301(2)(c) or (d), kidnapping;
7346          (ii) Section 76-5-301.1, child kidnapping;
7347          (iii) Section 76-5-302, aggravated kidnapping;
7348          (iv) Section 76-5-308, human trafficking for labor;
7349          (v) Section 76-5-308.3, human smuggling;
7350          (vi) Section 76-5-308, human smuggling, when the individual smuggled is under 18
7351     years old;
7352          (vii) Section 76-5-308.5, human trafficking of a child for labor;
7353          (viii) Section 76-5-310, aggravated human trafficking;

7354          (ix) Section 76-5-310.1, aggravated human smuggling;
7355          (x) Section 76-5-311, human trafficking of a vulnerable adult for labor; or
7356          (xi) attempting, soliciting, or conspiring to commit any felony offense listed in
7357     Subsections (10)(a)(i) through (x);
7358          (b) (i) who has been convicted of any crime, or an attempt, solicitation, or conspiracy
7359     to commit a crime in another jurisdiction, including any state, federal, or military court that is
7360     substantially equivalent to the offenses listed in Subsection (10)(a); and
7361          (ii) who is:
7362          (A) a Utah resident; or
7363          (B) not a Utah resident, but who, in any 12-month period, is in this state for a total of
7364     10 or more days, regardless of whether or not the offender intends to permanently reside in this
7365     state;
7366          (c) (i) (A) who is required to register as a kidnap offender in any other jurisdiction of
7367     original conviction;
7368          (B) who is required to register as a kidnap offender by any state, federal, or military
7369     court; or
7370          (C) who would be required to register as a kidnap offender if residing in the
7371     jurisdiction of the conviction regardless of the date of the conviction or any previous
7372     registration requirements; and
7373          (ii) in any 12-month period, who is in this state for a total of 10 or more days,
7374     regardless of whether or not the offender intends to permanently reside in this state;
7375          (d) (i) (A) who is a nonresident regularly employed or working in this state; or
7376          (B) who is a student in this state; and
7377          (ii) (A) who was convicted of one or more offenses listed in Subsection (10), or any
7378     substantially equivalent offense in another jurisdiction; or
7379          (B) as a result of the conviction, who is required to register in the individual's state of
7380     residence;
7381          (e) who is found not guilty by reason of insanity in this state or in any other jurisdiction
7382     of one or more offenses listed in Subsection (10); or
7383          (f) (i) who is adjudicated under Section 80-6-701 for one or more offenses listed in
7384     Subsection (10)(a); and

7385          (ii) who has been committed to the division for secure care, as defined in Section
7386     80-1-102, for that offense if:
7387          (A) the individual remains in the division's custody until 30 days before the individual's
7388     21st birthday;
7389          (B) the juvenile court extended the juvenile court's jurisdiction over the individual
7390     under Section 80-6-605 and the individual remains in the division's custody until 30 days
7391     before the individual's 25th birthday; or
7392          (C) the individual is moved from the division's custody to the custody of the
7393     department before expiration of the division's jurisdiction over the individual.
7394          (11) "Natural parent" means a minor's biological or adoptive parent, and includes the
7395     minor's noncustodial parent.
7396          (12) "Offender" means a kidnap offender as defined in Subsection (10) or a sex
7397     offender as defined in Subsection (18).
7398          (13) "Online identifier" or "Internet identifier":
7399          (a) means any electronic mail, chat, instant messenger, social networking, or similar
7400     name used for Internet communication; and
7401          (b) does not include date of birth, social security number, PIN number, or Internet
7402     passwords.
7403          (14) "Primary residence" means the location where the offender regularly resides, even
7404     if the offender intends to move to another location or return to another location at any future
7405     date.
7406          (15) "Register" means to comply with the requirements of this chapter and
7407     administrative rules of the department made under this chapter.
7408          (16) "Registration website" means the Sex and Kidnap Offender Notification and
7409     Registration website described in Section 77-41-110 and the information on the website.
7410          (17) "Secondary residence" means any real property that the offender owns or has a
7411     financial interest in, or any location where, in any 12-month period, the offender stays
7412     overnight a total of 10 or more nights when not staying at the offender's primary residence.
7413          (18) "Sex offender" means any individual:
7414          (a) convicted in this state of:
7415          (i) a felony or class A misdemeanor violation of Section 76-4-401, enticing a minor;

7416          (ii) Section 76-5b-202, sexual exploitation of a vulnerable adult;
7417          (iii) Section 76-5-308.1, human trafficking for sexual exploitation;
7418          (iv) Section 76-5-308.5, human trafficking of a child for sexual exploitation;
7419          (v) Section 76-5-310, aggravated human trafficking for sexual exploitation;
7420          (vi) Section 76-5-311, human trafficking of a vulnerable adult for sexual exploitation;
7421          (vii) Section 76-5-401, unlawful sexual activity with a minor, except as provided in
7422     Subsection 76-5-401(3)(b) or (c);
7423          (viii) Section 76-5-401.1, sexual abuse of a minor, except as provided in Subsection
7424     76-5-401.1(3);
7425          (ix) Section 76-5-401.2, unlawful sexual conduct with a 16 or 17 year old;
7426          (x) Section 76-5-402, rape;
7427          (xi) Section 76-5-402.1, rape of a child;
7428          (xii) Section 76-5-402.2, object rape;
7429          (xiii) Section 76-5-402.3, object rape of a child;
7430          (xiv) a felony violation of Section 76-5-403, forcible sodomy;
7431          (xv) Section 76-5-403.1, sodomy on a child;
7432          (xvi) Section 76-5-404, forcible sexual abuse;
7433          (xvii) Section 76-5-404.1, sexual abuse of a child, or Section 76-5-404.3, aggravated
7434     sexual abuse of a child;
7435          (xviii) Section 76-5-405, aggravated sexual assault;
7436          (xix) Section 76-5-412, custodial sexual relations, when the individual in custody is
7437     younger than 18 years old, if the offense is committed on or after May 10, 2011;
7438          (xx) Section 76-5b-201, sexual exploitation of a minor;
7439          (xxi) Section 76-5b-201.1, aggravated sexual exploitation of a minor;
7440          (xxii) Section 76-5b-204, sexual extortion or aggravated sexual extortion;
7441          (xxiii) Section 76-7-102, incest;
7442          (xxiv) Section 76-9-702, lewdness, if the individual has been convicted of the offense
7443     four or more times;
7444          (xxv) Section 76-9-702.1, sexual battery, if the individual has been convicted of the
7445     offense four or more times;
7446          (xxvi) any combination of convictions of Section 76-9-702, lewdness, and of Section

7447     76-9-702.1, sexual battery, that total four or more convictions;
7448          (xxvii) Section 76-9-702.5, lewdness involving a child;
7449          (xxviii) a felony or class A misdemeanor violation of Section 76-9-702.7, voyeurism;
7450          (xxix) Section 76-10-1306, aggravated exploitation of prostitution; or
7451          (xxx) attempting, soliciting, or conspiring to commit any felony offense listed in this
7452     Subsection (18)(a);
7453          (b) (i) who has been convicted of any crime, or an attempt, solicitation, or conspiracy
7454     to commit a crime in another jurisdiction, including any state, federal, or military court that is
7455     substantially equivalent to the offenses listed in Subsection (18)(a); and
7456          (ii) who is:
7457          (A) a Utah resident; or
7458          (B) not a Utah resident, but who, in any 12-month period, is in this state for a total of
7459     10 or more days, regardless of whether the offender intends to permanently reside in this state;
7460          (c) (i) (A) who is required to register as a sex offender in any other jurisdiction of
7461     original conviction;
7462          (B) who is required to register as a sex offender by any state, federal, or military court;
7463     or
7464          (C) who would be required to register as a sex offender if residing in the jurisdiction of
7465     the original conviction regardless of the date of the conviction or any previous registration
7466     requirements; and
7467          (ii) who, in any 12-month period, is in the state for a total of 10 or more days,
7468     regardless of whether or not the offender intends to permanently reside in this state;
7469          (d) (i) (A) who is a nonresident regularly employed or working in this state; or
7470          (B) who is a student in this state; and
7471          (ii) (A) who was convicted of one or more offenses listed in Subsection (18)(a), or any
7472     substantially equivalent offense in any jurisdiction; or
7473          (B) who is, as a result of the conviction, required to register in the individual's
7474     jurisdiction of residence;
7475          (e) who is found not guilty by reason of insanity in this state, or in any other
7476     jurisdiction of one or more offenses listed in Subsection (18)(a); or
7477          (f) (i) who is adjudicated under Section 80-6-701 for one or more offenses listed in

7478     Subsection (18)(a); and
7479          (ii) who has been committed to the division for secure care, as defined in Section
7480     80-1-102, for that offense if:
7481          (A) the individual remains in the division's custody until 30 days before the individual's
7482     21st birthday;
7483          (B) the juvenile court extended the juvenile court's jurisdiction over the individual
7484     under Section 80-6-605 and the individual remains in the division's custody until 30 days
7485     before the individual's 25th birthday; or
7486          (C) the individual is moved from the division's custody to the custody of the
7487     department before expiration of the division's jurisdiction over the individual.
7488          (19) "Traffic offense" does not include a violation of Title 41, Chapter 6a, Part 5,
7489     Driving Under the Influence and Reckless Driving.
7490          (20) "Vehicle" means any motor vehicle, aircraft, or watercraft subject to registration in
7491     any jurisdiction.
7492          Section 99. Section 78A-6-212 is amended to read:
7493          78A-6-212. Information supplied to the Division of Juvenile Justice and Youth
7494     Services.
7495          (1) A juvenile probation officer shall render full and complete cooperation to the
7496     [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services in
7497     supplying the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth
7498     Services with all pertinent information relating to a juvenile offender committed to the
7499     [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services.
7500          (2) Information under Subsection (1) includes prior criminal history, social history,
7501     psychological evaluations, and identifying information specified by the [Division of Juvenile
7502     Justice Services] Division of Juvenile Justice and Youth Services.
7503          Section 100. Section 78B-7-804 is amended to read:
7504          78B-7-804. Sentencing and continuous protective orders for a domestic violence
7505     offense -- Modification -- Expiration.
7506          (1) Before a perpetrator who has been convicted of or adjudicated for a domestic
7507     violence offense may be placed on probation, the court shall consider the safety and protection
7508     of the victim and any member of the victim's family or household.

7509          (2) The court may condition probation or a plea in abeyance on the perpetrator's
7510     compliance with a sentencing protective order that includes:
7511          (a) an order enjoining the perpetrator from threatening to commit or committing acts of
7512     domestic violence against the victim or other family or household member;
7513          (b) an order prohibiting the perpetrator from harassing, telephoning, contacting, or
7514     otherwise communicating with the victim, directly or indirectly;
7515          (c) an order requiring the perpetrator to stay away from the victim's residence, school,
7516     place of employment, and the premises of any of these, or a specified place frequented
7517     regularly by the victim or any designated family or household member;
7518          (d) an order prohibiting the perpetrator from purchasing, using, or possessing a firearm
7519     or other specified weapon;
7520          (e) an order directing the perpetrator to surrender any weapons the perpetrator owns or
7521     possesses; and
7522          (f) an order imposing any other condition necessary to protect the victim and any other
7523     designated family or household member or to rehabilitate the perpetrator.
7524          (3) (a) Because of the serious, unique, and highly traumatic nature of domestic violence
7525     crimes, the high recidivism rate of violent offenders, and the demonstrated increased risk of
7526     continued acts of violence subsequent to the release of a perpetrator who is convicted of or
7527     adjudicated for domestic violence, it is the finding of the Legislature that domestic violence
7528     crimes warrant the issuance of continuous protective orders under this Subsection (3) because
7529     of the need to provide ongoing protection for the victim and to be consistent with the purposes
7530     of protecting victims' rights under Title 77, Chapter 38, Crime Victims, and Article I, Section
7531     28 of the Utah Constitution.
7532          (b) Except as provided in Subsection (6), if a perpetrator is convicted of a domestic
7533     violence offense resulting in a sentence of imprisonment, including jail, that is to be served
7534     after conviction, the court shall issue a continuous protective order at the time of the conviction
7535     or sentencing limiting the contact between the perpetrator and the victim unless:
7536          (i) the court determines by clear and convincing evidence that the victim does not a
7537     have a reasonable fear of future harm or abuse; and
7538          (ii) the court conducts a hearing.
7539          (c) (i) The court shall notify the perpetrator of the right to request a hearing.

7540          (ii) A victim has a right to request a hearing.
7541          (iii) If the perpetrator or the victim requests a hearing under this Subsection (3)(c), the
7542     court shall hold the hearing at the time determined by the court.
7543          (iv) The continuous protective order shall be in effect while the hearing is being
7544     scheduled and while the hearing is pending.
7545          (v) A prosecutor shall use reasonable efforts to notify a victim of a hearing described in
7546     Subsection (3)(b)(ii).
7547          (d) A continuous protective order is permanent in accordance with this Subsection (3)
7548     and may include:
7549          (i) an order enjoining the perpetrator from threatening to commit or committing acts of
7550     domestic violence against the victim or other family or household member;
7551          (ii) an order prohibiting the perpetrator from harassing, telephoning, contacting, or
7552     otherwise communicating with the victim, directly or indirectly;
7553          (iii) an order prohibiting the perpetrator from going to the victim's residence, school,
7554     place of employment, and the premises of any of these, or a specified place frequented
7555     regularly by the victim or any designated family or other household member;
7556          (iv) an order directing the perpetrator to pay restitution to the victim as may apply, and
7557     shall be enforced in accordance with Title 77, Chapter 38b, Crime Victims Restitution Act; and
7558          (v) any other order the court considers necessary to fully protect the victim and
7559     members of the victim's family or other household member.
7560          (4) A continuous protective order may be modified or dismissed only if the court
7561     determines by clear and convincing evidence that all requirements of Subsection (3) have been
7562     met and the victim does not have a reasonable fear of future harm or abuse.
7563          (5) Except as provided in Subsection (6), in addition to the process of issuing a
7564     continuous protective order described in Subsection (3), a district court may issue a continuous
7565     protective order at any time if the victim files a petition with the court, and after notice and
7566     hearing the court finds that a continuous protective order is necessary to protect the victim.
7567          (6) (a) Unless the juvenile court transfers jurisdiction of the offense to the district court
7568     under Section 80-6-504, a continuous protective order may not be issued under this section
7569     against a perpetrator who is a minor.
7570          (b) Unless the court sets an earlier date for expiration, a sentencing protective order

7571     issued under this section against a perpetrator who is a minor expires on the earlier of:
7572          (i) the day on which the juvenile court terminates jurisdiction; or
7573          (ii) in accordance with Section 80-6-807, the day on which the [Division of Juvenile
7574     Justice Services] Division of Juvenile Justice and Youth Services discharges the perpetrator.
7575          Section 101. Section 78B-7-805 is amended to read:
7576          78B-7-805. Sentencing protective orders and continuous protective orders for an
7577     offense that is not domestic violence -- Modification -- Expiration.
7578          (1) Before a perpetrator has been convicted of or adjudicated for an offense that is not
7579     domestic violence is placed on probation, the court may consider the safety and protection of
7580     the victim and any member of the victim's family or household.
7581          (2) The court may condition probation or a plea in abeyance on the perpetrator's
7582     compliance with a sentencing protective order that includes:
7583          (a) an order enjoining the perpetrator from threatening to commit or committing acts of
7584     domestic violence against the victim or other family or household member;
7585          (b) an order prohibiting the perpetrator from harassing, telephoning, contacting, or
7586     otherwise communicating with the victim, directly or indirectly;
7587          (c) an order requiring the perpetrator to stay away from the victim's residence, school,
7588     place of employment, and the premises of any of these, or a specified place frequented
7589     regularly by the victim or any designated family or household member;
7590          (d) an order prohibiting the perpetrator from purchasing, using, or possessing a firearm
7591     or other specified weapon;
7592          (e) an order directing the perpetrator to surrender any weapons the perpetrator owns or
7593     possesses; and
7594          (f) an order imposing any other condition necessary to protect the victim and any other
7595     designated family or household member or to rehabilitate the perpetrator.
7596          (3) (a) If a perpetrator is convicted of an offense that is not domestic violence resulting
7597     in a sentence of imprisonment that is to be served after conviction, the court may issue a
7598     continuous protective order at the time of the conviction or sentencing limiting the contact
7599     between the perpetrator and the victim if the court determines by clear and convincing evidence
7600     that the victim has a reasonable fear of future harm or abuse.
7601          (b) (i) The court shall notify the perpetrator of the right to request a hearing.

7602          (ii) If the perpetrator requests a hearing under this Subsection (3), the court shall hold
7603     the hearing at the time determined by the court and the continuous protective order shall be in
7604     effect while the hearing is being scheduled and while the hearing is pending.
7605          (c) Except as provided in Subsection (6), a continuous protective order is permanent in
7606     accordance with this Subsection (3)(c) and may include any order described in Subsection
7607     78B-7-804(3)(c).
7608          (4) A continuous protective order issued under this section may be modified or
7609     dismissed only in accordance with Subsection 78B-7-804(4).
7610          (5) Except as provided in Subsection (6), in addition to the process of issuing a
7611     continuous protective order described in Subsection (3)(a), a district court may issue a
7612     continuous protective order at any time in accordance with Subsection 78B-7-804(5).
7613          (6) (a) Unless the juvenile court transfers jurisdiction of the offense to the district court
7614     under Section 80-6-504, a continuous protective order may not be issued under this section
7615     against a perpetrator who is a minor.
7616          (b) Unless the court sets an earlier date for expiration, a sentencing protective order
7617     issued under this section against a perpetrator who is a minor expires on the earlier of:
7618          (i) the day on which the juvenile court terminates jurisdiction; or
7619          (ii) in accordance with Section 80-6-807, the day on which the [Division of Juvenile
7620     Justice Services] Division of Juvenile Justice and Youth Services discharges the perpetrator.
7621          Section 102. Section 78B-24-307 is amended to read:
7622          78B-24-307. Child-placing agency compliance.
7623          (1) [The Office of Licensing] The Division of Licensing and Background Checks,
7624     created in Section 26B-2-103, may investigate an allegation that a child-placing agency has
7625     failed to comply with this part and commence an action for injunctive or other relief or initiate
7626     administrative proceedings against the child-placing agency to enforce this part.
7627          (2) (a) The Office of Licensing may initiate a proceeding to determine whether a
7628     child-placing agency has failed to comply with this part.
7629          (b) If the Office of Licensing finds that the child-placing agency has failed to comply,
7630     the Office of Licensing may suspend or revoke the child-placing agency's license or take other
7631     action permitted by law of the state.
7632          Section 103. Section 78B-24-308 is amended to read:

7633          78B-24-308. Rulemaking authority.
7634          [The Office of Licensing] The Division of Licensing and Background Checks, created
7635     in Section 26B-2-103, may adopt rules under Title 63G, Chapter 3, Utah Administrative
7636     Rulemaking Act, to implement Sections 78B-24-303, 78B-24-304, 78B-24-305, and
7637     78B-24-306.
7638          Section 104. Section 80-2-301 is amended to read:
7639          80-2-301. Division responsibilities.
7640          (1) The division is the child, youth, and family services authority of the state.
7641          (2) The division shall:
7642          (a) administer services to minors and families, including:
7643          (i) child welfare services;
7644          (ii) domestic violence services; and
7645          (iii) all other responsibilities that the Legislature or the executive director of the
7646     department may assign to the division;
7647          (b) provide the following services:
7648          (i) financial and other assistance to an individual adopting a child with special needs
7649     under Sections 80-2-806 through 80-2-809, not to exceed the amount the division would
7650     provide for the child as a legal ward of the state;
7651          (ii) non-custodial and in-home services in accordance with Section 80-2-306,
7652     including:
7653          (A) services designed to prevent family break-up; and
7654          (B) family preservation services;
7655          (iii) reunification services to families whose children are in substitute care in
7656     accordance with this chapter, Chapter 2a, Removal and Protective Custody of a Child, and
7657     Chapter 3, Abuse, Neglect, and Dependency Proceedings;
7658          (iv) protective supervision of a family, upon court order, in an effort to eliminate abuse
7659     or neglect of a child in that family;
7660          (v) shelter care in accordance with this chapter, Chapter 2a, Removal and Protective
7661     Custody of a Child, and Chapter 3, Abuse, Neglect, and Dependency Proceedings;
7662          (vi) domestic violence services, in accordance with the requirements of federal law;
7663          (vii) protective services to victims of domestic violence and the victims' children, in

7664     accordance with this chapter, Chapter 2a, Removal and Protective Custody of a Child, and
7665     Chapter 3, Abuse, Neglect, and Dependency Proceedings;
7666          (viii) substitute care for dependent, abused, and neglected children;
7667          (ix) services for minors who are victims of human trafficking or human smuggling, as
7668     described in Sections 76-5-308 through 76-5-310.1, or who have engaged in prostitution or
7669     sexual solicitation, as defined in Sections 76-10-1302 and 76-10-1313; and
7670          (x) training for staff and providers involved in the administration and delivery of
7671     services offered by the division in accordance with this chapter and Chapter 2a, Removal and
7672     Protective Custody of a Child;
7673          (c) establish standards for all:
7674          (i) contract providers of out-of-home care for minors and families;
7675          (ii) facilities that provide substitute care for dependent, abused, or neglected children
7676     placed in the custody of the division; and
7677          (iii) direct or contract providers of domestic violence services described in Subsection
7678     (2)(b)(vi);
7679          (d) have authority to:
7680          (i) contract with a private, nonprofit organization to recruit and train foster care
7681     families and child welfare volunteers in accordance with Section 80-2-405; and
7682          (ii) approve facilities that meet the standards established under Subsection (2)(c) to
7683     provide substitute care for dependent, abused, or neglected children placed in the custody of the
7684     division;
7685          (e) cooperate with the federal government in the administration of child welfare and
7686     domestic violence programs and other human service activities assigned by the department;
7687          (f) in accordance with Subsection (5)(a), promote and enforce state and federal laws
7688     enacted for the protection of abused, neglected, or dependent children, in accordance with this
7689     chapter and Chapter 2a, Removal and Protective Custody of a Child, unless administration is
7690     expressly vested in another division or department of the state;
7691          (g) cooperate with the Workforce Development Division within the Department of
7692     Workforce Services in meeting the social and economic needs of an individual who is eligible
7693     for public assistance;
7694          (h) compile relevant information, statistics, and reports on child and family service

7695     matters in the state;
7696          (i) prepare and submit to the department, the governor, and the Legislature reports of
7697     the operation and administration of the division in accordance with the requirements of
7698     Sections 80-2-1102 and 80-2-1103;
7699          (j) within appropriations from the Legislature, provide or contract for a variety of
7700     domestic violence services and treatment methods;
7701          (k) enter into contracts for programs designed to reduce the occurrence or recurrence of
7702     abuse and neglect in accordance with Section 80-2-503;
7703          (l) seek reimbursement of funds the division expends on behalf of a child in the
7704     protective custody, temporary custody, or custody of the division, from the child's parent or
7705     guardian in accordance with an order for child support under Section 78A-6-356;
7706          (m) ensure regular, periodic publication, including electronic publication, regarding the
7707     number of children in the custody of the division who:
7708          (i) have a permanency goal of adoption; or
7709          (ii) have a final plan of termination of parental rights, under Section 80-3-409, and
7710     promote adoption of the children;
7711          (n) subject to Subsections (5) and (7), refer an individual receiving services from the
7712     division to the local substance abuse authority or other private or public resource for a
7713     court-ordered drug screening test;
7714          (o) report before November 30, 2020, and every third year thereafter, to the Social
7715     Services Appropriations Subcommittee regarding:
7716          (i) the daily reimbursement rate that is provided to licensed foster parents based on
7717     level of care;
7718          (ii) the amount of money spent on daily reimbursements for licensed foster parents
7719     during the previous fiscal year; and
7720          (iii) any recommended changes to the division's budget to support the daily
7721     reimbursement rates described in Subsection (2)(o)(i); and
7722          (p) perform other duties and functions required by law.
7723          (3) (a) The division may provide, directly or through contract, services that include the
7724     following:
7725          (i) adoptions;

7726          (ii) day-care services;
7727          (iii) out-of-home placements for minors;
7728          (iv) health-related services;
7729          (v) homemaking services;
7730          (vi) home management services;
7731          (vii) protective services for minors;
7732          (viii) transportation services; or
7733          (ix) domestic violence services.
7734          (b) The division shall monitor services provided directly by the division or through
7735     contract to ensure compliance with applicable law and rules made in accordance with Title
7736     63G, Chapter 3, Utah Administrative Rulemaking Act.
7737          (c) (i) Except as provided in Subsection (3)(c)(ii), if the division provides a service
7738     through a private contract, the division shall post the name of the service provider on the
7739     division's website.
7740          (ii) Subsection (3)(c)(i) does not apply to a foster parent placement.
7741          (4) (a) The division may:
7742          (i) receive gifts, grants, devises, and donations;
7743          (ii) encourage merchants and service providers to:
7744          (A) donate goods or services; or
7745          (B) provide goods or services at a nominal price or below cost;
7746          (iii) distribute goods to applicants or consumers of division services free or for a
7747     nominal charge and tax free; and
7748          (iv) appeal to the public for funds to meet needs of applicants or consumers of division
7749     services that are not otherwise provided by law, including Sub-for-Santa programs, recreational
7750     programs for minors, and requests for household appliances and home repairs.
7751          (b) If requested by the donor and subject to state and federal law, the division shall use
7752     a gift, grant, devise, donation, or proceeds from the gift, grant, devise, or donation for the
7753     purpose requested by the donor.
7754          (5) (a) In carrying out the requirements of Subsection (2)(f), the division shall:
7755          (i) cooperate with the juvenile courts, the [Division of Juvenile Justice Services]
7756     Division of Juvenile Justice and Youth Services, and with all public and private licensed child

7757     welfare agencies and institutions to develop and administer a broad range of services and
7758     support;
7759          (ii) take the initiative in all matters involving the protection of abused or neglected
7760     children, if adequate provisions have not been made or are not likely to be made; and
7761          (iii) make expenditures necessary for the care and protection of the children described
7762     in Subsection (5)(a)(ii), within the division's budget.
7763          (b) If an individual is referred to a local substance abuse authority or other private or
7764     public resource for court-ordered drug screening under Subsection (2)(n), the court shall order
7765     the individual to pay all costs of the tests unless:
7766          (i) the cost of the drug screening is specifically funded or provided for by other federal
7767     or state programs;
7768          (ii) the individual is a participant in a drug court; or
7769          (iii) the court finds that the individual is an indigent individual.
7770          (6) Except to the extent provided by rules made in accordance with Title 63G, Chapter
7771     3, Utah Administrative Rulemaking Act, the division is not required to investigate domestic
7772     violence in the presence of a child, as described in Section 76-5-114.
7773          (7) (a) Except as provided in Subsection (7)(b), the division may not:
7774          (i) require a parent who has a child in the custody of the division to pay for some or all
7775     of the cost of any drug testing the parent is required to undergo; or
7776          (ii) refer an individual who is receiving services from the division for drug testing by
7777     means of a hair, fingernail, or saliva test that is administered to detect the presence of drugs.
7778          (b) Notwithstanding Subsection (7)(a)(ii), the division may refer an individual who is
7779     receiving services from the division for drug testing by means of a saliva test if:
7780          (i) the individual consents to drug testing by means of a saliva test; or
7781          (ii) the court, based on a finding that a saliva test is necessary in the circumstances,
7782     orders the individual to complete drug testing by means of a saliva test.
7783          Section 105. Section 80-2-703 is amended to read:
7784          80-2-703. Conflict child protective services investigations -- Authority of
7785     investigators.
7786          (1) (a) The department, through the [Office of Quality and Design created in Section
7787     62A-18-103] Division of Continuous Quality and Improvement, shall conduct an independent

7788     child protective service investigation to investigate reports of abuse or neglect if:
7789          (i) the report occurs while the child is in the custody of the division; or
7790          (ii) the executive director of the department determines that, if the division conducts
7791     the investigation, the division would have an actual or potential conflict of interest in the
7792     results of the investigation.
7793          (b) If a report is made while a child is in the custody of the division that indicates the
7794     child is abused or neglected:
7795          (i) the attorney general may, in accordance with Section 67-5-16, and with the consent
7796     of the department, employ a child protective services investigator to conduct a conflict
7797     investigation of the report; or
7798          (ii) a law enforcement officer, as defined in Section 53-13-103, may, with the consent
7799     of the department, conduct a conflict investigation of the report.
7800          (c) Subsection (1)(b)(ii) does not prevent a law enforcement officer from, without the
7801     consent of the department, conducting a criminal investigation of abuse or neglect under Title
7802     53, Public Safety Code.
7803          (2) An investigator described in Subsection (1) may also investigate allegations of
7804     abuse or neglect of a child by a department employee or a licensed substitute care provider.
7805          (3) An investigator described in Subsection (1), if not a law enforcement officer, shall
7806     have the same rights, duties, and authority of a child welfare caseworker to:
7807          (a) make a thorough investigation under Section 80-2-701 upon receiving a report of
7808     alleged abuse or neglect of a child, with the primary purpose of the investigation being the
7809     protection of the child;
7810          (b) make an inquiry into the child's home environment, emotional, or mental health, the
7811     nature and extent of the child's injuries, and the child's physical safety;
7812          (c) make a written report of the investigator's investigation, including determination
7813     regarding whether the alleged abuse or neglect is supported, unsupported, or without merit, and
7814     forward a copy of the report to the division within the time mandates for investigations
7815     established by the division; and
7816          (d) immediately consult with school authorities to verify the child's status in
7817     accordance with Sections 53G-6-201 through 53G-6-206 if a report is based on or includes an
7818     allegation of educational neglect.

7819          Section 106. Section 80-2-1001 is amended to read:
7820          80-2-1001. Management Information System -- Contents -- Classification of
7821     records -- Access.
7822          (1) The division shall develop and implement a Management Information System that
7823     meets the requirements of this section and the requirements of federal law and regulation.
7824          (2) The Management Information System shall:
7825          (a) contain all key elements of each family's current child and family plan, including:
7826          (i) the dates and number of times the plan has been administratively or judicially
7827     reviewed;
7828          (ii) the number of times the parent failed the child and family plan; and
7829          (iii) the exact length of time the child and family plan has been in effect; and
7830          (b) alert child welfare caseworkers regarding deadlines for completion of and
7831     compliance with policy, including child and family plans.
7832          (3) For a child welfare case, the Management Information System shall provide each
7833     child welfare caseworker and the [Office of Licensing] Division of Licensing and Background
7834     Checks created in Section 26B-2-103, exclusively for the purposes of foster parent licensure
7835     and monitoring, with a complete history of each child in the child welfare caseworker's
7836     caseload, including:
7837          (a) a record of all past action taken by the division with regard to the child and the
7838     child's siblings;
7839          (b) the complete case history and all reports and information in the control or keeping
7840     of the division regarding the child and the child's siblings;
7841          (c) the number of times the child has been in the protective custody, temporary
7842     custody, and custody of the division;
7843          (d) the cumulative period of time the child has been in the custody of the division;
7844          (e) a record of all reports of abuse or neglect received by the division with regard to the
7845     child's parent or guardian including:
7846          (i) for each report, documentation of the:
7847          (A) latest status; or
7848          (B) final outcome or determination; and
7849          (ii) information that indicates whether each report was found to be:

7850          (A) supported;
7851          (B) unsupported;
7852          (C) substantiated;
7853          (D) unsubstantiated; or
7854          (E) without merit;
7855          (f) the number of times the child's parent failed any child and family plan; and
7856          (g) the number of different child welfare caseworkers who have been assigned to the
7857     child in the past.
7858          (4) For child protective services cases, the Management Information System shall:
7859          (a) monitor the compliance of each case with:
7860          (i) division rule;
7861          (ii) state law; and
7862          (iii) federal law and regulation; and
7863          (b) include the age and date of birth of the alleged perpetrator at the time the abuse or
7864     neglect is alleged to have occurred, in order to ensure accuracy regarding the identification of
7865     the alleged perpetrator.
7866          (5) Information or a record contained in the Management Information System is:
7867          (a) a private, controlled, or protected record under Title 63G, Chapter 2, Government
7868     Records Access and Management Act; and
7869          (b) available only:
7870          (i) to a person or government entity with statutory authorization under Title 63G,
7871     Chapter 2, Government Records Access and Management Act, to review the information or
7872     record;
7873          (ii) to a person who has specific statutory authorization to access the information or
7874     record for the purpose of assisting the state with state or federal requirements to maintain
7875     information solely for the purpose of protecting minors and providing services to families in
7876     need;
7877          (iii) to the extent required by Title IV(b) or IV(e) of the Social Security Act:
7878          (A) to comply with abuse and neglect registry checks requested by other states; or
7879          (B) to the United States Department of Health and Human Services for purposes of
7880     maintaining an electronic national registry of supported or substantiated cases of abuse and

7881     neglect;
7882          (iv) to the department, upon the approval of the executive director of the department,
7883     on a need-to-know basis;
7884          (v) as provided in Subsection (6) or Section 80-2-1002; or
7885          (vi) to a citizen review panel for the purpose of fulfilling the panel's duties as described
7886     in Section 80-2-1101.
7887          (6) (a) The division may allow a division contract provider, court clerk designated by
7888     the Administrative Office of the Courts, the Office of Guardian Ad Litem, or Indian tribe to
7889     have limited access to the Management Information System.
7890          (b) A division contract provider or Indian tribe has access only to information about a
7891     person who is currently receiving services from the specific contract provider or Indian tribe.
7892          (c) A court clerk may only have access to information necessary to comply with
7893     Subsection 78B-7-202(2).
7894          (d) (i) The Office of Guardian Ad Litem may only access:
7895          (A) the information that is entered into the Management Information System on or after
7896     July 1, 2004, and relates to a child or family where the Office of Guardian Ad Litem is
7897     appointed by a court to represent the interests of the child; or
7898          (B) any abuse or neglect referral about a child or family where the office has been
7899     appointed by a court to represent the interests of the child, regardless of the date that the
7900     information is entered into the Management Information System.
7901          (ii) The division may use the information in the Management Information System to
7902     screen an individual as described in Subsection 80-2-1002(4)(b)(ii)(A) at the request of the
7903     Office of Guardian Ad Litem.
7904          (e) A contract provider or designated representative of the Office of Guardian Ad
7905     Litem or an Indian tribe who requests access to information contained in the Management
7906     Information System shall:
7907          (i) take all necessary precautions to safeguard the security of the information contained
7908     in the Management Information System;
7909          (ii) train its employees regarding:
7910          (A) requirements for protecting the information contained in the Management
7911     Information System under this chapter and under Title 63G, Chapter 2, Government Records

7912     Access and Management Act; and
7913          (B) the criminal penalties under Sections 63G-2-801 and 80-2-1005 for improper
7914     release of information; and
7915          (iii) monitor its employees to ensure that the employees protect the information
7916     contained in the Management Information System as required by law.
7917          (7) The division shall take:
7918          (a) all necessary precautions, including password protection and other appropriate and
7919     available technological techniques, to prevent unauthorized access to or release of information
7920     contained in the Management Information System; and
7921          (b) reasonable precautions to ensure that the division's contract providers comply with
7922     Subsection (6).
7923          Section 107. Section 80-2-1002 is amended to read:
7924          80-2-1002. Licensing Information System -- Contents -- Classification of records
7925     -- Access -- Unlawful release -- Penalty.
7926          (1) (a) The division shall maintain a sub-part of the Management Information System
7927     as the Licensing Information System to be used:
7928          (i) for licensing purposes; or
7929          (ii) as otherwise provided by law.
7930          (b) Notwithstanding Subsection (1)(a), the department's access to information in the
7931     Management Information System for the licensure and monitoring of a foster parent is
7932     governed by Sections 80-2-1001 and 26B-2-121.
7933          (2) The Licensing Information System shall include only the following information:
7934          (a) the name and other identifying information of the alleged perpetrator in a supported
7935     finding, without identifying the alleged perpetrator as a perpetrator or alleged perpetrator;
7936          (b) a notation to the effect that an investigation regarding the alleged perpetrator
7937     described in Subsection (2)(a) is pending;
7938          (c) the information described in Subsection (3);
7939          (d) consented-to supported findings by an alleged perpetrator under Subsection
7940     80-2-708(3)(a)(iii);
7941          (e) a finding from the juvenile court under Section 80-3-404; and
7942          (f) the information in the licensing part of the division's Management Information

7943     System as of May 6, 2002.
7944          (3) Subject to Section 80-2-1003, upon receipt of a finding from the juvenile court
7945     under Section 80-3-404, the division shall:
7946          (a) promptly amend the Licensing Information System to include the finding; and
7947          (b) enter the finding in the Management Information System.
7948          (4) Information or a record contained in the Licensing Information System is:
7949          (a) a protected record under Title 63G, Chapter 2, Government Records Access and
7950     Management Act; and
7951          (b) notwithstanding Title 63G, Chapter 2, Government Records Access and
7952     Management Act, accessible only:
7953          (i) to the [Office of Licensing] Division of Licensing and Background Checks created
7954     in Section 26B-2-103:
7955          (A) for licensing purposes; or
7956          (B) as otherwise specifically provided for by law;
7957          (ii) to the division to:
7958          (A) screen an individual at the request of the Office of Guardian Ad Litem at the time
7959     the individual seeks a paid or voluntary position with the Office of Guardian Ad Litem and
7960     annually throughout the time that the individual remains with the Office of Guardian Ad Litem;
7961     and
7962          (B) respond to a request for information from an individual whose name is listed in the
7963     Licensing Information System;
7964          (iii) to a person designated by the Department of Health and Human Services, only for
7965     the following purposes:
7966          (A) licensing a child care program or provider;
7967          (B) determining whether an individual associated with a child care facility, program, or
7968     provider, who is exempt from being licensed or certified by the Department of Health and
7969     Human Services under Title 26B, Chapter 2, Part 4, Child Care Licensing, has a supported
7970     finding of a severe type of child abuse or neglect; or
7971          (C) determining whether an individual who is seeking an emergency medical services
7972     license has a supported finding of a severe type of child abuse or neglect;
7973          (iv) to a person designated by the Department of Workforce Services and approved by

7974     the Department of Health and Human Services for the purpose of qualifying a child care
7975     provider under Section 35A-3-310.5;
7976          (v) as provided in Section 26B-2-121; or
7977          (vi) to the department or another person, as provided in this chapter.
7978          (5) A person designated by the Department of Health and Human Services or the
7979     Department of Workforce Services under Subsection (4) shall adopt measures to:
7980          (a) protect the security of the Licensing Information System; and
7981          (b) strictly limit access to the Licensing Information System to persons allowed access
7982     by statute.
7983          (6) The department shall approve a person allowed access by statute to information or a
7984     record contained in the Licensing Information System and provide training to the person with
7985     respect to:
7986          (a) accessing the Licensing Information System;
7987          (b) maintaining strict security; and
7988          (c) the criminal provisions of Sections 63G-2-801 and 80-2-1005 pertaining to the
7989     improper release of information.
7990          (7) (a) Except as authorized by this chapter, a person may not request another person to
7991     obtain or release any other information in the Licensing Information System to screen for
7992     potential perpetrators of abuse or neglect.
7993          (b) A person who requests information knowing that the request is a violation of this
7994     Subsection (7) is subject to the criminal penalties described in Sections 63G-2-801 and
7995     80-2-1005.
7996          Section 108. Section 80-3-409 is amended to read:
7997          80-3-409. Permanency hearing -- Final plan -- Petition for termination of
7998     parental rights filed -- Hearing on termination of parental rights.
7999          (1) (a) If reunification services are ordered under Section 80-3-406, with regard to a
8000     minor who is in the custody of the division, the juvenile court shall hold a permanency hearing
8001     no later than 12 months after the day on which the minor is initially removed from the minor's
8002     home.
8003          (b) If reunification services are not ordered at the dispositional hearing, the juvenile
8004     court shall hold a permanency hearing within 30 days after the day on which the dispositional

8005     hearing ends.
8006          (2) (a) If reunification services are ordered in accordance with Section 80-3-406, the
8007     juvenile court shall, at the permanency hearing, determine, consistent with Subsection (3),
8008     whether the minor may safely be returned to the custody of the minor's parent.
8009          (b) If the juvenile court finds, by a preponderance of the evidence, that return of the
8010     minor to the minor's parent would create a substantial risk of detriment to the minor's physical
8011     or emotional well-being, the minor may not be returned to the custody of the minor's parent.
8012          (c) Prima facie evidence that return of the minor to a parent or guardian would create a
8013     substantial risk of detriment to the minor is established if:
8014          (i) the parent or guardian fails to:
8015          (A) participate in a court approved child and family plan;
8016          (B) comply with a court approved child and family plan in whole or in part; or
8017          (C) meet the goals of a court approved child and family plan; or
8018          (ii) the minor's natural parent:
8019          (A) intentionally, knowingly, or recklessly causes the death of another parent of the
8020     minor;
8021          (B) is identified by a law enforcement agency as the primary suspect in an investigation
8022     for intentionally, knowingly, or recklessly causing the death of another parent of the minor; or
8023          (C) is being prosecuted for or has been convicted of intentionally, knowingly, or
8024     recklessly causing the death of another parent of the minor.
8025          (3) In making a determination under Subsection (2)(a), the juvenile court shall:
8026          (a) review and consider:
8027          (i) the report prepared by the division;
8028          (ii) in accordance with the Utah Rules of Evidence, any admissible evidence offered by
8029     the minor's attorney guardian ad litem;
8030          (iii) any report submitted by the division under Subsection 80-3-408(3)(a)(i);
8031          (iv) any evidence regarding the efforts or progress demonstrated by the parent; and
8032          (v) the extent to which the parent cooperated and used the services provided; and
8033          (b) attempt to keep the minor's sibling group together if keeping the sibling group
8034     together is:
8035          (i) practicable; and

8036          (ii) in accordance with the best interest of the minor.
8037          (4) With regard to a case where reunification services are ordered by the juvenile court,
8038     if a minor is not returned to the minor's parent or guardian at the permanency hearing, the
8039     juvenile court shall, unless the time for the provision of reunification services is extended
8040     under Subsection (7):
8041          (a) order termination of reunification services to the parent;
8042          (b) make a final determination regarding whether termination of parental rights,
8043     adoption, or permanent custody and guardianship is the most appropriate final plan for the
8044     minor, taking into account the minor's primary permanency plan established by the juvenile
8045     court under Section 80-3-406; and
8046          (c) in accordance with Subsection 80-3-406(2), establish a concurrent permanency plan
8047     that identifies the second most appropriate final plan for the minor, if appropriate.
8048          (5) The juvenile court may order another planned permanent living arrangement other
8049     than reunification for a minor who is 16 years old or older upon entering the following
8050     findings:
8051          (a) the division has documented intensive, ongoing, and unsuccessful efforts to reunify
8052     the minor with the minor's parent or parents, or to secure a placement for the minor with a
8053     guardian, an adoptive parent, or an individual described in Subsection 80-3-301(6)(e);
8054          (b) the division has demonstrated that the division has made efforts to normalize the
8055     life of the minor while in the division's custody, in accordance with Section 80-2-308;
8056          (c) the minor prefers another planned permanent living arrangement; and
8057          (d) there is a compelling reason why reunification or a placement described in
8058     Subsection (5)(a) is not in the minor's best interest.
8059          (6) Except as provided in Subsection (7), the juvenile court may not extend
8060     reunification services beyond 12 months after the day on which the minor is initially removed
8061     from the minor's home, in accordance with the provisions of Section 80-3-406.
8062          (7) (a) Subject to Subsection (7)(b), the juvenile court may extend reunification
8063     services for no more than 90 days if the juvenile court finds, [beyond] by a preponderance of
8064     the evidence, that:
8065          (i) there has been substantial compliance with the child and family plan;
8066          (ii) reunification is probable within that 90-day period; and

8067          (iii) the extension is in the best interest of the minor.
8068          (b) (i) Except as provided in Subsection (7)(c), the juvenile court may not extend any
8069     reunification services beyond 15 months after the day on which the minor is initially removed
8070     from the minor's home.
8071          (ii) Delay or failure of a parent to establish paternity or seek custody does not provide a
8072     basis for the juvenile court to extend services for the parent beyond the 12-month period
8073     described in Subsection (6).
8074          (c) In accordance with Subsection (7)(d), the juvenile court may extend reunification
8075     services for one additional 90-day period, beyond the 90-day period described in Subsection
8076     (7)(a), if:
8077          (i) the juvenile court finds, by clear and convincing evidence, that:
8078          (A) the parent has substantially complied with the child and family plan;
8079          (B) it is likely that reunification will occur within the additional 90-day period; and
8080          (C) the extension is in the best interest of the minor;
8081          (ii) the juvenile court specifies the facts upon which the findings described in
8082     Subsection (7)(c)(i) are based; and
8083          (iii) the juvenile court specifies the time period in which it is likely that reunification
8084     will occur.
8085          (d) A juvenile court may not extend the time period for reunification services without
8086     complying with the requirements of this Subsection (7) before the extension.
8087          (e) In determining whether to extend reunification services for a minor, a juvenile court
8088     shall take into consideration the status of the minor siblings of the minor.
8089          (8) (a) At the permanency hearing, if a child remains in an out-of-home placement, the
8090     juvenile court shall:
8091          (i) make specific findings regarding the conditions of parent-time that are in the child's
8092     best interest; and
8093          (ii) if parent-time is denied, state the facts that justify the denial.
8094          (b) Parent-time shall be under the least restrictive conditions necessary to:
8095          (i) protect the physical safety of the child; or
8096          (ii) prevent the child from being traumatized by contact with the parent due to the
8097     child's fear of the parent in light of the nature of the alleged abuse or neglect.

8098          (c) (i) The division or the person designated by the division or a court to supervise a
8099     parent-time session may deny parent-time for the session if the division or the supervising
8100     person determines that, based on the parent's condition, it is necessary to deny parent-time to:
8101          (A) protect the physical safety of the child;
8102          (B) protect the life of the child; or
8103          (C) consistent with Subsection (8)(c)(ii), prevent the child from being traumatized by
8104     contact with the parent.
8105          (ii) In determining whether the condition of the parent described in Subsection (8)(c)(i)
8106     will traumatize a child, the division or the person supervising the parent-time session shall
8107     consider the impact that the parent's condition will have on the child in light of:
8108          (A) the child's fear of the parent; and
8109          (B) the nature of the alleged abuse or neglect.
8110          (9) The juvenile court may, in the juvenile court's discretion:
8111          (a) enter any additional order that the juvenile court determines to be in the best
8112     interest of the minor, so long as that order does not conflict with the requirements and
8113     provisions of Subsections (4) through (8); or
8114          (b) order the division to provide protective supervision or other services to a minor and
8115     the minor's family after the division's custody of a minor is terminated.
8116          (10) (a) If the final plan for the minor is to proceed toward termination of parental
8117     rights, the petition for termination of parental rights shall be filed, and a pretrial held, within 45
8118     calendar days after the day on which the permanency hearing is held.
8119          (b) If the division opposes the plan to terminate parental rights, the juvenile court may
8120     not require the division to file a petition for the termination of parental rights, except as
8121     required under Subsection 80-4-203(2).
8122          (11) (a) Any party to an action may, at any time, petition the juvenile court for an
8123     expedited permanency hearing on the basis that continuation of reunification efforts are
8124     inconsistent with the permanency needs of the minor.
8125          (b) If the juvenile court so determines, the juvenile court shall order, in accordance
8126     with federal law, that:
8127          (i) the minor be placed in accordance with the permanency plan; and
8128          (ii) whatever steps are necessary to finalize the permanent placement of the minor be

8129     completed as quickly as possible.
8130          (12) Nothing in this section may be construed to:
8131          (a) entitle any parent to reunification services for any specified period of time;
8132          (b) limit a juvenile court's ability to terminate reunification services at any time before
8133     a permanency hearing; or
8134          (c) limit or prohibit the filing of a petition for termination of parental rights by any
8135     party, or a hearing on termination of parental rights, at any time before a permanency hearing
8136     provided that relative placement and custody options have been fairly considered in accordance
8137     with Sections 80-2a-201 and 80-4-104.
8138          (13) (a) Subject to Subsection (13)(b), if a petition for termination of parental rights is
8139     filed before the date scheduled for a permanency hearing, the juvenile court may consolidate
8140     the hearing on termination of parental rights with the permanency hearing.
8141          (b) For purposes of Subsection (13)(a), if the juvenile court consolidates the hearing on
8142     termination of parental rights with the permanency hearing:
8143          (i) the juvenile court shall first make a finding regarding whether reasonable efforts
8144     have been made by the division to finalize the permanency plan for the minor; and
8145          (ii) any reunification services shall be terminated in accordance with the time lines
8146     described in Section 80-3-406.
8147          (c) The juvenile court shall make a decision on a petition for termination of parental
8148     rights within 18 months after the day on which the minor is initially removed from the minor's
8149     home.
8150          (14) (a) If a juvenile court determines that a minor will not be returned to a parent of
8151     the minor, the juvenile court shall consider appropriate placement options inside and outside of
8152     the state.
8153          (b) In considering appropriate placement options under Subsection (14)(a), the juvenile
8154     court shall provide preferential consideration to a relative's request for placement of the minor.
8155          (15) (a) In accordance with Section 80-3-108, if a minor 14 years old or older desires
8156     an opportunity to address the juvenile court or testify regarding permanency or placement, the
8157     juvenile court shall give the minor's wishes added weight, but may not treat the minor's wishes
8158     as the single controlling factor under this section.
8159          (b) If the juvenile court's decision under this section differs from a minor's express

8160     wishes if the minor is of sufficient maturity to articulate the wishes in relation to permanency
8161     or the minor's placement, the juvenile court shall make findings explaining why the juvenile
8162     court's decision differs from the minor's wishes.
8163          (16) (a) If, for a relative placement, an interstate placement requested under the
8164     Interstate Compact on the Placement of Children has been initiated by the division or is ordered
8165     by or pending before the juvenile court, the court may not finalize a non-relative placement
8166     unless the court gives due weight to:
8167          (i) the preferential consideration granted to a relative in Section 80-3-302;
8168          (ii) the rebuttable presumption in Section 80-3-302; and
8169          (iii) the division's placement authority under Subsections 80-1-102(50) and
8170     80-3-303(1).
8171          (b) Nothing in this section affects the ability of a foster parent to petition the juvenile
8172     court under Subsection 80-3-502(3).
8173          Section 109. Section 80-5-102 is amended to read:
8174          80-5-102. Definitions.
8175          As used in this chapter:
8176          (1) "Account" means the Juvenile Justice Reinvestment Restricted Account created in
8177     Section 80-5-302.
8178          (2) (a) "Adult" means an individual who is 18 years old or older.
8179          (b) "Adult" does not include a juvenile offender.
8180          (3) "Aftercare services" means the same as the term "aftercare" is defined in 45 C.F.R.
8181     1351.1.
8182          (4) "Authority" means the Youth Parole Authority created in Section 80-5-701.
8183          (5) "Control" means the authority to detain, restrict, and supervise a juvenile offender
8184     in a manner consistent with public safety and the well-being of the juvenile offender and
8185     division employees.
8186          (6) "Director" means the director of the [Division of Juvenile Justice Services]
8187     Division of Juvenile Justice and Youth Services.
8188          (7) "Discharge" means the same as that term is defined in Section 80-6-102.
8189          (8) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
8190     Justice and Youth Services created in Section 80-5-103.

8191          (9) "Homeless youth" means a child, other than an emancipated minor:
8192          (a) who is a runaway; or
8193          (b) who is:
8194          (i) not accompanied by the child's parent or guardian; and
8195          (ii) without care, as defined in Section 80-5-602.
8196          (10) "Observation and assessment program" means a nonresidential service program
8197     operated or purchased by the division that is responsible only for diagnostic assessment of
8198     minors, including for substance use disorder, mental health, psychological, and sexual behavior
8199     risk assessments.
8200          (11) "Performance based contracting" means a system of contracting with service
8201     providers for the provision of residential or nonresidential services that:
8202          (a) provides incentives for the implementation of evidence-based juvenile justice
8203     programs or programs rated as effective for reducing recidivism by a standardized tool in
8204     accordance with Section 63M-7-208; and
8205          (b) provides a premium rate allocation for a minor who receives the evidence-based
8206     dosage of treatment and successfully completes the program within three months.
8207          (12) "Rescission" means the same as that term is defined in Section 80-6-102.
8208          (13) "Restitution" means the same as that term is defined in Section 80-6-102.
8209          (14) "Revocation" means the same as that term is defined in Section 80-6-102.
8210          (15) "Temporary custody" means the same as that term is defined in Section 80-6-102.
8211          (16) "Temporary homeless youth shelter" means a facility that:
8212          (a) provides temporary shelter to homeless youth; and
8213          (b) is licensed by the Department of Health and Human Services, created in Section
8214     26B-1-201, as a residential support program.
8215          (17) "Termination" means the same as that term is defined in Section 80-6-102.
8216          (18) "Victim" means the same as that term is defined in Section 80-6-102.
8217          (19) "Work program" means a nonresidential public or private service work project
8218     established and administered by the division for juvenile offenders for the purpose of
8219     rehabilitation, education, and restitution to victims.
8220          (20) (a) "Youth services" means services provided in an effort to resolve family
8221     conflict:

8222          (i) for families in crisis when a minor is ungovernable or a runaway; or
8223          (ii) involving a minor and the minor's parent or guardian.
8224          (b) "Youth services" include efforts to:
8225          (i) resolve family conflict;
8226          (ii) maintain or reunite minors with the minors' families; and
8227          (iii) divert minors from entering or escalating in the juvenile justice system.
8228          (c) "Youth services" may provide:
8229          (i) crisis intervention;
8230          (ii) short-term shelter;
8231          (iii) time-out placement; and
8232          (iv) family counseling.
8233          (21) "Youth services center" means a center established by, or under contract with, the
8234     division to provide youth services.
8235          Section 110. Section 80-5-103 is amended to read:
8236          80-5-103. Creation of division -- Jurisdiction.
8237          (1) There is created the [Division of Juvenile Justice Services] Division of Juvenile
8238     Justice and Youth Services within the department.
8239          (2) The division shall be under the administration and supervision of the executive
8240     director of the department.
8241          (3) The division has jurisdiction over all minors committed to the division under
8242     Sections 80-6-703 and 80-6-705.
8243          Section 111. Section 80-5-401 is amended to read:
8244          80-5-401. Youth services for prevention and early intervention -- Program
8245     standards -- Program services.
8246          (1) The division shall establish and operate prevention and early intervention youth
8247     services programs which shall include evidence-informed and research-informed interventions
8248     to:
8249          (a) help youth and families avoid entry into the juvenile justice system; and
8250          (b) improve attendance and academic achievement.
8251          (2) The division shall adopt statewide policies and procedures, including minimum
8252     standards for the organization and operation of youth services programs.

8253          (3) The division shall establish housing, programs, and procedures to ensure that
8254     minors who are receiving services under this section and who are not committed to the division
8255     are served separately from minors who are committed to the division.
8256          (4) The division may enter into contracts with state and local governmental entities and
8257     private providers to provide the youth services.
8258          (5) The division shall establish and administer juvenile receiving centers and other
8259     programs to provide temporary custody, care, risk-needs assessments, evaluations, and control
8260     for nonadjudicated and adjudicated minors placed with the division.
8261          (6) The division shall prioritize use of evidence-based juvenile justice programs and
8262     practices.
8263          (7) Youth receiving services under this section or from the division may not be placed
8264     into the legal custody of the division unless the youth qualifies for such disposition under
8265     Section 80-6-703.
8266          Section 112. Section 80-6-102 is amended to read:
8267          80-6-102. Definitions.
8268          As used in this chapter:
8269          (1) "Aftercare services" means the same as the term "aftercare" is defined in 45 C.F.R.
8270     1351.1.
8271          (2) "Authority" means the Youth Parole Authority created in Section 80-5-701.
8272          (3) "Commission" means the State Commission on Criminal and Juvenile Justice
8273     created in Section 63M-7-201.
8274          (4) "Compensatory service" means service or unpaid work performed by a minor in
8275     lieu of the payment of a fine, fee, or restitution.
8276          (5) "Control" means the same as that term is defined in Section 80-5-102.
8277          (6) "Detention hearing" means a proceeding under Section 80-6-207 to determine
8278     whether a minor should remain in detention.
8279          (7) "Detention guidelines" means standards, established by the division in accordance
8280     with Subsection 80-5-202(1)(a), for the admission of a minor to detention.
8281          (8) "Discharge" means a written order of the authority that removes a juvenile offender
8282     from the authority's jurisdiction.
8283          (9) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile

8284     Justice and Youth Services created in Section 80-5-103.
8285          (10) "Family-based setting" means a home that is licensed to allow a minor to reside at
8286     the home, including a foster home, proctor care, or residential care by a professional parent.
8287          (11) "Formal referral" means a written report from a peace officer, or other person,
8288     informing the juvenile court that:
8289          (a) an offense committed by a minor is, or appears to be, within the juvenile court's
8290     jurisdiction; and
8291          (b) the minor's case must be reviewed by a juvenile probation officer or a prosecuting
8292     attorney.
8293          (12) "Material loss" means an uninsured:
8294          (a) property loss;
8295          (b) out-of-pocket monetary loss for property that is stolen, damaged, or destroyed;
8296          (c) lost wages because of an injury, time spent as a witness, or time spent assisting the
8297     police or prosecution; or
8298          (d) medical expense.
8299          (13) "Referral" means a formal referral, a referral to the juvenile court under Section
8300     53G-8-211, or a citation issued to a minor for which the juvenile court receives notice under
8301     Section 80-6-302.
8302          (14) "Rescission" means a written order of the authority that rescinds a date for parole.
8303          (15) "Restitution" means money or services that the juvenile court, or a juvenile
8304     probation officer if the minor agrees to a nonjudicial adjustment, orders a minor to pay or
8305     render to a victim for the minor's wrongful act or conduct.
8306          (16) "Revocation" means a written order of the authority that, after a hearing and
8307     determination under Section 80-6-806:
8308          (a) terminates supervision of a juvenile offender's parole; and
8309          (b) directs a juvenile offender to return to secure care.
8310          (17) "Temporary custody" means the control and responsibility of a minor, before an
8311     adjudication under Section 80-6-701, until the minor is released to a parent, guardian,
8312     responsible adult, or to an appropriate agency.
8313          (18) "Termination" means a written order of the authority that terminates a juvenile
8314     offender from parole.

8315          (19) (a) "Victim" means a person that the juvenile court determines suffered a material
8316     loss as a result of a minor's wrongful act or conduct.
8317          (b) "Victim" includes:
8318          (i) any person directly harmed by the minor's wrongful act or conduct in the course of
8319     the scheme, conspiracy, or pattern if the minor's wrongful act or conduct is an offense that
8320     involves an element of a scheme, a conspiracy, or a pattern of criminal activity; and
8321          (ii) the Utah Office for Victims of Crime.
8322          (20) "Violent felony" means the same as that term is defined in Section 76-3-203.5.
8323          (21) "Work program" means the same as that term is defined in Section 80-5-102.
8324          (22) "Youth services" means the same as that term is defined in Section 80-5-102.
8325          Section 113. Effective date.
8326          (1) Except as provided in Subsection (2), this bill takes effect on May 1, 2024.
8327          (2) The actions affecting the following sections take effect on July 1, 2024:
8328          (a) Section 26B-1-204;
8329          (b) Section 26B-2-241;
8330          (c) Section 53-2d-404;
8331          (d) Section 53-2d-503;
8332          (e) Section 53-2d-703;
8333          (f) Section 63I-1-226; and
8334          (g) Section 77-41-102.