Representative Steve Eliason 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 to 180 days the length of time a certification for direct
51     patient access is valid before renewal is required;
52          ▸     modifies the definition of "rural county" to mean counties of the second through
53     sixth classes (i.e. classes with populations less than 175,000) and no longer to mean
54     counties with populations 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          63M-7-208, as last amended by Laws of Utah 2023, Chapter 161
200          63M-7-401, as last amended by Laws of Utah 2021, Chapter 173
201          63M-7-601, as last amended by Laws of Utah 2023, Chapter 150
202          63M-7-702, as last amended by Laws of Utah 2023, Chapter 150
203          63M-7-802, as enacted by Laws of Utah 2023, Chapter 155
204          67-5b-101, as last amended by Laws of Utah 2016, Chapter 290
205          76-3-401.5, as enacted by Laws of Utah 2021, Chapter 37 and last amended by
206     Coordination Clause, Laws of Utah 2021, Chapter 261
207          76-5-101, as last amended by Laws of Utah 2022, Chapter 181
208          76-5-413, as last amended by Laws of Utah 2022, Chapters 181, 255
209          76-8-311.5, as renumbered and amended by Laws of Utah 2021, Chapter 261
210          77-16b-102, as last amended by Laws of Utah 2021, Chapter 262
211          77-38-3, as last amended by Laws of Utah 2023, Chapter 426

212          77-41-102 (Superseded 07/01/24), as last amended by Laws of Utah 2023, Chapter 123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

231     Be it enacted by the Legislature of the state of Utah:
232          Section 1. Section 4-41a-102 is amended to read:
233          4-41a-102. Definitions.
234          As used in this chapter:
235          (1) "Adulterant" means any poisonous or deleterious substance in a quantity that may
236     be injurious to health, including:
237          (a) pesticides;
238          (b) heavy metals;
239          (c) solvents;
240          (d) microbial life;
241          (e) artificially derived cannabinoid;
242          (f) toxins; or

243          (g) foreign matter.
244          (2) "Advertise" or "advertising" means information provided by a person in any
245     medium:
246          (a) to the public; and
247          (b) that is not age restricted to an individual who is at least 21 years old.
248          [(2)] (3) "Advisory board" means the Medical Cannabis Policy Advisory Board created
249     in Section 26B-1-435.
250          [(3)] (4) (a) "Artificially derived cannabinoid" means a chemical substance that is
251     created by a chemical reaction that changes the molecular structure of any chemical substance
252     derived from the cannabis plant.
253          (b) "Artificially derived cannabinoid" does not include:
254          (i) a naturally occurring chemical substance that is separated from the cannabis plant
255     by a chemical or mechanical extraction process; or
256          (ii) a cannabinoid that is produced by decarboxylation from a naturally occurring
257     cannabinoid acid without the use of a chemical catalyst.
258          [(4)] (5) "Cannabis Research Review Board" means the Cannabis Research Review
259     Board created in Section 26B-1-420.
260          [(5)] (6) "Cannabis" means the same as that term is defined in Section 26B-4-201.
261          [(6)] (7) "Cannabis concentrate" means:
262          (a) the product of any chemical or physical process applied to naturally occurring
263     biomass that concentrates or isolates the cannabinoids contained in the biomass; and
264          (b) any amount of a natural cannabinoid or artificially derived cannabinoid in an
265     artificially derived cannabinoid's purified state.
266          [(7)] (8) "Cannabis cultivation byproduct" means any portion of a cannabis plant that is
267     not intended to be sold as a cannabis plant product.
268          [(8)] (9) "Cannabis cultivation facility" means a person that:
269          (a) possesses cannabis;
270          (b) grows or intends to grow cannabis; and
271          (c) sells or intends to sell cannabis to a cannabis cultivation facility, a cannabis
272     processing facility, or a medical cannabis research licensee.
273          [(9)] (10) "Cannabis cultivation facility agent" means an individual who:

274          holds a valid cannabis production establishment agent registration card with a cannabis
275     cultivation facility designation.
276          [(10)] (11) "Cannabis derivative product" means a product made using cannabis
277     concentrate.
278          [(11)] (12) "Cannabis plant product" means any portion of a cannabis plant intended to
279     be sold in a form that is recognizable as a portion of a cannabis plant.
280          [(12)] (13) "Cannabis processing facility" means a person that:
281          (a) acquires or intends to acquire cannabis from a cannabis production establishment;
282          (b) possesses cannabis with the intent to manufacture a cannabis product;
283          (c) manufactures or intends to manufacture a cannabis product from unprocessed
284     cannabis or a cannabis extract; and
285          (d) sells or intends to sell a cannabis product to a medical cannabis pharmacy or a
286     medical cannabis research licensee.
287          [(13)] (14) "Cannabis processing facility agent" means an individual who:
288          holds a valid cannabis production establishment agent registration card with a cannabis
289     processing facility designation.
290          [(14)] (15) "Cannabis product" means the same as that term is defined in Section
291     26B-4-201.
292          [(15)] (16) "Cannabis production establishment" means a cannabis cultivation facility,
293     a cannabis processing facility, or an independent cannabis testing laboratory.
294          [(16)] (17) "Cannabis production establishment agent" means a cannabis cultivation
295     facility agent, a cannabis processing facility agent, or an independent cannabis testing
296     laboratory agent.
297          [(17)] (18) "Cannabis production establishment agent registration card" means a
298     registration card that the department issues that:
299          (a) authorizes an individual to act as a cannabis production establishment agent; and
300          (b) designates the type of cannabis production establishment for which an individual is
301     authorized to act as an agent.
302          [(18)] (19) "Community location" means a public or private elementary or secondary
303     school, a church, a public library, a public playground, or a public park.
304          [(19)] (20) "Cultivation space" means, quantified in square feet, the horizontal area in

305     which a cannabis cultivation facility cultivates cannabis, including each level of horizontal area
306     if the cannabis cultivation facility hangs, suspends, stacks, or otherwise positions plants above
307     other plants in multiple levels.
308          [(20)] (21) "Delivery address" means:
309          (a) for a medical cannabis cardholder who is not a facility, the medical cannabis
310     cardholder's home address; or
311          (b) for a medical cannabis cardholder that is a facility, the facility's address.
312          [(21)] (22) "Department" means the Department of Agriculture and Food.
313          [(22)] (23) "Family member" means a parent, step-parent, spouse, child, sibling,
314     step-sibling, uncle, aunt, nephew, niece, first cousin, mother-in-law, father-in-law,
315     brother-in-law, sister-in-law, son-in-law, daughter-in-law, grandparent, or grandchild.
316          [(23)] (24) "Home delivery medical cannabis pharmacy" means a medical cannabis
317     pharmacy that the department authorizes, as part of the pharmacy's license, to deliver medical
318     cannabis shipments to a delivery address to fulfill electronic orders that the state central patient
319     portal facilitates.
320          [(24)] (25) (a) "Independent cannabis testing laboratory" means a person that:
321          (i) conducts a chemical or other analysis of cannabis or a cannabis product; or
322          (ii) acquires, possesses, and transports cannabis or a cannabis product with the intent to
323     conduct a chemical or other analysis of the cannabis or cannabis product.
324          (b) "Independent cannabis testing laboratory" includes a laboratory that the department
325     or a research university operates in accordance with Subsection 4-41a-201(14).
326          [(25)] (26) "Independent cannabis testing laboratory agent" means an individual who:
327          holds a valid cannabis production establishment agent registration card with an
328     independent cannabis testing laboratory designation.
329          [(26)] (27) "Inventory control system" means a system described in Section 4-41a-103.
330          [(27)] (28) "Licensing board" or "board" means the Cannabis Production Establishment
331     Licensing Advisory Board created in Section 4-41a-201.1.
332          [(28)] (29) "Medical cannabis" means the same as that term is defined in Section
333     26B-4-201.
334          [(29)] (30) "Medical cannabis card" means the same as that term is defined in Section
335     26B-4-201.

336          [(30)] (31) "Medical cannabis courier" means a courier that:
337          (a) the department licenses in accordance with Section 4-41a-1201; and
338          (b) contracts with a home delivery medical cannabis pharmacy to deliver medical
339     cannabis shipments to fulfill electronic orders that the state central patient portal facilitates.
340          [(31)] (32) "Medical cannabis courier agent" means an individual who:
341          (a) is an employee of a medical cannabis courier; and
342          (b) who holds a valid medical cannabis courier agent registration card.
343          [(32)] (33) "Medical cannabis pharmacy" means the same as that term is defined in
344     Section 26B-4-201.
345          [(33)] (34) "Medical cannabis pharmacy agent" means the same as that term is defined
346     in Section 26B-4-201.
347          [(34)] (35) "Medical cannabis research license" means a license that the department
348     issues to a research university for the purpose of obtaining and possessing medical cannabis for
349     academic research.
350          [(35)] (36) "Medical cannabis research licensee" means a research university that the
351     department licenses to obtain and possess medical cannabis for academic research, in
352     accordance with Section 4-41a-901.
353          [(36)] (37) "Medical cannabis shipment" means a shipment of medical cannabis or a
354     medical cannabis product that a home delivery medical cannabis pharmacy or a medical
355     cannabis courier delivers to a delivery address to fulfill an electronic medical cannabis order
356     that the state central patient portal facilitates.
357          [(37)] (38) "Medical cannabis treatment" means the same as that term is defined in
358     Section 26B-4-201.
359          [(38)] (39) "Medicinal dosage form" means the same as that term is defined in Section
360     26B-4-201.
361          [(39)] (40) "Pharmacy medical provider" means the same as that term is defined in
362     Section 26B-4-201.
363          [(40)] (41) "Qualified medical provider" means the same as that term is defined in
364     Section 26B-4-201.
365          [(41)] (42) "Qualified Production Enterprise Fund" means the fund created in Section
366     4-41a-104.

367          [(42)] (43) "Recommending medical provider" means the same as that term is defined
368     in Section 26B-4-201.
369          [(43)] (44) "Research university" means the same as that term is defined in Section
370     53B-7-702 and a private, nonprofit college or university in the state that:
371          (a) is accredited by the Northwest Commission on Colleges and Universities;
372          (b) grants doctoral degrees; and
373          (c) has a laboratory containing or a program researching a schedule I controlled
374     substance described in Section 58-37-4.
375          [(44)] (45) "State electronic verification system" means the system described in Section
376     26B-4-202.
377          (46) "Targeted marketing" means the promotion by a medical cannabis pharmacy of a
378     medical cannabis product, medical cannabis brand, or a medical cannabis device using any of
379     the following methods:
380          (a) electronic communication to an individual who is at least 21 years old and has
381     requested to receive promotional information from the medical cannabis pharmacy;
382          (b) an in-person marketing event that is:
383          (i) held inside a medical cannabis pharmacy; and
384          (ii) in an area where only a medical cannabis cardholder may access the event; or
385          (c) other marketing material that is physically available or digitally displayed in:
386          (i) a medical cannabis pharmacy; and
387          (ii) an area where only a medical cannabis cardholder has access.
388          [(45)] (47) "Tetrahydrocannabinol" or "THC" means the same as that term is defined in
389     Section 4-41-102.
390          [(46)] (48) "THC analog" means the same as that term is defined in Section 4-41-102.
391          [(47)] (49) "Total composite tetrahydrocannabinol" means all detectable forms of
392     tetrahydrocannabinol.
393          [(48)] (50) "Total tetrahydrocannabinol" or "total THC" means the same as that term is
394     defined in Section 4-41-102.
395          Section 2. Section 4-41a-1001 is amended to read:
396          4-41a-1001. Medical cannabis pharmacy -- License -- Eligibility.
397          (1) A person may not operate as a medical cannabis pharmacy without a license that

398     the department issues under this part.
399          (2) (a) (i) Subject to Subsections (4) and (5) and to Section 4-41a-1005, the department
400     shall issue a license to operate a medical cannabis pharmacy in accordance with Title 63G,
401     Chapter 6a, Utah Procurement Code.
402          (ii) The department may not issue a license to operate a medical cannabis pharmacy to
403     an applicant who is not eligible for a license under this section.
404          (b) An applicant is eligible for a license under this section if the applicant submits to
405     the department:
406          (i) subject to Subsection (2)(c), a proposed name and address where the applicant will
407     operate the medical cannabis pharmacy;
408          (ii) the name and address of an individual who:
409          (A) for a publicly traded company, has a financial or voting interest of 10% or greater
410     in the proposed medical cannabis pharmacy;
411          (B) for a privately held company, a financial or voting interest in the proposed medical
412     cannabis pharmacy; or
413          (C) has the power to direct or cause the management or control of a proposed medical
414     cannabis pharmacy;
415          (iii) for each application that the applicant submits to the department, a statement from
416     the applicant that the applicant will obtain and maintain:
417          (A) a performance bond in the amount of $100,000 issued by a surety authorized to
418     transact surety business in the state; or
419          (B) a liquid cash account in the amount of $100,000 with a financial institution;
420          (iv) an operating plan that:
421          (A) complies with Section 4-41a-1004;
422          (B) includes operating procedures to comply with the operating requirements for a
423     medical cannabis pharmacy described in this part and with a relevant municipal or county law
424     that is consistent with Section 4-41a-1106; and
425          (C) the department approves;
426          (v) an application fee in an amount that, subject to Subsection 4-41a-104(5), the
427     department sets in accordance with Section 63J-1-504; and
428          (vi) a description of any investigation or adverse action taken by any licensing

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

460          (4) The department may not issue a license to operate a medical cannabis pharmacy to
461     an applicant if an individual described in Subsection (2)(b)(ii):
462          (a) has been convicted under state or federal law of:
463          (i) a felony; or
464          (ii) after December 3, 2018, a misdemeanor for drug distribution;
465          (b) is younger than 21 years old; or
466          (c) after September 23, 2019, until January 1, 2023, is actively serving as a legislator.
467          (5) (a) If an applicant for a medical cannabis pharmacy license under this section holds
468     another license under this chapter, the department may not give preference to the applicant
469     based on the applicant's status as a holder of the license.
470          (b) If an applicant for a medical cannabis pharmacy license under this section holds a
471     license to operate a cannabis cultivation facility under this section, the department may give
472     consideration to the applicant's status as a holder of the license if:
473          (i) the applicant demonstrates that a decrease in costs to patients is more likely to result
474     from the applicant's vertical integration than from a more competitive marketplace; and
475          (ii) the department finds multiple other factors, in addition to the existing license, that
476     support granting the new license.
477          (6) [(a)] The department may revoke a license under this part:
478          [(i)] (a) if the medical cannabis pharmacy does not begin operations within one year
479     after the day on which the department issues an announcement of the department's intent to
480     award a license to the medical cannabis pharmacy;
481          [(ii)] (b) after the third the same violation of this chapter in any of the licensee's
482     licensed cannabis production establishments or medical cannabis pharmacies;
483          [(iii)] (c) if an individual described in Subsection (2)(b)(ii) is convicted, while the
484     license is active, under state or federal law of:
485          [(A)] (i) a felony; or
486          [(B)] (ii) after December 3, 2018, a misdemeanor for drug distribution;
487          [(iv)] (d) if the licensee fails to provide the information described in Subsection
488     (2)(b)(vi) at the time of application, or fails to supplement the information described in
489     Subsection (2)(b)(vi) with any investigation or adverse action that occurs after the submission
490     of the application within 14 calendar days after the licensee receives notice of the investigation

491     or adverse action;
492          [(v)] (e) if the medical cannabis pharmacy demonstrates a willful or reckless disregard
493     for the requirements of this chapter or the rules the department makes in accordance with this
494     chapter; or
495          [(vi)] (f) if, after a change of ownership described in Subsection (11)(c), the
496     department determines that the medical cannabis pharmacy no longer meets the minimum
497     standards for licensure and operation of the medical cannabis pharmacy described in this
498     chapter.
499          [(b) The department shall rescind a notice of an intent to issue a license under this part
500     to an applicant or revoke a license issued under this part if the associated medical cannabis
501     pharmacy does not begin operation on or before June 1, 2021.]
502          (7) (a) A person who receives a medical cannabis pharmacy license under this chapter,
503     if the municipality or county where the licensed medical cannabis pharmacy will be located
504     requires a local land use permit, shall submit to the department a copy of the licensee's
505     approved application for the land use permit within 120 days after the day on which the
506     department issues the license.
507          (b) If a licensee fails to submit to the department a copy the licensee's approved land
508     use permit application in accordance with Subsection (7)(a), the department may revoke the
509     licensee's license.
510          (8) The department shall deposit the proceeds of a fee imposed by this section into the
511     Qualified Production Enterprise Fund.
512          (9) The department shall begin accepting applications under this part on or before
513     March 1, 2020.
514          (10) (a) The department's authority to issue a license under this section is plenary and is
515     not subject to review.
516          (b) Notwithstanding Subsection (2), the decision of the department to award a license
517     to an applicant is not subject to:
518          (i) Title 63G, Chapter 6a, Part 16, Protests; or
519          (ii) Title 63G, Chapter 6a, Part 17, Procurement Appeals Board.
520          (11) (a) A medical cannabis pharmacy license is not transferrable or assignable.
521          (b) A medical cannabis pharmacy shall report in writing to the department no later than

522     10 business days before the date of any change of ownership of the medical cannabis
523     pharmacy.
524          (c) If the ownership of a medical cannabis pharmacy changes by 50% or more:
525          (i) concurrent with the report described in Subsection (11)(b), the medical cannabis
526     pharmacy shall submit a new application described in Subsection (2)(b), subject to Subsection
527     (2)(c);
528          (ii) within 30 days of the submission of the application, the department shall:
529          (A) conduct an application review; and
530          (B) award a license to the medical cannabis pharmacy for the remainder of the term of
531     the medical cannabis pharmacy's license before the ownership change if the medical cannabis
532     pharmacy meets the minimum standards for licensure and operation of the medical cannabis
533     pharmacy described in this chapter; and
534          (iii) if the department approves the license application, notwithstanding Subsection (3),
535     the medical cannabis pharmacy shall pay a license fee that the department sets in accordance
536     with Section 63J-1-504 in an amount that covers the board's cost of conducting the application
537     review.
538          Section 3. Section 4-41a-1102 is amended to read:
539          4-41a-1102. Dispensing -- Amount a medical cannabis pharmacy may dispense --
540     Reporting -- Form of cannabis or cannabis product.
541          (1) (a) A medical cannabis pharmacy may not sell a product other than:
542          (i) cannabis in a medicinal dosage form that the medical cannabis pharmacy acquired
543     from another medical cannabis pharmacy or a cannabis processing facility that is licensed
544     under Section 4-41a-201;
545          (ii) a cannabis product in a medicinal dosage form that the medical cannabis pharmacy
546     acquired from another medical cannabis pharmacy or a cannabis processing facility that is
547     licensed under Section 4-41a-201;
548          (iii) a medical cannabis device; or
549          (iv) educational material related to the medical use of cannabis.
550          (b) A medical cannabis pharmacy may only sell an item listed in Subsection (1)(a) to
551     an individual with:
552          (i) (A) a medical cannabis card; or

553          (B) a Department of Health and Human Services registration described in Subsection
554     26B-4-213(10); and
555          (ii) a corresponding government issued photo identification.
556          (c) Notwithstanding Subsection (1)(a), a medical cannabis pharmacy may not sell a
557     cannabis-based drug that the United States Food and Drug Administration has approved.
558          (d) Notwithstanding Subsection (1)(b), a medical cannabis pharmacy may not sell a
559     medical cannabis device or medical cannabis product to an individual described in Subsection
560     26B-4-213(2)(a)(i)(B) or to a minor described in Subsection 26B-4-213(2)(c) unless the
561     individual or minor has the approval of the Compassionate Use Board in accordance with
562     Subsection 26B-1-421(5).
563          (2) A medical cannabis pharmacy:
564          (a) may dispense to a medical cannabis cardholder, in any one 28-day period, up to the
565     legal dosage limit of:
566          (i) unprocessed cannabis that:
567          (A) is in a medicinal dosage form; and
568          (B) carries a label clearly displaying the amount of tetrahydrocannabinol and
569     cannabidiol in the cannabis; and
570          (ii) a cannabis product that is in a medicinal dosage form; and
571          (b) may not dispense:
572          (i) more medical cannabis than described in Subsection (2)(a); or
573          (ii) any medical cannabis to an individual whose recommending medical provider did
574     not recommend directions of use and dosing guidelines, until the individual consults with the
575     pharmacy medical provider in accordance with Subsection 26B-4-231(5) [any medical
576     cannabis].
577          (3) (a) A medical cannabis pharmacy shall:
578          (i) (A) access the state electronic verification system before dispensing cannabis or a
579     cannabis product to a medical cannabis cardholder in order to determine if the cardholder or,
580     where applicable, the associated patient has met the maximum amount of medical cannabis
581     described in Subsection (2); and
582          (B) if the verification in Subsection (3)(a)(i) indicates that the individual has met the
583     maximum amount described in Subsection (2), decline the sale, and notify the recommending

584     medical provider who made the underlying recommendation;
585          (ii) submit a record to the state electronic verification system each time the medical
586     cannabis pharmacy dispenses medical cannabis to a medical cannabis cardholder;
587          (iii) ensure that the pharmacy medical provider who is a licensed pharmacist reviews
588     each medical cannabis transaction before dispensing the medical cannabis to the cardholder in
589     accordance with pharmacy practice standards;
590          (iv) package any medical cannabis that is in a container that:
591          (A) complies with Subsection 4-41a-602(1)(b) or, if applicable, provisions related to a
592     container for unprocessed cannabis flower in the definition of "medicinal dosage form" in
593     Section 26B-4-201;
594          (B) is tamper-resistant and tamper-evident; and
595          (C) provides an opaque bag or box for the medical cannabis cardholder's use in
596     transporting the container in public;
597          (v) for a product that is a cube that is designed for ingestion through chewing or
598     holding in the mouth for slow dissolution, include a separate, off-label warning about the risks
599     of over-consumption; and
600          (vi) beginning January 1, 2024, for a cannabis product that is cannabis flower,
601     vaporizer cartridges, or concentrate, provide the product's terpene profiles collected under
602     Subsection 4-41a-602(4) at or before the point of sale.
603          (b) A medical cannabis cardholder transporting or possessing the container described
604     in Subsection (3)(a)(iv) in public shall keep the container within the opaque bag or box that the
605     medical cannabis pharmacist provides.
606          (4) (a) Except as provided in Subsection (4)(b), a medical cannabis pharmacy may not
607     sell medical cannabis in the form of a cigarette or a medical cannabis device that is
608     intentionally designed or constructed to resemble a cigarette.
609          (b) A medical cannabis pharmacy may sell a medical cannabis device that warms
610     cannabis material into a vapor without the use of a flame and that delivers cannabis to an
611     individual's respiratory system.
612          (5) (a) A medical cannabis pharmacy may not give, at no cost, a product that the
613     medical cannabis pharmacy is allowed to sell under Subsection (1)(a)(i), (ii), or (iii).
614          (b) A medical cannabis pharmacy may give, at no cost, educational material related to

615     the medical use of cannabis.
616          (6) A medical cannabis pharmacy may purchase and store medical cannabis devices
617     regardless of whether the seller has a cannabis-related license under this chapter or Title 26B,
618     Utah Health and Human Services Code.
619          Section 4. Section 4-41a-1202 is amended to read:
620          4-41a-1202. Home delivery of medical cannabis shipments -- Medical cannabis
621     couriers -- License.
622          (1) The department shall make rules, in accordance with Title 63G, Chapter 3, Utah
623     Administrative Rulemaking Act, to ensure the safety, security, and efficiency of a home
624     delivery medical cannabis pharmacy's fulfillment of electronic medical cannabis orders that the
625     state central patient portal facilitates, including rules regarding the safe and controlled delivery
626     of medical cannabis shipments.
627          (2) A person may not operate as a medical cannabis courier without a license that the
628     department issues under this section.
629          (3) (a) Subject to Subsections (5) and (6), the department shall issue a license to
630     operate as a medical cannabis courier to an applicant who is eligible for a license under this
631     section.
632          (b) An applicant is eligible for a license under this section if the applicant submits to
633     the department:
634          (i) the name and address of an individual who:
635          (A) has a financial or voting interest of 10% or greater in the proposed medical
636     cannabis courier; or
637          (B) has the power to direct or cause the management or control of a proposed cannabis
638     production establishment;
639          (ii) an operating plan that includes operating procedures to comply with the operating
640     requirements for a medical cannabis courier described in this chapter; and
641          (iii) an application fee in an amount that, subject to Subsection 4-41a-104(5), the
642     department sets in accordance with Section 63J-1-504.
643          (4) If the department determines that an applicant is eligible for a license under this
644     section, the department shall:
645          (a) charge the applicant an initial license fee in an amount that, subject to Subsection

646     4-41a-104(5), the department sets in accordance with Section 63J-1-504; and
647          (b) notify the Department of Public Safety of the license approval and the names of
648     each individual described in Subsection (3)(b)(i).
649          (5) The department may not issue a license to operate as a medical cannabis courier to
650     an applicant if an individual described in Subsection (3)(b)(i):
651          (a) has been convicted under state or federal law of:
652          (i) a felony; or
653          (ii) after September 23, 2019, a misdemeanor for drug distribution; or
654          (b) is younger than 21 years old.
655          (6) The department may revoke a license under this part if:
656          (a) the medical cannabis courier does not begin operations within one year after the day
657     on which the department issues the initial license;
658          (b) the medical cannabis courier makes the same violation of this chapter three times;
659          (c) an individual described in Subsection (3)(b)(i) is convicted, while the license is
660     active, under state or federal law of:
661          (i) a felony; or
662          (ii) after September 23, 2019, a misdemeanor for drug distribution; or
663          (d) after a change of ownership described in Subsection (15)(c), the department
664     determines that the medical cannabis courier no longer meets the minimum standards for
665     licensure and operation of the medical cannabis courier described in this chapter.
666          (7) The department shall deposit the proceeds of a fee imposed by this section in the
667     Qualified Production Enterprise Fund.
668          [(8) The department shall begin accepting applications under this section on or before
669     July 1, 2020.]
670          [(9)] (8) The department's authority to issue a license under this section is plenary and
671     is not subject to review.
672          [(10)] (9) Each applicant for a license as a medical cannabis courier shall submit, at the
673     time of application, from each individual who has a financial or voting interest of 10% or
674     greater in the applicant or who has the power to direct or cause the management or control of
675     the applicant:
676          (a) a fingerprint card in a form acceptable to the Department of Public Safety;

677          (b) a signed waiver in accordance with Subsection 53-10-108(4) acknowledging the
678     registration of the individual's fingerprints in the Federal Bureau of Investigation Next
679     Generation Identification System's Rap Back Service; and
680          (c) consent to a fingerprint background check by:
681          (i) the Bureau of Criminal Identification; and
682          (ii) the Federal Bureau of Investigation.
683          [(11)] (10) The Bureau of Criminal Identification shall:
684          (a) check the fingerprints the applicant submits under Subsection [(10)] (9) against the
685     applicable state, regional, and national criminal records databases, including the Federal
686     Bureau of Investigation Next Generation Identification System;
687          (b) report the results of the background check to the department;
688          (c) maintain a separate file of fingerprints that applicants submit under Subsection
689     [(10)] (9) for search by future submissions to the local and regional criminal records databases,
690     including latent prints;
691          (d) request that the fingerprints be retained in the Federal Bureau of Investigation Next
692     Generation Identification System's Rap Back Service for search by future submissions to
693     national criminal records databases, including the Next Generation Identification System and
694     latent prints; and
695          (e) establish a privacy risk mitigation strategy to ensure that the department only
696     receives notifications for an individual with whom the department maintains an authorizing
697     relationship.
698          [(12)] (11) The department shall:
699          (a) assess an individual who submits fingerprints under Subsection [(10)] (9) a fee in
700     an amount that the department sets in accordance with Section 63J-1-504 for the services that
701     the Bureau of Criminal Identification or another authorized agency provides under this section;
702     and
703          (b) remit the fee described in Subsection [(12)(a)] (11)(a) to the Bureau of Criminal
704     Identification.
705          [(13)] (12) The department shall renew a license under this section every year if, at the
706     time of renewal:
707          (a) the licensee meets the requirements of this section; and

708          (b) the licensee pays the department a license renewal fee in an amount that, subject to
709     Subsection 4-41a-104(5), the department sets in accordance with Section 63J-1-504.
710          [(14)] (13) A person applying for a medical cannabis courier license shall submit to the
711     department a proposed operating plan that complies with this section and that includes:
712          (a) a description of the physical characteristics of any proposed facilities, including a
713     floor plan and an architectural elevation, and delivery vehicles;
714          (b) a description of the credentials and experience of each officer, director, or owner of
715     the proposed medical cannabis courier;
716          (c) the medical cannabis courier's employee training standards;
717          (d) a security plan; and
718          (e) storage and delivery protocols, both short and long term, to ensure that medical
719     cannabis shipments are stored and delivered in a manner that is sanitary and preserves the
720     integrity of the cannabis.
721          [(15)] (14) (a) A medical cannabis courier license is not [transferrable] transferable or
722     assignable.
723          (b) A medical cannabis courier shall report in writing to the department no later than
724     10 business days before the date of any change of ownership of the medical cannabis courier.
725          (c) If the ownership of a medical cannabis courier changes by 50% or more:
726          (i) concurrent with the report described in Subsection [(15)(b)] (14)(b), the medical
727     cannabis courier shall submit a new application described in Subsection (3)(b);
728          (ii) within 30 days of the submission of the application, the department shall:
729          (A) conduct an application review; and
730          (B) award a license to the medical cannabis courier for the remainder of the term of the
731     medical cannabis courier's license before the ownership change if the medical cannabis courier
732     meets the minimum standards for licensure and operation of the medical cannabis courier
733     described in this chapter; and
734          (iii) if the department approves the license application, notwithstanding Subsection (4),
735     the medical cannabis courier shall pay a license fee that the department sets in accordance with
736     Section 63J-1-504 in an amount that covers the board's cost of conducting the application
737     review.
738          [(16)] (15) (a) Except as provided in Subsection(16)(b), a person may not advertise

739     regarding the transportation of medical cannabis.
740          (b) Notwithstanding Subsection [(15)(a)] (14)(a) and subject to Section 4-41a-109, a
741     licensed home delivery medical cannabis pharmacy or a licensed medical cannabis courier may
742     advertise:
743          (i) a green cross;
744          (ii) the pharmacy's or courier's name and logo; and
745          (iii) that the pharmacy or courier is licensed to transport medical cannabis shipments.
746          Section 5. Section 17-43-203 is amended to read:
747          17-43-203. Definition of "public funds" -- Responsibility for oversight of public
748     funds -- Substance abuse programs and services.
749          (1) As used in this section, "public funds":
750          (a) means:
751          (i) federal money received from the department or the [Department of Health]
752     Department of Health and Human Services; and
753          (ii) state money appropriated by the Legislature to the department, the [Department of
754     Health] Department of Health and Human Services, a county governing body, or a local
755     substance abuse authority for the purposes of providing substance abuse programs or services;
756     and
757          (b) includes that federal and state money:
758          (i) even after the money has been transferred by a local substance abuse authority to a
759     private provider under an annual or otherwise ongoing contract to provide comprehensive
760     substance abuse programs or services for the local substance abuse authority; and
761          (ii) while in the possession of the private provider.
762          (2) Each local substance abuse authority is responsible for oversight of all public funds
763     received by it, to determine that those public funds are utilized in accordance with federal and
764     state law, the rules and policies of the department and the [Department of Health] Department
765     of Health and Human Services, and the provisions of any contract between the local substance
766     abuse authority and the department, the [Department of Health] Department of Health and
767     Human Services, or a private provider. That oversight includes requiring that neither the
768     contract provider, as described in Subsection (1), nor any of its employees:
769          (a) violate any applicable federal or state criminal law;

770          (b) knowingly violate any applicable rule or policy of the department or [Department
771     of Health] Department of Health and Human Services, or any provision of contract between the
772     local substance abuse authority and the department, the [Department of Health] Department of
773     Health and Human Services, or the private provider;
774          (c) knowingly keep any false account or make any false entry or erasure in any account
775     of or relating to the public funds;
776          (d) fraudulently alter, falsify, conceal, destroy, or obliterate any account of or relating
777     to public funds;
778          (e) fail to ensure competent oversight for lawful disbursement of public funds;
779          (f) appropriate public funds for an unlawful use or for a use that is not in compliance
780     with contract provisions; or
781          (g) knowingly or intentionally use public funds unlawfully or in violation of a
782     governmental contract provision, or in violation of state policy.
783          (3) Each local substance abuse authority that knows or reasonably should know of any
784     of the circumstances described in Subsection (2), and that fails or refuses to take timely
785     corrective action in good faith shall, in addition to any other penalties provided by law, be
786     required to make full and complete repayment to the state of all public funds improperly used
787     or expended.
788          (4) Any public funds required to be repaid to the state by a local substance abuse
789     authority under Subsection (3), based upon the actions or failure of the contract provider, may
790     be recovered by the local substance abuse authority from its contract provider, in addition to
791     the local substance abuse authority's costs and attorney's fees.
792          Section 6. Section 17-43-301 is amended to read:
793          17-43-301. Local mental health authorities -- Responsibilities.
794          (1) As used in this section:
795          (a) "Assisted outpatient treatment" means the same as that term is defined in Section
796     26B-5-301.
797          (b) "Crisis worker" means the same as that term is defined in Section 26B-5-610.
798          (c) "Local mental health crisis line" means the same as that term is defined in Section
799     26B-5-610.
800          (d) "Mental health therapist" means the same as that term is defined in Section

801     58-60-102.
802          (e) "Public funds" means the same as that term is defined in Section 17-43-303.
803          (f) "Statewide mental health crisis line" means the same as that term is defined in
804     Section 26B-5-610.
805          (2) (a) (i) In each county operating under a county executive-council form of
806     government under Section 17-52a-203, the county legislative body is the local mental health
807     authority, provided however that any contract for plan services shall be administered by the
808     county executive.
809          (ii) In each county operating under a council-manager form of government under
810     Section 17-52a-204, the county manager is the local mental health authority.
811          (iii) In each county other than a county described in Subsection (2)(a)(i) or (ii), the
812     county legislative body is the local mental health authority.
813          (b) Within legislative appropriations and county matching funds required by this
814     section, under the direction of the division, each local mental health authority shall:
815          (i) provide mental health services to individuals within the county; and
816          (ii) cooperate with efforts of the division to promote integrated programs that address
817     an individual's substance use, mental health, and physical healthcare needs, as described in
818     Section 26B-5-102.
819          (c) Within legislative appropriations and county matching funds required by this
820     section, each local mental health authority shall cooperate with the efforts of the department to
821     promote a system of care, as defined in Section [26B-1-102] 26B-5-101, for minors with or at
822     risk for complex emotional and behavioral needs, as described in Section 26B-1-202.
823          (3) (a) By executing an interlocal agreement under Title 11, Chapter 13, Interlocal
824     Cooperation Act, two or more counties may join to:
825          (i) provide mental health prevention and treatment services; or
826          (ii) create a united local health department that combines substance use treatment
827     services, mental health services, and local health department services in accordance with
828     Subsection (4).
829          (b) The legislative bodies of counties joining to provide services may establish
830     acceptable ways of apportioning the cost of mental health services.
831          (c) Each agreement for joint mental health services shall:

832          (i) (A) designate the treasurer of one of the participating counties or another person as
833     the treasurer for the combined mental health authorities and as the custodian of money
834     available for the joint services; and
835          (B) provide that the designated treasurer, or other disbursing officer authorized by the
836     treasurer, may make payments from the money available for the joint services upon audit of the
837     appropriate auditing officer or officers representing the participating counties;
838          (ii) provide for the appointment of an independent auditor or a county auditor of one of
839     the participating counties as the designated auditing officer for the combined mental health
840     authorities;
841          (iii) (A) provide for the appointment of the county or district attorney of one of the
842     participating counties as the designated legal officer for the combined mental health
843     authorities; and
844          (B) authorize the designated legal officer to request and receive the assistance of the
845     county or district attorneys of the other participating counties in defending or prosecuting
846     actions within their counties relating to the combined mental health authorities; and
847          (iv) provide for the adoption of management, clinical, financial, procurement,
848     personnel, and administrative policies as already established by one of the participating
849     counties or as approved by the legislative body of each participating county or interlocal board.
850          (d) An agreement for joint mental health services may provide for:
851          (i) joint operation of services and facilities or for operation of services and facilities
852     under contract by one participating local mental health authority for other participating local
853     mental health authorities; and
854          (ii) allocation of appointments of members of the mental health advisory council
855     between or among participating counties.
856          (4) A county governing body may elect to combine the local mental health authority
857     with the local substance abuse authority created in Part 2, Local Substance Abuse Authorities,
858     and the local health department created in Title 26A, Chapter 1, Part 1, Local Health
859     Department Act, to create a united local health department under Section 26A-1-105.5. A local
860     mental health authority that joins with a united local health department shall comply with this
861     part.
862          (5) (a) Each local mental health authority is accountable to the department and the state

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

894          (x) provide funding equal to at least 20% of the state funds that it receives to fund
895     services described in the plan;
896          (xi) comply with the requirements and procedures of Title 11, Chapter 13, Interlocal
897     Cooperation Act, Title 17B, Chapter 1, Part 6, Fiscal Procedures for Special Districts, and Title
898     51, Chapter 2a, Accounting Reports from Political Subdivisions, Interlocal Organizations, and
899     Other Local Entities Act; and
900          (xii) take and retain physical custody of minors committed to the physical custody of
901     local mental health authorities by a judicial proceeding under Title 26B, Chapter 5, Part 4,
902     Commitment of Persons Under Age 18.
903          (b) Each plan under Subsection (6)(a)(ii) shall include services for adults, youth, and
904     children, which shall include:
905          (i) inpatient care and services;
906          (ii) residential care and services;
907          (iii) outpatient care and services;
908          (iv) 24-hour crisis care and services;
909          (v) psychotropic medication management;
910          (vi) psychosocial rehabilitation, including vocational training and skills development;
911          (vii) case management;
912          (viii) community supports, including in-home services, housing, family support
913     services, and respite services;
914          (ix) consultation and education services, including case consultation, collaboration
915     with other county service agencies, public education, and public information; and
916          (x) services to persons incarcerated in a county jail or other county correctional facility.
917          (7) (a) If a local mental health authority provides for a local mental health crisis line
918     under the plan for 24-hour crisis care and services described in Subsection (6)(b)(iv), the local
919     mental health authority shall:
920          (i) collaborate with the statewide mental health crisis line described in Section
921     26B-5-610;
922          (ii) ensure that each individual who answers calls to the local mental health crisis line:
923          (A) is a mental health therapist or a crisis worker; and
924          (B) meets the standards of care and practice established by the Division of Integrated

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

956     materials, contributions, and any benefit derived therefrom, for mental health services. If those
957     gifts are conditioned upon their use for a specified service or program, they shall be so used.
958          (10) Public funds received for the provision of services pursuant to the local mental
959     health plan may not be used for any other purpose except those authorized in the contract
960     between the local mental health authority and the provider for the provision of plan services.
961          (11) A local mental health authority shall provide assisted outpatient treatment
962     services, as described in Section 26B-5-350, to a resident of the county who has been ordered
963     under Section 26B-5-351 to receive assisted outpatient treatment.
964          Section 7. Section 26A-1-112 is amended to read:
965          26A-1-112. Appointment of personnel.
966          (1) All local health department personnel shall be hired by the local health officer or
967     the local health officer's designee in accordance with the merit system, personnel policies, and
968     compensation plans approved by the board and ratified pursuant to Subsection (2). The
969     personnel shall have qualifications for their positions equivalent to those approved for
970     comparable positions in the Departments of [Health] Health and Human Services and
971     Environmental Quality.
972          (2) The merit system, personnel policies, and compensation plans approved under
973     Subsection (1) shall be ratified by all the counties participating in the local health department.
974          (3) Subject to the local merit system, employees of the local health department may be
975     removed by the local health officer for cause. A hearing shall be granted if requested by the
976     employee.
977          Section 8. Section 26A-1-113 is amended to read:
978          26A-1-113. Right of entry to regulated premises by representatives for inspection.
979          (1) Upon presenting proper identification, authorized representatives of local health
980     departments may enter upon the premises of properties regulated by local health departments to
981     perform routine inspections to insure compliance with rules, standards, regulations, and
982     ordinances as adopted by the Departments of [Health] Health and Human Services and
983     Environmental Quality, local boards of health, county or municipal governing bodies, or
984     administered by the Division of Professional Licensing under Title 15A, Chapter 1, Part 2,
985     State Construction Code Administration Act.
986          (2) Section 58-56-9 does not apply to health inspectors acting under this section.

987          (3) This section does not authorize local health departments to inspect private
988     dwellings.
989          Section 9. Section 26A-1-120 is amended to read:
990          26A-1-120. County attorney or district attorney to represent and advise
991     department, board, officers, and employees.
992          (1) Except as otherwise provided in this section, the county attorney of the county in
993     which the headquarters of the local health department is located shall serve as legal advisor to
994     the local health department in all civil matters involving the local health department.
995          (2) The county attorney of the county where a civil claim arises shall bring any action
996     requested by a local health department to abate a condition that exists in violation of, or to
997     restrain or enjoin any action which is in violation of the public health laws and rules of the
998     Departments of [Health] Health and Human Services and Environmental Quality, the
999     standards, regulations, orders, and notices, of a local health department, and other laws,
1000     ordinances, and rules pertaining to health and sanitary matters.
1001          (3) (a) The district attorney or county attorney having criminal jurisdiction shall
1002     prosecute criminal violations of the public health laws and rules of the Departments of [Health]
1003     Health and Human Services and Environmental Quality, the standards, regulations, orders, and
1004     notices, of a local health department, and other laws and rules pertaining to health and sanitary
1005     matters.
1006          (b) Violations of local ordinances relating to public health matters shall be prosecuted
1007     by the prosecuting attorney of the jurisdiction enacting the ordinance.
1008          (4) The county attorney of a county where an action arises shall, if requested by the
1009     county attorney designated in Subsection (1):
1010          (a) act as legal adviser to the local health department and the board with respect to the
1011     action; and
1012          (b) defend all actions and proceedings brought in that county against the local health
1013     department, the board, or the officers and employees of the local health department.
1014          Section 10. Section 26B-1-202 is amended to read:
1015          26B-1-202. Department authority and duties.
1016          The department may, subject to applicable restrictions in state law and in addition to all
1017     other authority and responsibility granted to the department by law:

1018          (1) adopt rules, in accordance with Title 63G, Chapter 3, Utah Administrative
1019     Rulemaking Act, and not inconsistent with law, as the department may consider necessary or
1020     desirable for providing health and social services to the people of this state;
1021          (2) establish and manage client trust accounts in the department's institutions and
1022     community programs, at the request of the client or the client's legal guardian or representative,
1023     or in accordance with federal law;
1024          (3) purchase, as authorized or required by law, services that the department is
1025     responsible to provide for legally eligible persons;
1026          (4) conduct adjudicative proceedings for clients and providers in accordance with the
1027     procedures of Title 63G, Chapter 4, Administrative Procedures Act;
1028          (5) establish eligibility standards for the department's programs, not inconsistent with
1029     state or federal law or regulations;
1030          (6) take necessary steps, including legal action, to recover money or the monetary value
1031     of services provided to a recipient who was not eligible;
1032          (7) set and collect fees for the department's services;
1033          (8) license agencies, facilities, and programs, except as otherwise allowed, prohibited,
1034     or limited by law;
1035          (9) acquire, manage, and dispose of any real or personal property needed or owned by
1036     the department, not inconsistent with state law;
1037          (10) receive gifts, grants, devises, and donations; gifts, grants, devises, donations, or
1038     the proceeds thereof, may be credited to the program designated by the donor, and may be used
1039     for the purposes requested by the donor, as long as the request conforms to state and federal
1040     policy; all donated funds shall be considered private, nonlapsing funds and may be invested
1041     under guidelines established by the state treasurer;
1042          (11) accept and employ volunteer labor or services; the department is authorized to
1043     reimburse volunteers for necessary expenses, when the department considers that
1044     reimbursement to be appropriate;
1045          (12) carry out the responsibility assigned in the workforce services plan by the State
1046     Workforce Development Board;
1047          (13) carry out the responsibility assigned by [Section 62A-5a-105] Section 26B-1-430
1048     with respect to coordination of services for students with a disability;

1049          (14) provide training and educational opportunities for the department's staff;
1050          (15) collect child support payments and any other money due to the department;
1051          (16) apply the provisions of Title 78B, Chapter 12, Utah Child Support Act, to parents
1052     whose child lives out of the home in a department licensed or certified setting;
1053          (17) establish policy and procedures, within appropriations authorized by the
1054     Legislature, in cases where the Division of Child and Family Services or the [Division of
1055     Juvenile Justice Services] Division of Juvenile Justice and Youth Services is given custody of a
1056     minor by the juvenile court under Title 80, Utah Juvenile Code, or the department is ordered to
1057     prepare an attainment plan for a minor found not competent to proceed under Section
1058     80-6-403, including:
1059          (a) designation of interagency teams for each juvenile court district in the state;
1060          (b) delineation of assessment criteria and procedures;
1061          (c) minimum requirements, and timeframes, for the development and implementation
1062     of a collaborative service plan for each minor placed in department custody; and
1063          (d) provisions for submittal of the plan and periodic progress reports to the court;
1064          (18) carry out the responsibilities assigned to the department by statute;
1065          (19) examine and audit the expenditures of any public funds provided to a local
1066     substance abuse authority, a local mental health authority, a local area agency on aging, and any
1067     person, agency, or organization that contracts with or receives funds from those authorities or
1068     agencies. Those local authorities, area agencies, and any person or entity that contracts with or
1069     receives funds from those authorities or area agencies, shall provide the department with any
1070     information the department considers necessary. The department is further authorized to issue
1071     directives resulting from any examination or audit to a local authority, an area agency, and
1072     persons or entities that contract with or receive funds from those authorities with regard to any
1073     public funds. If the department determines that it is necessary to withhold funds from a local
1074     mental health authority or local substance abuse authority based on failure to comply with state
1075     or federal law, policy, or contract provisions, the department may take steps necessary to
1076     ensure continuity of services. For purposes of this Subsection (19) "public funds" means the
1077     same as that term is defined in Section [62A-15-102] 26B-5-101;
1078          (20) in accordance with Subsection 26B-2-104(1)(d), accredit one or more agencies
1079     and persons to provide intercountry adoption services;

1080          (21) within legislative appropriations, promote and develop a system of care and
1081     stabilization services:
1082          (a) in compliance with Title 63G, Chapter 6a, Utah Procurement Code; and
1083          (b) that encompasses the department, department contractors, and the divisions,
1084     offices, or institutions within the department, to:
1085          (i) navigate services, funding resources, and relationships to the benefit of the children
1086     and families whom the department serves;
1087          (ii) centralize department operations, including procurement and contracting;
1088          (iii) develop policies that govern business operations and that facilitate a system of care
1089     approach to service delivery;
1090          (iv) allocate resources that may be used for the children and families served by the
1091     department or the divisions, offices, or institutions within the department, subject to the
1092     restrictions in Section 63J-1-206;
1093          (v) create performance-based measures for the provision of services; and
1094          (vi) centralize other business operations, including data matching and sharing among
1095     the department's divisions, offices, and institutions;
1096          (22) ensure that any training or certification required of a public official or public
1097     employee, as those terms are defined in Section 63G-22-102, complies with Title 63G, Chapter
1098     22, State Training and Certification Requirements, if the training or certification is required:
1099          (a) under this title;
1100          (b) by the department; or
1101          (c) by an agency or division within the department;
1102          (23) enter into cooperative agreements with the Department of Environmental Quality
1103     to delineate specific responsibilities to assure that assessment and management of risk to
1104     human health from the environment are properly administered;
1105          (24) consult with the Department of Environmental Quality and enter into cooperative
1106     agreements, as needed, to ensure efficient use of resources and effective response to potential
1107     health and safety threats from the environment, and to prevent gaps in protection from potential
1108     risks from the environment to specific individuals or population groups;
1109          (25) to the extent authorized under state law or required by federal law, promote and
1110     protect the health and wellness of the people within the state;

1111          (26) establish, maintain, and enforce rules authorized under state law or required by
1112     federal law to promote and protect the public health or to prevent disease and illness;
1113          (27) investigate the causes of epidemic, infectious, communicable, and other diseases
1114     affecting the public health;
1115          (28) provide for the detection and reporting of communicable, infectious, acute,
1116     chronic, or any other disease or health hazard which the department considers to be dangerous,
1117     important, or likely to affect the public health;
1118          (29) collect and report information on causes of injury, sickness, death, and disability
1119     and the risk factors that contribute to the causes of injury, sickness, death, and disability within
1120     the state;
1121          (30) collect, prepare, publish, and disseminate information to inform the public
1122     concerning the health and wellness of the population, specific hazards, and risks that may affect
1123     the health and wellness of the population and specific activities which may promote and protect
1124     the health and wellness of the population;
1125          (31) abate nuisances when necessary to eliminate sources of filth and infectious and
1126     communicable diseases affecting the public health;
1127          (32) make necessary sanitary and health investigations and inspections in cooperation
1128     with local health departments as to any matters affecting the public health;
1129          (33) establish laboratory services necessary to support public health programs and
1130     medical services in the state;
1131          (34) establish and enforce standards for laboratory services which are provided by any
1132     laboratory in the state when the purpose of the services is to protect the public health;
1133          (35) cooperate with the Labor Commission to conduct studies of occupational health
1134     hazards and occupational diseases arising in and out of employment in industry, and make
1135     recommendations for elimination or reduction of the hazards;
1136          (36) cooperate with the local health departments, the Department of Corrections, the
1137     Administrative Office of the Courts, the [Division of Juvenile Justice Services] Division of
1138     Juvenile Justice and Youth Services, and the Crime Victim Reparations and Assistance Board
1139     to conduct testing for HIV infection of alleged sexual offenders, convicted sexual offenders,
1140     and any victims of a sexual offense;
1141          (37) investigate the causes of maternal and infant mortality;

1142          (38) establish, maintain, and enforce a procedure requiring the blood of adult
1143     pedestrians and drivers of motor vehicles killed in highway accidents be examined for the
1144     presence and concentration of alcohol, and provide the Commissioner of Public Safety with
1145     monthly statistics reflecting the results of these examinations, with necessary safeguards so that
1146     information derived from the examinations is not used for a purpose other than the compilation
1147     of these statistics;
1148          (39) establish qualifications for individuals permitted to draw blood under Subsection
1149     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
1150     issue permits to individuals the department finds qualified, which permits may be terminated or
1151     revoked by the department;
1152          (40) establish a uniform public health program throughout the state which includes
1153     continuous service, employment of qualified employees, and a basic program of disease
1154     control, vital and health statistics, sanitation, public health nursing, and other preventive health
1155     programs necessary or desirable for the protection of public health;
1156          (41) conduct health planning for the state;
1157          (42) monitor the costs of health care in the state and foster price competition in the
1158     health care delivery system;
1159          (43) establish methods or measures for health care providers, public health entities, and
1160     health care insurers to coordinate among themselves to verify the identity of the individuals the
1161     providers serve;
1162          (44) designate Alzheimer's disease and related dementia as a public health issue and,
1163     within budgetary limitations, implement a state plan for Alzheimer's disease and related
1164     dementia by incorporating the plan into the department's strategic planning and budgetary
1165     process;
1166          (45) coordinate with other state agencies and other organizations to implement the state
1167     plan for Alzheimer's disease and related dementia;
1168          (46) ensure that any training or certification required of a public official or public
1169     employee, as those terms are defined in Section 63G-22-102, complies with Title 63G, Chapter
1170     22, State Training and Certification Requirements, if the training or certification is required by
1171     the agency or under this [title, Title 26, Utah Health Code, or Title 62A, Utah Human Services
1172     Code] Title 26B, Utah Health and Human Services Code;

1173          (47) oversee public education vision screening as described in Section 53G-9-404; and
1174          (48) issue code blue alerts in accordance with Title 35A, Chapter 16, Part 7, Code Blue
1175     Alert.
1176          Section 11. Section 26B-1-204 (Superseded 07/01/24) is amended to read:
1177          26B-1-204 (Superseded 07/01/24). Creation of boards, divisions, and offices --
1178     Power to organize department.
1179          (1) The executive director shall make rules in accordance with Title 63G, Chapter 3,
1180     Utah Administrative Rulemaking Act, and not inconsistent with law for:
1181          (a) the administration and government of the department;
1182          (b) the conduct of the department's employees; and
1183          (c) the custody, use, and preservation of the records, papers, books, documents, and
1184     property of the department.
1185          (2) The following policymaking boards, councils, and committees are created within
1186     the Department of Health and Human Services:
1187          (a) Board of Aging and Adult Services;
1188          (b) Utah State Developmental Center Board;
1189          (c) Health Facility Committee;
1190          (d) State Emergency Medical Services Committee;
1191          (e) Air Ambulance Committee;
1192          (f) Health Data Committee;
1193          (g) Utah Health Care Workforce Financial Assistance Program Advisory Committee;
1194          (h) Child Care Provider Licensing Committee;
1195          (i) Primary Care Grant Committee;
1196          (j) Adult Autism Treatment Program Advisory Committee;
1197          (k) Youth Electronic Cigarette, Marijuana, and Other Drug Prevention Committee; and
1198          (l) any boards, councils, or committees that are created by statute in this title.
1199          (3) The following divisions are created within the Department of Health and Human
1200     Services:
1201          (a) relating to operations:
1202          (i) the Division of Finance and Administration;
1203          (ii) the Division of Licensing and Background Checks;

1204          (iii) the Division of Customer Experience;
1205          (iv) the Division of Data, Systems, and Evaluation; and
1206          (v) the Division of Continuous Quality and Improvement;
1207          (b) relating to healthcare administration:
1208          (i) the Division of Integrated Healthcare, which shall include responsibility for:
1209          (A) the state's medical assistance programs; and
1210          (B) behavioral health programs described in Chapter 5, Health Care - Substance Use
1211     and Mental Health;
1212          (ii) the Division of Aging and Adult Services; and
1213          (iii) the Division of Services for People with Disabilities; [and]
1214          (c) relating to community health and well-being:
1215          (i) the Division of Child and Family Services;
1216          (ii) the Division of Family Health;
1217          (iii) the Division of Population Health;
1218          (iv) the Division of Juvenile Justice and Youth Services; and
1219          (v) the Office of Recovery Services[.]; and
1220          (d) relating to clinical services, the Division of Health Access.
1221          (4) The executive director may establish offices [and bureaus] to facilitate management
1222     of the department as required by, and in accordance with this title.
1223          (5) From July 1, 2022, through June 30, 2023, the executive director may adjust the
1224     organizational structure relating to the department, including the organization of the
1225     department's divisions and offices, notwithstanding the organizational structure described in
1226     this title.
1227          Section 12. Section 26B-1-204 (Effective 07/01/24) is amended to read:
1228          26B-1-204 (Effective 07/01/24). Creation of boards, divisions, and offices -- Power
1229     to organize department.
1230          (1) The executive director shall make rules in accordance with Title 63G, Chapter 3,
1231     Utah Administrative Rulemaking Act, and not inconsistent with law for:
1232          (a) the administration and government of the department;
1233          (b) the conduct of the department's employees; and
1234          (c) the custody, use, and preservation of the records, papers, books, documents, and

1235     property of the department.
1236          (2) The following policymaking boards, councils, and committees are created within
1237     the Department of Health and Human Services:
1238          (a) Board of Aging and Adult Services;
1239          (b) Utah State Developmental Center Board;
1240          (c) Health Facility Committee;
1241          (d) Health Data Committee;
1242          (e) Utah Health Care Workforce Financial Assistance Program Advisory Committee;
1243          (f) Child Care Provider Licensing Committee;
1244          (g) Primary Care Grant Committee;
1245          (h) Adult Autism Treatment Program Advisory Committee;
1246          (i) Youth Electronic Cigarette, Marijuana, and Other Drug Prevention Committee; and
1247          (j) any boards, councils, or committees that are created by statute in this title.
1248          (3) The following divisions are created within the Department of Health and Human
1249     Services:
1250          (a) relating to operations:
1251          (i) the Division of Finance and Administration;
1252          (ii) the Division of Licensing and Background Checks;
1253          (iii) the Division of Customer Experience;
1254          (iv) the Division of Data, Systems, and Evaluation; and
1255          (v) the Division of Continuous Quality and Improvement;
1256          (b) relating to healthcare administration:
1257          (i) the Division of Integrated Healthcare, which shall include responsibility for:
1258          (A) the state's medical assistance programs; and
1259          (B) behavioral health programs described in Chapter 5, Health Care - Substance Use
1260     and Mental Health;
1261          (ii) the Division of Aging and Adult Services; and
1262          (iii) the Division of Services for People with Disabilities; [and]
1263          (c) relating to community health and well-being:
1264          (i) the Division of Child and Family Services;
1265          (ii) the Division of Family Health;

1266          (iii) the Division of Population Health;
1267          (iv) the Division of Juvenile Justice and Youth Services; and
1268          (v) the Office of Recovery Services[.]; and
1269          (d) relating to clinical services, the Division of Health Access.
1270          (4) The executive director may establish offices [and bureaus] to facilitate management
1271     of the department as required by, and in accordance with this title.
1272          (5) From July 1, 2022, through June 30, 2023, the executive director may adjust the
1273     organizational structure relating to the department, including the organization of the
1274     department's divisions and offices, notwithstanding the organizational structure described in
1275     this title.
1276          Section 13. Section 26B-1-207 is amended to read:
1277          26B-1-207. Policymaking responsibilities -- Regulations for local health
1278     departments prescribed by department -- Local standards not more stringent than
1279     federal or state standards -- Consultation with local health departments -- Committee to
1280     evaluate health policies and to review federal grants.
1281          (1) In establishing public health policy, the department shall consult with the local
1282     health departments established under Title 26A, Chapter 1, Local Health Departments.
1283          (2) (a) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
1284     the department may prescribe by administrative rule made in accordance with Title 63G,
1285     Chapter 3, Utah Administrative Rulemaking Act, reasonable requirements not inconsistent
1286     with law for a local health department as defined in Section 26A-1-102.
1287          (b) Except where specifically allowed by federal law or state statute, a local health
1288     department, as defined in Section 26A-1-102, may not establish standards or regulations that
1289     are more stringent than those established by federal law, state statute, or administrative rule
1290     adopted in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
1291          (c) Nothing in this Subsection (2), limits the ability of a local health department to
1292     make standards and regulations in accordance with Subsection 26A-1-121(1)(a) for:
1293          (i) emergency rules made in accordance with Section 63G-3-304; or
1294          (ii) items not regulated under federal law, state statute, or state administrative rule.
1295          (3) (a) As used in this Subsection (3):
1296          (i) "Committee" means the committee established under Subsection (3)(b).

1297          (ii) "Exempt application" means an application for a federal grant that meets the
1298     criteria established under Subsection [(3)(c)(iii)] (3)(c)(iv).
1299          (iii) "Expedited application" means an application for a federal grant that meets the
1300     criteria established under Subsection [(3)(c)(iv)] (3)(c)(v).
1301          (iv) "Federal grant" means a grant from the federal government that could provide
1302     funds for local health departments to help them fulfill their duties and responsibilities.
1303          (v) "Reviewable application" means an application for a federal grant that is not an
1304     exempt application.
1305          (b) The department shall establish a committee consisting of:
1306          (i) the executive director, or the executive director's designee;
1307          (ii) two representatives of the department, appointed by the executive director; and
1308          (iii) three representatives of local health departments, appointed by all local health
1309     departments.
1310          (c) The committee shall:
1311          (i) evaluate the allocation of public health resources between the department and local
1312     health departments, including whether funds allocated by contract were allocated in accordance
1313     with the formula described in Section 26A-1-116;
1314          (ii) evaluate policies and rules that affect local health departments in accordance with
1315     Subsection (3)(g);
1316          (iii) consider department policy and rule changes proposed by the department or local
1317     health departments;
1318          (iv) establish criteria by which an application for a federal grant may be judged to
1319     determine whether it should be exempt from the requirements under Subsection (3)(d); and
1320          (v) establish criteria by which an application for a federal grant may be judged to
1321     determine whether committee review under Subsection (3)(d)(i) should be delayed until after
1322     the application is submitted because the application is required to be submitted under a
1323     timetable that makes committee review before it is submitted impracticable if the submission
1324     deadline is to be met.
1325          (d) (i) The committee shall review the goals and budget for each reviewable
1326     application:
1327          (A) before the application is submitted, except for an expedited application; and

1328          (B) for an expedited application, after the application is submitted but before funds
1329     from the federal grant for which the application was submitted are disbursed or encumbered.
1330          (ii) Funds from a federal grant under a reviewable application may not be disbursed or
1331     encumbered before the goals and budget for the federal grant are established by[: (A)] a
1332     two-thirds vote of the committee, following the committee review under Subsection (3)(d)(i)[;
1333     or].
1334          [(B) if two-thirds of the committee cannot agree on the goals and budget, the chair of
1335     the health advisory council, after consultation with the committee in a manner that the
1336     committee determines.]
1337          (e) An exempt application is exempt from the requirements of Subsection (3)(d).
1338          (f) The department may use money from a federal grant to pay administrative costs
1339     incurred in implementing this Subsection (3).
1340          (g) When evaluating a policy or rule that affects a local health department, the
1341     committee shall determine:
1342          (i) whether the department has the authority to promulgate the policy or rule;
1343          (ii) an estimate of the cost a local health department will bear to comply with the policy
1344     or rule;
1345          (iii) whether there is any funding provided to a local health department to implement
1346     the policy or rule; and
1347          (iv) whether the policy or rule is still needed.
1348          (h) Before November 1 of each year, the department shall provide a report to the
1349     Administrative Rules Review and General Oversight Committee regarding the determinations
1350     made under Subsection (3)(g).
1351          Section 14. Section 26B-1-237 is amended to read:
1352          26B-1-237. Office of Internal Audit.
1353          The [Utah] Office of Internal Audit:
1354          (1) may not be placed within [the] a division;
1355          (2) shall be placed directly under, and report directly to, the executive director of the
1356     Department of Health and Human Services; and
1357          (3) shall have full access to all records of the [division] department.
1358          Section 15. Section 26B-1-324 is amended to read:

1359          26B-1-324. Statewide Behavioral Health Crisis Response Account -- Creation --
1360     Administration -- Permitted uses -- Reporting.
1361          (1) There is created a restricted account within the General Fund known as the
1362     "Statewide Behavioral Health Crisis Response Account," consisting of:
1363          (a) money appropriated or otherwise made available by the Legislature; and
1364          (b) contributions of money, property, or equipment from federal agencies, political
1365     subdivisions of the state, or other persons.
1366          (2) (a) Subject to appropriations by the Legislature and any contributions to the account
1367     described in Subsection (1)(b), the division shall disburse funds in the account only for the
1368     purpose of support or implementation of services or enhancements of those services in order to
1369     rapidly, efficiently, and effectively deliver 988 services in the state.
1370          (b) Funds distributed from the account to county local mental health and substance
1371     abuse authorities for the provision of crisis services are not subject to the 20% county match
1372     described in Sections 17-43-201 and 17-43-301.
1373          (c) After consultation with the Behavioral Health Crisis Response Commission created
1374     in Section 63C-18-202, and local substance use authorities and local mental health authorities
1375     described in Sections 17-43-201 and 17-43-301, the division shall expend funds from the
1376     account on any of the following programs:
1377          (i) the Statewide Mental Health Crisis Line, as defined in Section 26B-5-610, including
1378     coordination with 911 emergency service, as defined in Section 69-2-102, and coordination
1379     with local substance abuse authorities as described in Section 17-43-201, and local mental
1380     health authorities, described in Section 17-43-301;
1381          (ii) mobile crisis outreach teams as defined in Section 26B-5-609, distributed in
1382     accordance with rules made by the division in accordance with Title 63G, Chapter 3, Utah
1383     Administrative Rulemaking Act;
1384          (iii) behavioral health receiving centers as defined in Section 26B-5-114;
1385          (iv) stabilization services as described in Section [26B-1-102] 26B-5-101;
1386          (v) mental health crisis services, as defined in Section 26B-5-101, provided by local
1387     substance abuse authorities as described in Section 17-43-201 and local mental health
1388     authorities described in Section 17-43-301 to provide prolonged mental health services for up
1389     to 90 days after the day on which an individual experiences a mental health crisis as defined in

1390     Section 26B-5-101;
1391          (vi) crisis intervention training for first responders, as that term is defined in Section
1392     78B-4-501;
1393          (vii) crisis worker certification training for first responders, as that term is defined in
1394     Section 78B-4-501;
1395          (viii) frontline support for the SafeUT Crisis Line; or
1396          (ix) suicide prevention gatekeeper training for first responders, as that term is defined
1397     in Section 78B-4-501.
1398          (d) If the Legislature appropriates money to the account for a purpose described in
1399     Subsection (2)(c), the division shall use the appropriation for that purpose.
1400          (3) Subject to appropriations by the Legislature and any contributions to the account
1401     described in Subsection (1)(b), the division may expend funds in the account for administrative
1402     costs that the division incurs related to administering the account.
1403          (4) The division director shall submit and make available to the public a report before
1404     December of each year to the Behavioral Health Crisis Response Commission, as defined in
1405     Section 63C-18-202, the Social Services Appropriations Subcommittee, and the Legislative
1406     Management Committee that includes:
1407          (a) the amount of each disbursement from the account;
1408          (b) the recipient of each disbursement, the goods and services received, and a
1409     description of the project funded by the disbursement;
1410          (c) any conditions placed by the division on the disbursements from the account;
1411          (d) the anticipated expenditures from the account for the next fiscal year;
1412          (e) the amount of any unexpended funds carried forward;
1413          (f) the number of Statewide Mental Health Crisis Line calls received;
1414          (g) the progress towards accomplishing the goals of providing statewide mental health
1415     crisis service; and
1416          (h) other relevant justification for ongoing support from the account.
1417          (5) Notwithstanding Subsection (2)(c), allocations made to local substance use
1418     authorities and local mental health authorities for behavioral health receiving centers or mobile
1419     crisis outreach teams before the end of fiscal year 2023 shall be maintained through fiscal year
1420     2027, subject to appropriation.

1421          (6) (a) As used in this Subsection (6):
1422          (i) "Health benefit plan" means the same as that term is defined in Section 31A-1-301.
1423          (ii) "Mental health service provider" means a behavioral health receiving center or
1424     mobile crisis outreach team.
1425          (b) The department shall coordinate with each mental health service provider that
1426     receives state funds to determine which health benefit plans, if any, have not contracted or have
1427     refused to contract with the mental health service provider at usual and customary rates for the
1428     services provided by the mental health service provider.
1429          (c) In each year that the department identifies a health benefit plan that meets the
1430     description in Subsection (6)(b), the department shall provide a report on the information
1431     gathered under Subsection (6)(b) to the Health and Human Services Interim Committee at or
1432     before the committee's October meeting.
1433          Section 16. Section 26B-1-414 is amended to read:
1434          26B-1-414. Child Care Provider Licensing Committee -- Duties.
1435          (1) (a) The Child Care [Center] Provider Licensing Committee shall be comprised of
1436     12 members appointed by the governor with the advice and consent of the Senate in accordance
1437     with this Subsection (1).
1438          (b) The governor shall appoint three members who:
1439          (i) have at least five years of experience as an owner in or director of a for profit or
1440     not-for-profit center based child care as defined in Section 26B-2-401; and
1441          (ii) hold an active license as a child care center from the department to provide center
1442     based child care as defined in Section 26B-2-401.
1443          (c) The governor shall appoint two members who hold an active license as a residential
1444     child care provider and one member who is a certified residential child care provider.
1445          (d) (i) The governor shall appoint one member to represent each of the following:
1446          (A) a parent with a child in a licensed center based child care facility;
1447          (B) a parent with a child in a residential based child care facility;
1448          (C) a child development expert from the state system of higher education;
1449          (D) except as provided in Subsection (1)(f), a pediatrician licensed in the state;
1450          (E) a health care provider; and
1451          (F) an architect licensed in the state.

1452          (ii) Except as provided in Subsection (1)(d)(i)(C), a member appointed under
1453     Subsection (1)(d)(i) may not be an employee of the state or a political subdivision of the state.
1454          (e) At least one member described in Subsection (1)(b) shall at the time of appointment
1455     reside in a county that is not a county of the first class.
1456          (f) For the appointment described in Subsection (1)(d)(i)(D), the governor may appoint
1457     a health care professional who specializes in pediatric health if:
1458          (i) the health care professional is licensed under:
1459          (A) Title 58, Chapter 31b, Nurse Practice Act, as an advanced practice nurse
1460     practitioner; or
1461          (B) Title 58, Chapter 70a, Utah Physician Assistant Act; and
1462          (ii) before appointing a health care professional under this Subsection (1)(f), the
1463     governor:
1464          (A) sends a notice to a professional physician organization in the state regarding the
1465     opening for the appointment described in Subsection (1)(d)(i)(D); and
1466          (B) receives no applications from a pediatrician who is licensed in the state for the
1467     appointment described in Subsection (1)(d)(i)(D) within 90 days after the day on which the
1468     governor sends the notice described in Subsection (1)(f)(ii)(A).
1469          (2) (a) Except as required by Subsection (2)(b), as terms of current members expire, the
1470     governor shall appoint each new member or reappointed member to a four-year term ending
1471     June 30.
1472          (b) Notwithstanding the requirements of Subsection (2)(a), the governor shall, at the
1473     time of appointment or reappointment, adjust the length of terms to ensure that the terms of
1474     members are staggered so that approximately half of the licensing committee is appointed
1475     every two years.
1476          (c) Upon the expiration of the term of a member of the licensing committee, the
1477     member shall continue to hold office until a successor is appointed and qualified.
1478          (d) A member may not serve more than two consecutive terms.
1479          (e) Members of the licensing committee shall annually select one member to serve as
1480     chair who shall establish the agenda for licensing committee meetings.
1481          (3) When a vacancy occurs in the membership for any reason, the governor, with the
1482     advice and consent of the Senate, shall appoint a replacement for the unexpired term.

1483          (4) (a) The licensing committee shall meet at least every two months.
1484          (b) The director may call additional meetings:
1485          (i) at the director's discretion;
1486          (ii) upon the request of the chair; or
1487          (iii) upon the written request of three or more members.
1488          (5) Seven members of the licensing committee constitute a quorum for the transaction
1489     of business.
1490          (6) A member appointed under Subsection (1)(b) may not vote on any action proposed
1491     by the licensing committee regarding residential child care.
1492          (7) A member appointed under Subsection (1)(c) may not vote on any action proposed
1493     by the licensing committee regarding center based child care.
1494          (8) A member of the licensing committee may not receive compensation or benefits for
1495     the member's service, but may receive per diem and travel expenses as allowed in:
1496          (a) Section 63A-3-106;
1497          (b) Section 63A-3-107; and
1498          (c) rules made by the Division of Finance in accordance with Sections 63A-3-106 and
1499     63A-3-107.
1500          (9) The licensing committee shall:
1501          (a) in concurrence with the department and in accordance with Title 63G, Chapter 3,
1502     Utah Administrative Rulemaking Act, make rules that govern center based child care and
1503     residential child care, as those terms are defined in Section 26B-2-401, as necessary to protect
1504     qualifying children's common needs for a safe and healthy environment, to provide for:
1505          (i) adequate facilities and equipment; and
1506          (ii) competent caregivers considering the age of the children and the type of program
1507     offered by the licensee
1508          (b) in concurrence with the department and in accordance with Title 63G, Chapter 3,
1509     Utah Administrative Rulemaking Act, make rules necessary to carry out the purposes of
1510     Chapter 2, Part 4, Child Care Licensing, that govern center based child care and residential
1511     child care, as those terms are defined in Section 26B-2-401, in the following areas:
1512          (i) requirements for applications, the application process, and compliance with other
1513     applicable statutes and rules;

1514          (ii) documentation, policies, and procedures that providers shall have in place in order
1515     to be licensed, in accordance with this Subsection (9);
1516          (iii) categories, classifications, and duration of initial and ongoing licenses;
1517          (iv) changes of ownership or name, changes in licensure status, and changes in
1518     operational status;
1519          (v) license expiration and renewal, contents, and posting requirements;
1520          (vi) procedures for inspections, complaint resolution, disciplinary actions, and other
1521     procedural measures to encourage and ensure compliance with statute and rule; and
1522          (vii) guidelines necessary to ensure consistency and appropriateness in the regulation
1523     and discipline of licensees;
1524          (c) advise the department on the administration of a matter affecting center based child
1525     care or residential child care, as those terms are defined in Section 26B-2-401;
1526          (d) advise and assist the department in conducting center based child care provider
1527     seminars and residential child care seminars; and
1528          (e) perform other duties as provided in Section 26B-2-402.
1529          (10) (a) The licensing committee may not enforce the rules adopted under this section.
1530          (b) the department shall enforce the rules adopted under this section in accordance with
1531     Section 26B-2-402.
1532          Section 17. Section 26B-1-421 is amended to read:
1533          26B-1-421. Compassionate Use Board.
1534          (1) The definitions in Section 26B-4-201 apply to this section.
1535          (2) (a) The department shall establish a Compassionate Use Board consisting of:
1536          (i) seven qualified medical providers that the executive director appoints and the
1537     Senate confirms:
1538          (A) who are knowledgeable about the medicinal use of cannabis;
1539          (B) who are physicians licensed under Title 58, Chapter 67, Utah Medical Practice Act,
1540     or Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; and
1541          (C) who are board certified by the American Board of Medical Specialties or an
1542     American Osteopathic Association Specialty Certifying Board in the specialty of neurology,
1543     pain medicine and pain management, medical oncology, psychiatry, infectious disease, internal
1544     medicine, pediatrics, family medicine, or gastroenterology; and

1545          (ii) as a nonvoting member and the chair of the Compassionate Use Board, the
1546     executive director or the director's designee.
1547          (b) In appointing the seven qualified medical providers described in Subsection (2)(a),
1548     the executive director shall ensure that at least two have a board certification in pediatrics.
1549          (3) (a) Of the members of the Compassionate Use Board that the executive director
1550     first appoints:
1551          (i) three shall serve an initial term of two years; and
1552          (ii) the remaining members shall serve an initial term of four years.
1553          (b) After an initial term described in Subsection (3)(a) expires:
1554          (i) each term is four years; and
1555          (ii) each board member is eligible for reappointment.
1556          (c) A member of the Compassionate Use Board may serve until a successor is
1557     appointed.
1558          (d) Four members constitute a quorum of the Compassionate Use Board.
1559          (4) A member of the Compassionate Use Board may receive:
1560          (a) notwithstanding Section 63A-3-106, compensation or benefits for the member's
1561     service; and
1562          (b) travel expenses in accordance with Section 63A-3-107 and rules made by the
1563     Division of Finance in accordance with Section 63A-3-107.
1564          (5) The Compassionate Use Board shall:
1565          (a) review and recommend for department approval a petition to the board regarding an
1566     individual described in Subsection 26B-4-213(2)(a), a minor described in Subsection
1567     26B-4-213(2)(c), or an individual who is not otherwise qualified to receive a medical cannabis
1568     card to obtain a medical cannabis card for compassionate use, for the standard or a reduced
1569     period of validity, if:
1570          (i) for an individual who is not otherwise qualified to receive a medical cannabis card,
1571     the individual's qualified medical provider is actively treating the individual for an intractable
1572     condition that:
1573          (A) substantially impairs the individual's quality of life; and
1574          (B) has not, in the qualified medical provider's professional opinion, adequately
1575     responded to conventional treatments;

1576          (ii) the qualified medical provider:
1577          (A) recommends that the individual or minor be allowed to use medical cannabis; and
1578          (B) provides a letter, relevant treatment history, and notes or copies of progress notes
1579     describing relevant treatment history including rationale for considering the use of medical
1580     cannabis; and
1581          (iii) the Compassionate Use Board determines that:
1582          (A) the recommendation of the individual's qualified medical provider is justified; and
1583          (B) based on available information, it may be in the best interests of the individual to
1584     allow the use of medical cannabis;
1585          (b) when a qualified medical provider recommends that an individual described in
1586     Subsection 26B-4-213(2)(a)(i)(B) or a minor described in Subsection 26B-4-213(2)(c) be
1587     allowed to use a medical cannabis device or medical cannabis product to vaporize a medical
1588     cannabis treatment, review and approve or deny the use of the medical cannabis device or
1589     medical cannabis product;
1590          (c) unless no petitions are pending:
1591          (i) meet to receive or review compassionate use petitions at least quarterly; and
1592          (ii) if there are more petitions than the board can receive or review during the board's
1593     regular schedule, as often as necessary;
1594          (d) except as provided in Subsection (6), complete a review of each petition and
1595     recommend to the department approval or denial of the applicant for qualification for a medical
1596     cannabis card within 90 days after the day on which the board received the petition;
1597          (e) consult with the department regarding the criteria described in Subsection (6); and
1598          (f) report, before November 1 of each year, to the Health and Human Services Interim
1599     Committee:
1600          (i) the number of compassionate use recommendations the board issued during the past
1601     year; and
1602          (ii) the types of conditions for which the board recommended compassionate use.
1603          (6) The department shall make rules, in consultation with the Compassionate Use
1604     Board and in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to
1605     establish a process and criteria for a petition to the board to automatically qualify for expedited
1606     final review and approval or denial by the department in cases where, in the determination of

1607     the department and the board:
1608          (a) time is of the essence;
1609          (b) engaging the full review process would be unreasonable in light of the petitioner's
1610     physical condition; and
1611          (c) sufficient factors are present regarding the petitioner's safety.
1612          (7) (a) (i) The department shall review:
1613          (A) any compassionate use for which the Compassionate Use Board recommends
1614     approval under Subsection (5)(d) to determine whether the board properly exercised the board's
1615     discretion under this section; and
1616          (B) any expedited petitions the department receives under the process described in
1617     Subsection (6).
1618          (ii) If the department determines that the Compassionate Use Board properly exercised
1619     the board's discretion in recommending approval under Subsection (5)(d) or that the expedited
1620     petition merits approval based on the criteria established in accordance with Subsection (6), the
1621     department shall:
1622          (A) issue the relevant medical cannabis card; and
1623          (B) provide for the renewal of the medical cannabis card in accordance with the
1624     recommendation of the qualified medical provider described in Subsection (5)(a).
1625          (b) [(i)] If the Compassionate Use Board recommends denial under Subsection (5)(d),
1626     the individual seeking to obtain a medical cannabis card may petition the department to review
1627     the board's decision.
1628          [(ii) If the department determines that the Compassionate Use Board's recommendation
1629     for denial under Subsection (5)(d) was arbitrary or capricious:]
1630          [(A) the department shall notify the Compassionate Use Board of the department's
1631     determination; and]
1632          [(B) the board shall reconsider the Compassionate Use Board's refusal to recommend
1633     approval under this section.]
1634          (c) In reviewing the Compassionate Use Board's recommendation for approval or
1635     denial under Subsection (5)(d) in accordance with this Subsection (7), the department shall
1636     presume the board properly exercised the board's discretion unless the department determines
1637     that the board's recommendation was arbitrary or capricious.

1638          (8) Any individually identifiable health information contained in a petition that the
1639     Compassionate Use Board or department receives under this section is a protected record in
1640     accordance with Title 63G, Chapter 2, Government Records Access and Management Act.
1641          (9) The Compassionate Use Board shall annually report the board's activity to the
1642     Cannabis Research Review Board and the advisory board.
1643          Section 18. Section 26B-1-422.1 is amended to read:
1644          26B-1-422.1. Reports.
1645          (1) (a) On or before August 1 of each year, the [council] Early Childhood Utah
1646     Advisory Council created in Section 26B-1-422 shall provide an annual report to the executive
1647     director, the executive director of the Department of Workforce Services, and the state
1648     superintendent.
1649          (b) The annual report shall include:
1650          (i) a statewide assessment concerning the availability of high-quality pre-kindergarten
1651     services for children from low-income households;
1652          (ii) a statewide strategic report addressing the activities mandated by the Improving
1653     Head Start for School Readiness Act of 2007, 42 U.S.C. Sec. 9837b, including:
1654          (A) identifying opportunities for and barriers to collaboration and coordination among
1655     federally-funded and state-funded child health and development, child care, and early
1656     childhood education programs and services, including collaboration and coordination among
1657     state agencies responsible for administering such programs;
1658          (B) evaluating the overall participation of children in existing federal, state, and local
1659     child care programs and early childhood health, development, family support, and education
1660     programs;
1661          (C) recommending statewide professional development and career advancement plans
1662     for early childhood educators and service providers in the state, including an analysis of the
1663     capacity and effectiveness of programs at two- and four-year public and private institutions of
1664     higher education that support the development of early childhood educators; and
1665          (D) recommending improvements to the state's early learning standards and
1666     high-quality comprehensive early learning standards; and
1667          (iii) the recommendations described in Subsection 26B-1-422(4)(e).
1668          (2) In addition to the annual report described in Subsection (1)(a), on or before August

1669     1, 2024, and at least every five years thereafter, the council shall provide to the executive
1670     director, the executive director of the Department of Workforce Services, and the state
1671     superintendent, a statewide needs assessment concerning the quality and availability of early
1672     childhood education, health, and development programs and services for children in early
1673     childhood.
1674          Section 19. Section 26B-1-435 is amended to read:
1675          26B-1-435. Medical Cannabis Policy Advisory Board creation - Membership.
1676          (1) There is created within the department the Medical Cannabis Policy Advisory
1677     Board.
1678          (2) (a) The advisory board shall consist of the following members:
1679          (i) appointed by the executive director:
1680          (A) a qualified medical provider who has at least 100 patients who have a medical
1681     cannabis patient card at the time of appointment;
1682          (B) a medical research professional;
1683          (C) a mental health specialist;
1684          (D) an individual who represents an organization that advocates for medical cannabis
1685     patients;
1686          (E) an individual who holds a medical cannabis patient card; and
1687          (F) a member of the general public who does not hold a medical cannabis card; and
1688          (ii) appointed by the commissioner of the Department of Agriculture and Food:
1689          (A) an individual who owns or operates a licensed cannabis cultivation facility, as
1690     defined in Section 4-41a-102;
1691          (B) an individual who owns or operates a licensed medical cannabis pharmacy; and
1692          (C) a law enforcement officer.
1693          (b) The commissioner of the Department of Agriculture and Food shall ensure that at
1694     least one individual appointed under Subsection (2)(a)(ii)(A) or (B) also owns or operates a
1695     licensed cannabis processing facility.
1696          (3) (a) Subject to Subsection (3)(b), a member of the advisory board shall serve for a
1697     four year term.
1698          (b) When appointing the initial membership of the advisory board, the executive
1699     director and the commissioner of the Department of Agriculture and Food shall coordinate to

1700     appoint four advisory board members to serve a term of two years to ensure that approximately
1701     half of the board is appointed every two years.
1702          (4) (a) If an advisory board member is no longer able to serve as a member, a new
1703     member shall be appointed in the same manner as the original appointment.
1704          (b) A member appointed in accordance with Subsection (4)(a) shall serve for the
1705     remainder of the unexpired term of the original appointment.
1706          (5) (a) A majority of the advisory board members constitutes a quorum.
1707          (b) The action of a majority of a quorum constitutes an action of the advisory board.
1708          (c) The advisory board shall annually designate one of the advisory board's members to
1709     serve as chair for a one-year period.
1710          (6) An advisory board member may not receive compensation or benefits for the
1711     member's service on the advisory board but may receive per diem and reimbursement for travel
1712     expenses incurred as an advisory board member in accordance with:
1713          (a) Sections 63A-3-106 and 63A-3-107; and
1714          (b) rules made by the Division of Finance pursuant to Sections 63A-3-106 and
1715     63A-3-107.
1716          (7) The department shall:
1717          (a) provide staff support for the advisory board; and
1718          (b) assist the advisory board in conducting meetings.
1719          Section 20. Section 26B-1-435.1 is amended to read:
1720          26B-1-435.1. Medical Cannabis Policy Advisory Board duties.
1721          (1) The advisory board may recommend:
1722          (a) to the department or the Department of Agriculture and Food changes to current or
1723     proposed medical cannabis rules or statutes;
1724          (b) to the appropriate legislative committee whether the advisory board supports a
1725     change to medical cannabis statutes.
1726          (2) The advisory board shall:
1727          (a) review any draft rule that is authorized under [this chapter] Chapter 4, Part 2,
1728     Cannabinoid Research and Medical Cannabis, or Title 4, Chapter 41a, Cannabis Production
1729     Establishments and Pharmacies;
1730          (b) consult with the Department of Agriculture and Food regarding the issuance of an

1731     additional:
1732          (i) cultivation facility license under Section 4-41a-205; or
1733          (ii) pharmacy license under Section 4-41a-1005;
1734          (c) consult with the department regarding cannabis patient education;
1735          (d) consult regarding the reasonableness of any fees set by the department or the Utah
1736     Department of Agriculture and Food that pertain to the medical cannabis program; and
1737          (e) consult regarding any issue pertaining to medical cannabis when asked by the
1738     department or the Utah Department of Agriculture and Food.
1739          Section 21. Section 26B-1-502 is amended to read:
1740          26B-1-502. Initial review.
1741          (1) Within seven days after the day on which the department knows that a qualified
1742     individual has died or is an individual described in Subsection 26B-1-501(7)(h), a person
1743     designated by the department shall:
1744          (a) (i) for a death, complete a deceased client report form, created by the department; or
1745          (ii) for an individual described in Subsection 26B-1-501(7)(h), complete a near fatality
1746     client report form, created by the department; and
1747          (b) forward the completed client report form to the director of the office or division
1748     that has jurisdiction over the region or facility.
1749          (2) The director of the office or division described in Subsection (1) shall, upon receipt
1750     of a near fatality client report form or a deceased client report form, immediately provide a
1751     copy of the form to:
1752          (a) the executive director; and
1753          (b) the fatality review coordinator or the fatality review coordinator's designee.
1754          (3) Within 10 days after the day on which the fatality review coordinator or the fatality
1755     review coordinator's designee receives a copy of the near fatality client report form or the
1756     deceased client report form, the fatality review coordinator or the fatality review coordinator's
1757     designee shall request a copy of all relevant department case records regarding the individual
1758     who is the subject of the client report form.
1759          (4) Each person who receives a request for a record described in Subsection (3) shall
1760     provide a copy of the record to the fatality review coordinator or the fatality review
1761     coordinator's designee, by a secure method, within seven days after the day on which the

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

1793     the individual's family may not have been complied with;
1794          (B) the near fatality or the fatality was not responded to properly;
1795          (C) a law, rule, policy, or procedure may need to be changed; or
1796          (D) additional training is needed;
1797          (iii) (A) the death is caused by suicide; or
1798          (B) the near fatality is caused by attempted suicide; or
1799          (iv) the director of the Division of Continuous Quality and Improvement or the
1800     director's designee determines that another reason exists to order that a review of the near
1801     fatality or the death be conducted.
1802          Section 22. Section 26B-2-101 is amended to read:
1803          26B-2-101. Definitions.
1804          As used in this part:
1805          (1) "Adoption services" means the same as that term is defined in Section 80-2-801.
1806          (2) "Adult day care" means nonresidential care and supervision:
1807          (a) for three or more adults for at least four but less than 24 hours a day; and
1808          (b) that meets the needs of functionally impaired adults through a comprehensive
1809     program that provides a variety of health, social, recreational, and related support services in a
1810     protective setting.
1811          (3) "Applicant" means a person that applies for an initial license or a license renewal
1812     under this part.
1813          (4) (a) "Associated with the licensee" means that an individual is:
1814          (i) affiliated with a licensee as an owner, director, member of the governing body,
1815     employee, agent, provider of care, department contractor, or volunteer; or
1816          (ii) applying to become affiliated with a licensee in a capacity described in Subsection
1817     (4)(a)(i).
1818          (b) "Associated with the licensee" does not include:
1819          (i) service on the following bodies, unless that service includes direct access to a child
1820     or a vulnerable adult:
1821          (A) a local mental health authority described in Section 17-43-301;
1822          (B) a local substance abuse authority described in Section 17-43-201; or
1823          (C) a board of an organization operating under a contract to provide mental health or

1824     substance use programs, or services for the local mental health authority or substance abuse
1825     authority; or
1826          (ii) a guest or visitor whose access to a child or a vulnerable adult is directly supervised
1827     at all times.
1828          (5) (a) "Boarding school" means a private school that:
1829          (i) uses a regionally accredited education program;
1830          (ii) provides a residence to the school's students:
1831          (A) for the purpose of enabling the school's students to attend classes at the school; and
1832          (B) as an ancillary service to educating the students at the school;
1833          (iii) has the primary purpose of providing the school's students with an education, as
1834     defined in Subsection (5)(b)(i); and
1835          (iv) (A) does not provide the treatment or services described in Subsection [(38)(a)]
1836     (39)(a); or
1837          (B) provides the treatment or services described in Subsection [(38)(a)] (39)(a) on a
1838     limited basis, as described in Subsection (5)(b)(ii).
1839          (b) (i) For purposes of Subsection (5)(a)(iii), "education" means a course of study for
1840     one or more grades from kindergarten through grade 12.
1841          (ii) For purposes of Subsection (5)(a)(iv)(B), a private school provides the treatment or
1842     services described in Subsection [(38)(a)] (39(a) on a limited basis if:
1843          (A) the treatment or services described in Subsection [(38)(a)] (39)(a) are provided
1844     only as an incidental service to a student; and
1845          (B) the school does not:
1846          (I) specifically solicit a student for the purpose of providing the treatment or services
1847     described in Subsection [(38)(a)] (39)(a); or
1848          (II) have a primary purpose of providing the treatment or services described in
1849     Subsection [(38)(a)] (39)(a).
1850          (c) "Boarding school" does not include a therapeutic school.
1851          (6) "Certification" means a less restrictive level of licensure issued by the department.
1852          [(6)] (7) "Child" means an individual under 18 years old.
1853          [(7)] (8) "Child placing" means receiving, accepting, or providing custody or care for
1854     any child, temporarily or permanently, for the purpose of:

1855          (a) finding a person to adopt the child;
1856          (b) placing the child in a home for adoption; or
1857          (c) foster home placement.
1858          [(8)] (9) "Child-placing agency" means a person that engages in child placing.
1859          [(9)] (10) "Client" means an individual who receives or has received services from a
1860     licensee.
1861          [(10)] (11) (a) "Congregate care program" means any of the following that provide
1862     services to a child:
1863          (i) an outdoor youth program;
1864          (ii) a residential support program;
1865          (iii) a residential treatment program; or
1866          (iv) a therapeutic school.
1867          (b) "Congregate care program" does not include a human services program that:
1868          (i) is licensed to serve adults; and
1869          (ii) is approved by the office to service a child for a limited time.
1870          [(11)] (12) "Day treatment" means specialized treatment that is provided to:
1871          (a) a client less than 24 hours a day; and
1872          (b) four or more persons who:
1873          (i) are unrelated to the owner or provider; and
1874          (ii) have emotional, psychological, developmental, physical, or behavioral
1875     dysfunctions, impairments, or chemical dependencies.
1876          [(12)] (13) "Department contractor" means an individual who:
1877          (a) provides services under a contract with the department; and
1878          (b) due to the contract with the department, has or will likely have direct access to a
1879     child or vulnerable adult.
1880          [(13)] (14) "Direct access" means that an individual has, or likely will have:
1881          (a) contact with or access to a child or vulnerable adult that provides the individual
1882     with an opportunity for personal communication or touch; or
1883          (b) an opportunity to view medical, financial, or other confidential personal identifying
1884     information of the child, the child's parents or legal guardians, or the vulnerable adult.
1885          [(14)] (15) "Directly supervised" means that an individual is being supervised under

1886     the uninterrupted visual and auditory surveillance of another individual who has a current
1887     background [screening] check approval issued by the office.
1888          [(15)] (16) "Director" means the director of the office.
1889          [(16)] (17) "Domestic violence" means the same as that term is defined in Section
1890     77-36-1.
1891          [(17)] (18) "Domestic violence treatment program" means a nonresidential program
1892     designed to provide psychological treatment and educational services to perpetrators and
1893     victims of domestic violence.
1894          [(18)] (19) "Elder adult" means a person 65 years old or older.
1895          [(19)] (20) "Foster home" means a residence that is licensed or certified by the office
1896     for the full-time substitute care of a child.
1897          [(20)] (21) "Health benefit plan" means the same as that term is defined in Section
1898     31A-22-634.
1899          [(21)] (22) "Health care provider" means the same as that term is defined in Section
1900     78B-3-403.
1901          [(22)] (23) "Health insurer" means the same as that term is defined in Section
1902     31A-22-615.5.
1903          [(23)] (24) (a) "Human services program" means:
1904          (i) a foster home;
1905          (ii) a therapeutic school;
1906          (iii) a youth program;
1907          (iv) an outdoor youth program;
1908          (v) a residential treatment program;
1909          (vi) a residential support program;
1910          (vii) a resource family home;
1911          (viii) a recovery residence; or
1912          (ix) a facility or program that provides:
1913          (A) adult day care;
1914          (B) day treatment;
1915          (C) outpatient treatment;
1916          (D) domestic violence treatment;

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

1948     therapy, or outdoor behavioral healthcare.
1949          [(33)] (34) "Outpatient treatment" means individual, family, or group therapy or
1950     counseling designed to improve and enhance social or psychological functioning for those
1951     whose physical and emotional status allows them to continue functioning in their usual living
1952     environment.
1953          [(34)] (35) "Practice group" or "group practice" means two or more health care
1954     providers legally organized as a partnership, professional corporation, or similar association,
1955     for which:
1956          (a) substantially all of the services of the health care providers who are members of the
1957     group are provided through the group and are billed in the name of the group and amounts
1958     received are treated as receipts of the group; and
1959          (b) the overhead expenses of and the income from the practice are distributed in
1960     accordance with methods previously determined by members of the group.
1961          [(35)] (36) "Private-placement child" means a child whose parent or guardian enters
1962     into a contract with a congregate care program for the child to receive services.
1963          [(36)] (37) (a) "Recovery residence" means a home, residence, or facility that meets at
1964     least two of the following requirements:
1965          (i) provides a supervised living environment for individuals recovering from a
1966     substance use disorder;
1967          (ii) provides a living environment in which more than half of the individuals in the
1968     residence are recovering from a substance use disorder;
1969          (iii) provides or arranges for residents to receive services related to the resident's
1970     recovery from a substance use disorder, either on or off site;
1971          (iv) is held out as a living environment in which individuals recovering from substance
1972     abuse disorders live together to encourage continued sobriety; or
1973          (v) (A) receives public funding; or
1974          (B) is run as a business venture, either for-profit or not-for-profit.
1975          (b) "Recovery residence" does not mean:
1976          (i) a residential treatment program;
1977          (ii) residential support program; or
1978          (iii) a home, residence, or facility, in which:

1979          (A) residents, by a majority vote of the residents, establish, implement, and enforce
1980     policies governing the living environment, including the manner in which applications for
1981     residence are approved and the manner in which residents are expelled;
1982          (B) residents equitably share rent and housing-related expenses; and
1983          (C) a landlord, owner, or operator does not receive compensation, other than fair
1984     market rental income, for establishing, implementing, or enforcing policies governing the
1985     living environment.
1986          [(37)] (38) "Regular business hours" means:
1987          (a) the hours during which services of any kind are provided to a client; or
1988          (b) the hours during which a client is present at the facility of a licensee.
1989          [(38)] (39) (a) "Residential support program" means a program that arranges for or
1990     provides the necessities of life as a protective service to individuals or families who have a
1991     disability or who are experiencing a dislocation or emergency that prevents them from
1992     providing these services for themselves or their families.
1993          (b) "Residential support program" includes a program that provides a supervised living
1994     environment for individuals with dysfunctions or impairments that are:
1995          (i) emotional;
1996          (ii) psychological;
1997          (iii) developmental; or
1998          (iv) behavioral.
1999          (c) Treatment is not a necessary component of a residential support program.
2000          (d) "Residential support program" does not include:
2001          (i) a recovery residence; or
2002          (ii) a program that provides residential services that are performed:
2003          (A) exclusively under contract with the department and provided to individuals through
2004     the Division of Services for People with Disabilities; or
2005          (B) in a facility that serves fewer than four individuals.
2006          [(39)] (40) (a) "Residential treatment" means a 24-hour group living environment for
2007     four or more individuals unrelated to the owner or provider that offers room or board and
2008     specialized treatment, behavior modification, rehabilitation, discipline, emotional growth, or
2009     habilitation services for persons with emotional, psychological, developmental, or behavioral

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

2041          (ii) chemical dependency disorder.
2042          [(45)] (46) "Therapeutic school" means a residential group living facility:
2043          (a) for four or more individuals that are not related to:
2044          (i) the owner of the facility; or
2045          (ii) the primary service provider of the facility;
2046          (b) that serves students who have a history of failing to function:
2047          (i) at home;
2048          (ii) in a public school; or
2049          (iii) in a nonresidential private school; and
2050          (c) that offers:
2051          (i) room and board; and
2052          (ii) an academic education integrated with:
2053          (A) specialized structure and supervision; or
2054          (B) services or treatment related to:
2055          (I) a disability;
2056          (II) emotional development;
2057          (III) behavioral development;
2058          (IV) familial development; or
2059          (V) social development.
2060          [(46)] (47) "Unrelated persons" means persons other than parents, legal guardians,
2061     grandparents, brothers, sisters, uncles, or aunts.
2062          [(47)] (48) "Vulnerable adult" means an elder adult or an adult who has a temporary or
2063     permanent mental or physical impairment that substantially affects the person's ability to:
2064          (a) provide personal protection;
2065          (b) provide necessities such as food, shelter, clothing, or mental or other health care;
2066          (c) obtain services necessary for health, safety, or welfare;
2067          (d) carry out the activities of daily living;
2068          (e) manage the adult's own resources; or
2069          (f) comprehend the nature and consequences of remaining in a situation of abuse,
2070     neglect, or exploitation.
2071          [(48)] (49) (a) "Youth program" means a program designed to provide behavioral,

2072     substance use, or mental health services to minors that:
2073          (i) serves adjudicated or nonadjudicated youth;
2074          (ii) charges a fee for the program's services;
2075          (iii) may provide host homes or other arrangements for overnight accommodation of
2076     the youth;
2077          (iv) may provide all or part of the program's services in the outdoors;
2078          (v) may limit or censor access to parents or guardians; and
2079          (vi) prohibits or restricts a minor's ability to leave the program at any time of the
2080     minor's own free will.
2081          (b) "Youth program" does not include recreational programs such as Boy Scouts, Girl
2082     Scouts, 4-H, and other such organizations.
2083          [(49)] (50) (a) "Youth transportation company" means any person that transports a
2084     child for payment to or from a congregate care program in Utah.
2085          (b) "Youth transportation company" does not include:
2086          (i) a relative of the child;
2087          (ii) a state agency; or
2088          (iii) a congregate care program's employee who transports the child from the
2089     congregate care program that employs the employee and returns the child to the same
2090     congregate care program.
2091          Section 23. Section 26B-2-103 is amended to read:
2092          26B-2-103. Division of Licensing and Background Checks.
2093          (1) There is created the [Office of Licensing] Division of Licensing and Background
2094     Checks within the department.
2095          (2) The [office] division shall be the licensing and background screening authority for
2096     the department, and is vested with all the powers, duties, and responsibilities described in:
2097          (a) this part;
2098          (b) Part 2, Health Care Facility Licensing and Inspection; [and]
2099          (c) Part 4, Child Care Licensing; and
2100          [(c)] (d) Part 6, Mammography Quality Assurance.
2101          (3) The executive director shall appoint the director of the [office] division.
2102          (4) There are created within the division the Office of Licensing and the Office of

2103     Background Processing.
2104          [(4) The director shall have a bachelor's degree from an accredited university or
2105     college, be experienced in administration, and be knowledgeable of health and human services
2106     licensing.]
2107          Section 24. Section 26B-2-104 is amended to read:
2108          26B-2-104. Division responsibilities.
2109          (1) Subject to the requirements of federal and state law, the office shall:
2110          (a) make rules in accordance with Title 63G, Chapter 3, Utah Administrative
2111     Rulemaking Act, to establish:
2112          (i) except as provided in Subsection (1)(a)(ii), basic health and safety standards for
2113     licensees, that shall be limited to:
2114          (A) fire safety;
2115          (B) food safety;
2116          (C) sanitation;
2117          (D) infectious disease control;
2118          (E) safety of the:
2119          (I) physical facility and grounds; and
2120          (II) area and community surrounding the physical facility;
2121          (F) transportation safety;
2122          (G) emergency preparedness and response;
2123          (H) the administration of medical standards and procedures, consistent with the related
2124     provisions of this title;
2125          (I) staff and client safety and protection;
2126          (J) the administration and maintenance of client and service records;
2127          (K) staff qualifications and training, including standards for permitting experience to
2128     be substituted for education, unless prohibited by law;
2129          (L) staff to client ratios;
2130          (M) access to firearms; and
2131          (N) the prevention of abuse, neglect, exploitation, harm, mistreatment, or fraud;
2132          (ii) basic health and safety standards for therapeutic schools, that shall be limited to:
2133          (A) fire safety, except that the standards are limited to those required by law or rule

2134     under Title 53, Chapter 7, Part 2, Fire Prevention and Fireworks Act;
2135          (B) food safety;
2136          (C) sanitation;
2137          (D) infectious disease control, except that the standards are limited to:
2138          (I) those required by law or rule under this title, or Title 26A, Local Health Authorities;
2139     and
2140          (II) requiring a separate room for clients who are sick;
2141          (E) safety of the physical facility and grounds, except that the standards are limited to
2142     those required by law or rule under Title 53, Chapter 7, Part 2, Fire Prevention and Fireworks
2143     Act;
2144          (F) transportation safety;
2145          (G) emergency preparedness and response;
2146          (H) access to appropriate medical care, including:
2147          (I) subject to the requirements of law, designation of a person who is authorized to
2148     dispense medication; and
2149          (II) storing, tracking, and securing medication;
2150          (I) staff and client safety and protection that permits the school to provide for the direct
2151     supervision of clients at all times;
2152          (J) the administration and maintenance of client and service records;
2153          (K) staff qualifications and training, including standards for permitting experience to
2154     be substituted for education, unless prohibited by law;
2155          (L) staff to client ratios;
2156          (M) access to firearms; and
2157          (N) the prevention of abuse, neglect, exploitation, harm, mistreatment, or fraud;
2158          (iii) procedures and standards for permitting a licensee to:
2159          (A) provide in the same facility and under the same conditions as children, residential
2160     treatment services to a person 18 years old or older who:
2161          (I) begins to reside at the licensee's residential treatment facility before the person's
2162     18th birthday;
2163          (II) has resided at the licensee's residential treatment facility continuously since the
2164     time described in Subsection (1)(a)(iii)(A)(I);

2165          (III) has not completed the course of treatment for which the person began residing at
2166     the licensee's residential treatment facility; and
2167          (IV) voluntarily consents to complete the course of treatment described in Subsection
2168     (1)(a)(iii)(A)(III); or
2169          (B) (I) provide residential treatment services to a child who is:
2170          (Aa) at least 12 years old or, as approved by the office, younger than 12 years old; and
2171          (Bb) under the custody of the department, or one of its divisions; and
2172          (II) provide, in the same facility as a child described in Subsection (1)(a)(iii)(B)(I),
2173     residential treatment services to a person who is:
2174          (Aa) at least 18 years old, but younger than 21 years old; and
2175          (Bb) under the custody of the department, or one of its divisions;
2176          (iv) minimum administration and financial requirements for licensees;
2177          (v) guidelines for variances from rules established under this Subsection (1);
2178          (vi) ethical standards, as described in Subsection 78B-6-106(3), and minimum
2179     responsibilities of a child-placing agency that provides adoption services and that is licensed
2180     under this part;
2181          (vii) what constitutes an "outpatient treatment program" for purposes of this part;
2182          (viii) a procedure requiring a licensee to provide an insurer the licensee's records
2183     related to any services or supplies billed to the insurer, and a procedure allowing the licensee
2184     and the insurer to contact the Insurance Department to resolve any disputes;
2185          (ix) a protocol for the office to investigate and process complaints about licensees;
2186          (x) a procedure for a licensee to:
2187          (A) report the use of a restraint or seclusion within one business day after the day on
2188     which the use of the restraint or seclusion occurs; and
2189          (B) report a critical incident within one business day after the day on which the
2190     incident occurs;
2191          (xi) guidelines for the policies and procedures described in Sections 26B-2-109 and
2192     26B-2-123;
2193          (xii) a procedure for the office to review and approve the policies and procedures
2194     described in Sections 26B-2-109 and 26B-2-123; and
2195          (xiii) a requirement that each human services program publicly post information that

2196     informs an individual how to submit a complaint about a human services program to the office;
2197          (b) enforce rules relating to the office;
2198          (c) issue licenses in accordance with this part;
2199          (d) if the United States Department of State executes an agreement with the office that
2200     designates the office to act as an accrediting entity in accordance with the Intercountry
2201     Adoption Act of 2000, Pub. L. No. 106-279, accredit one or more agencies and persons to
2202     provide intercountry adoption services pursuant to:
2203          (i) the Intercountry Adoption Act of 2000, Pub. L. No. 106-279; and
2204          (ii) the implementing regulations for the Intercountry Adoption Act of 2000, Pub. L.
2205     No. 106-279;
2206          (e) make rules to implement the provisions of Subsection (1)(d);
2207          (f) conduct surveys and inspections of licensees and facilities in accordance with
2208     Section 26B-2-107;
2209          (g) collect licensure fees;
2210          (h) notify licensees of the name of a person within the department to contact when
2211     filing a complaint;
2212          (i) investigate complaints regarding any licensee or human services program;
2213          (j) have access to all records, correspondence, and financial data required to be
2214     maintained by a licensee;
2215          (k) have authority to interview any client, family member of a client, employee, or
2216     officer of a licensee;
2217          (l) have authority to deny, condition, revoke, suspend, or extend any license issued by
2218     the department under this part by following the procedures and requirements of Title 63G,
2219     Chapter 4, Administrative Procedures Act;
2220          (m) electronically post notices of agency action issued to a human services program,
2221     with the exception of a foster home, on the office's website, in accordance with Title 63G,
2222     Chapter 2, Government Records Access and Management Act; and
2223          (n) upon receiving a local government's request under Section 26B-2-118, notify the
2224     local government of new human services program license applications, except for foster
2225     homes, for human services programs located within the local government's jurisdiction.
2226          (2) In establishing rules under Subsection (1)(a)(ii)(G), the office shall require a

2227     licensee to establish and comply with an emergency response plan that requires clients and staff
2228     to:
2229          (a) immediately report to law enforcement any significant criminal activity, as defined
2230     by rule, committed:
2231          (i) on the premises where the licensee operates its human services program;
2232          (ii) by or against its clients; or
2233          (iii) by or against a staff member while the staff member is on duty;
2234          (b) immediately report to emergency medical services any medical emergency, as
2235     defined by rule:
2236          (i) on the premises where the licensee operates its human services program;
2237          (ii) involving its clients; or
2238          (iii) involving a staff member while the staff member is on duty; and
2239          (c) immediately report other emergencies that occur on the premises where the licensee
2240     operates its human services program to the appropriate emergency services agency.
2241          Section 25. Section 26B-2-120 is amended to read:
2242          26B-2-120. Background check -- Direct access to children or vulnerable adults.
2243          (1) As used in this section:
2244          (a) (i) "Applicant" means[, notwithstanding Section 26B-2-101] an individual who is
2245     associated with a certification, contract, or licensee with the department under this part and has
2246     direct access, including:
2247          (A) [an individual who applies for an initial license or certification or a license or
2248     certification renewal under this part] an adoptive parent or prospective adoptive parent,
2249     including an applicant for an adoption in accordance with Section 78B-6-128;
2250          (B) [an individual who is associated with a licensee and has or will likely have direct
2251     access to a child or a vulnerable adult] a foster parent or prospective foster parent;
2252          (C) an individual who provides respite care to a foster parent or an adoptive parent on
2253     more than one occasion;
2254          [(D) a department contractor;]
2255          [(E)] (D) an individual who transports a child for a youth transportation company;
2256          [(F)] (E) an individual who provides certified peer support, as defined in Section
2257     26B-5-610;

2258          (F) an individual who provides peer support, has a disability or a family member with a
2259     disability; or is in recovery from a mental illness or a substance use disorder;
2260          (G) an individual who has lived experience with the services provided by the
2261     department, and uses that lived experience to provide support, guidance, or services to promote
2262     resiliency and recovery;
2263          (H) an individual who is identified as a mental health professional, licensed under Title
2264     58, Chapter 60, Mental Health Professional Practice Act, and engaged in the practice of mental
2265     health therapy, as defined in Section 58-60-102;
2266          (I) [a guardian submitting an application on behalf of an individual, other than the child
2267     or vulnerable adult who is receiving the service, if the individual] an individual, other than the
2268     child or vulnerable adult receiving the service, who is 12 years old or older and resides in a
2269     home, that is licensed or certified by the [office] division; or
2270          [(G) a guardian submitting an application on behalf of an individual, other than the
2271     child or vulnerable adult who is receiving the service, if the individual is 12 years old or older
2272     and is a person described in Subsection (1)(a)(i)(A), (B), (C), or (D)]
2273          (J) an individual who is 12 years old or older and is associated with a certification,
2274     contract, or licensee with the department under this part and has or will likely have direct
2275     access.
2276          (ii) "Applicant" does not include:
2277          (A) an individual who is in the custody of the Division of Child and Family Services or
2278     the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services;
2279     [or]
2280          (B) an individual who applies for employment with, or is employed by, the Department
2281     of Health and Human Services[.];
2282          (C) a parent of a person receiving services from the Division of Services for People
2283     with Disabilities, if the parent provides direct care to and resides with the person, including if
2284     the parent provides direct care to and resides with the person pursuant to a court order; or
2285          (D) an individual or a department contractor who provides services in an adults only
2286     substance use disorder program, as defined by rule adopted by the Department of Health and
2287     Human Services in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking
2288     Act, and who is not a program director or a member, as defined by Section 26B-2-105, of the

2289     program.
2290          (b) "Application" means a background [screening] check application to the office.
2291          (c) "Bureau" means the Bureau of Criminal Identification within the Department of
2292     Public Safety, created in Section 53-10-201.
2293          [(d) "Certified peer support specialist" means the same as that term is defined in
2294     Section 26B-5-610.]
2295          [(e)] (d) "Criminal finding" means a record of:
2296          (i) an arrest [or] for a criminal offense;
2297          (ii) a warrant for [an] a criminal arrest;
2298          [(ii)] (iii) charges for a criminal offense; or
2299          [(iii)] (iv) a criminal conviction.
2300          [(f)] (e) "Direct access" means that an individual has, or likely will have:
2301          (i) contact with or access to a child or vulnerable adult by which the individual will
2302     have the opportunity for personal communication or touch with the child or vulnerable adult; or
2303          (ii) an opportunity to view medical, financial, or other confidential personal identifying
2304     information of the child, the child's parent or legal guardian, or the vulnerable adult.
2305          (f) (i) "Direct access qualified" means that the applicant has an eligible determination
2306     by the office within the license and renewal time period; and
2307          (ii) no more than 180 days have passed since the date on which the applicant's
2308     association with a certification, contract, or licensee with the department ends.
2309          (g) "Incidental care" means occasional care, not in excess of five hours per week and
2310     never overnight, for a foster child.
2311          (h) "Licensee" means an individual or a human services program licensed by the
2312     division.
2313          [(g) "Mental health professional" means an individual who:]
2314          [(i) is licensed under Title 58, Chapter 60, Mental Health Professional Practice Act;
2315     and]
2316          [(ii) engaged in the practice of mental health therapy.]
2317          [(h)] (i) "Non-criminal finding" means a record maintained in:
2318          (i) the Division of Child and Family Services' Management Information System
2319     described in Section 80-2-1001;

2320          (ii) the Division of Child and Family Services' Licensing Information System described
2321     in Section 80-2-1002;
2322          (iii) the Division of Aging and Adult Services' vulnerable adult abuse, neglect, or
2323     exploitation database described in Section 26B-6-210;
2324          (iv) juvenile court arrest, adjudication, and disposition records;
2325          [(iv)] (v) the Sex and Kidnap Offender Registry described in Title 77, Chapter 41, Sex
2326     and Kidnap Offender Registry, or a national sex offender registry; or
2327          [(v)] (vi) a state child abuse or neglect registry.
2328          (j) "Office" means the Office of Background Processing within the department.
2329          [(i) (i) "Peer support specialist" means an individual who:]
2330          [(A) has a disability or a family member with a disability, or is in recovery from a
2331     mental illness or a substance use disorder; and]
2332          [(B) uses personal experience to provide support, guidance, or services to promote
2333     resiliency and recovery.]
2334          [(ii) "Peer support specialist" includes a certified peer support specialist.]
2335          [(iii) "Peer support specialist" does not include a mental health professional.]
2336          [(j)] (k) "Personal identifying information" means:
2337          (i) current name, former names, nicknames, and aliases;
2338          (ii) date of birth;
2339          (iii) physical address and email address;
2340          (iv) telephone number;
2341          (v) driver license or other government-issued identification;
2342          (vi) social security number;
2343          (vii) only for applicants who are 18 years old or older, fingerprints, in a form specified
2344     by the office; and
2345          (viii) other information specified by the office by rule made in accordance with Title
2346     63G, Chapter 3, Utah Administrative Rulemaking Act.
2347          [(k) "Practice of mental health therapy" means the same as that term is defined in
2348     Section 58-60-102.]
2349          (2) Except as provided in Subsection (12), an applicant or a representative shall submit
2350     the following to the office:

2351          (a) personal identifying information;
2352          (b) a fee established by the office under Section 63J-1-504; [and]
2353          (c) a disclosure form, specified by the office, for consent for:
2354          (i) an initial background check upon [submission of the information described in this
2355     Subsection (2)] association with a certification, contract, or licensee with the department;
2356          (ii) ongoing monitoring of fingerprints and registries until no longer [associated with a
2357     licensee for 90 days] associated with a certification, contract, or licensee with the department
2358     for 180 days;
2359          (iii) a background check when the office determines that reasonable cause exists; and
2360          (iv) retention of personal identifying information, including fingerprints, for
2361     monitoring and notification as described in Subsections [(3)(d)] (3)(c) and (4); [and]
2362          (d) if an applicant resided outside of the United States and its territories during the five
2363     years immediately preceding the day on which the information described in Subsections (2)(a)
2364     through (c) is submitted to the office, documentation establishing whether the applicant was
2365     convicted of a crime during the time that the applicant resided outside of the United States or
2366     its territories[.]; and
2367          (e) an application showing an applicant's association with a certification, contract, or a
2368     licensee with the department, for the purpose of the office tracking the direct access qualified
2369     status of the applicant, which expires 180 days after the date on which the applicant is no
2370     longer associated with a certification, contract, or a licensee with the department.
2371          (3) The office:
2372          (a) shall perform the following duties as part of a background check of an applicant
2373     before the office grants or denies direct access qualified status to an applicant:
2374          (i) check state and regional criminal background databases for the applicant's criminal
2375     history by:
2376          (A) submitting personal identifying information to the bureau for a search; or
2377          (B) using the applicant's personal identifying information to search state and regional
2378     criminal background databases as authorized under Section 53-10-108;
2379          (ii) submit the applicant's personal identifying information and fingerprints to the
2380     bureau for a criminal history search of applicable national criminal background databases;
2381          (iii) search the Division of Child and Family Services' Licensing Information System

2382     described in Section 80-2-1002;
2383          (iv) search the Sex and Kidnap Offender Registry described in Title 77, Chapter 41,
2384     Sex and Kidnap Offender Registry, or a national sex offender registry for an applicant 18 years
2385     old or older;
2386          [(iv)] (v) if the applicant is [applying to become] associated with a licensee for a
2387     prospective foster or adoptive parent, search the Division of Child and Family Services'
2388     Management Information System described in Section 80-2-1001 [for:];
2389          [(A) the applicant; and]
2390          [(B) any adult living in the applicant's home;]
2391          [(v) for an applicant described in Subsection (1)(a)(i)(F), search the Division of Child
2392     and Family Services' Management Information System described in Section 80-2-1001;]
2393          (vi) search the Division of Aging and Adult Services' vulnerable adult abuse, neglect,
2394     or exploitation database described in Section 26B-6-210;
2395          (vii) search the juvenile court records for substantiated findings of severe child abuse
2396     or neglect described in Section 80-3-404; and
2397          (viii) search the juvenile court arrest, adjudication, and disposition records, as provided
2398     under Section 78A-6-209;
2399          [(b) shall conduct a background check of an applicant for an initial background check
2400     upon submission of the information described in Subsection (2);]
2401          [(c)] (b) may conduct all or portions of a background check [of an applicant] in
2402     connection with determining whether an applicant is direct access qualified, as provided by
2403     rule, made by the office in accordance with Title 63G, Chapter 3, Utah Administrative
2404     Rulemaking Act:
2405          (i) for an annual renewal; or
2406          (ii) when the office determines that reasonable cause exists;
2407          [(d)] (c) may submit an applicant's personal identifying information, including
2408     fingerprints, to the bureau for checking, retaining, and monitoring of state and national criminal
2409     background databases and for notifying the office of new criminal activity associated with the
2410     applicant;
2411          [(e)] (d) shall track the status of an applicant under this section to ensure that the
2412     applicant is not required to duplicate the submission of the applicant's fingerprints if the

2413     applicant [applies for:] is associated with more than one certification, contract, or licensee with
2414     the department;
2415          [(i) more than one license;]
2416          [(ii) direct access to a child or a vulnerable adult in more than one human services
2417     program; or]
2418          [(iii) direct access to a child or a vulnerable adult under a contract with the
2419     department;]
2420          [(f)] (e) [shall track the status of each individual with direct access to a child or a
2421     vulnerable adult and notify the bureau within 90 days after the day on which the license expires
2422     or the individual's direct access to a child or a vulnerable adult ceases] shall notify the bureau
2423     when a direct access qualified individual has not been associated with a certification, contract,
2424     or licensee with the department for a period of 180 days;
2425          [(g)] (f) shall adopt measures to strictly limit access to personal identifying information
2426     solely to the individuals responsible for processing and entering the applications for
2427     background checks and to protect the security of the personal identifying information the office
2428     reviews under this Subsection (3);
2429          [(h)] (g) as necessary to comply with the federal requirement to check a state's child
2430     abuse and neglect registry regarding any [individual] applicant working in a congregate care
2431     program, shall:
2432          (i) search the Division of Child and Family Services' Licensing Information System
2433     described in Section 80-2-1002; and
2434          (ii) require the child abuse and neglect registry be checked in each state where an
2435     applicant resided at any time during the five years immediately preceding the day on which the
2436     [applicant submits the information described in Subsection (2)] application is submitted to the
2437     office; and
2438          [(i)] (h) shall make rules, in accordance with Title 63G, Chapter 3, Utah
2439     Administrative Rulemaking Act, to implement the provisions of this Subsection (3) relating to
2440     background checks.
2441          (4) (a) With the personal identifying information the office submits to the bureau under
2442     Subsection (3), the bureau shall check against state and regional criminal background databases
2443     for the applicant's criminal history.

2444          (b) With the personal identifying information and fingerprints the office submits to the
2445     bureau under Subsection (3), the bureau shall check against national criminal background
2446     databases for the applicant's criminal history.
2447          (c) Upon direction from the office, and with the personal identifying information and
2448     fingerprints the office submits to the bureau under Subsection [(3)(d)] (3)(c), the bureau shall:
2449          (i) maintain a separate file of the fingerprints for search by future submissions to the
2450     local and regional criminal records databases, including latent prints; and
2451          (ii) monitor state and regional criminal background databases and identify criminal
2452     activity associated with the applicant.
2453          (d) The bureau is authorized to submit the fingerprints to the Federal Bureau of
2454     Investigation Next Generation Identification System, to be retained in the Federal Bureau of
2455     Investigation Next Generation Identification System for the purpose of:
2456          (i) being searched by future submissions to the national criminal records databases,
2457     including the Federal Bureau of Investigation Next Generation Identification System and latent
2458     prints; and
2459          (ii) monitoring national criminal background databases and identifying criminal
2460     activity associated with the applicant.
2461          (e) The Bureau shall notify and release to the office all information of criminal activity
2462     associated with the applicant.
2463          (f) Upon notice that [an individual's direct access to a child or a vulnerable adult has
2464     ceased for 90 days] an individual who has direct access qualified status will no longer be
2465     associated with a certification, contract, or licensee with the department, the bureau shall:
2466          (i) discard and destroy any retained fingerprints; and
2467          (ii) notify the Federal Bureau of Investigation when the license has expired or an
2468     individual's direct access to a child or a vulnerable adult has ceased, so that the Federal Bureau
2469     of Investigation will discard and destroy the retained fingerprints from the Federal Bureau of
2470     Investigation Next Generation Identification System.
2471          (5) (a) Except as provided in Subsection (5)(b), [after conducting the background
2472     check described in Subsections (3) and (4),] the office shall deny [an application to an
2473     applicant who, within three years before the day on which the applicant submits information to
2474     the office under Subsection (2) for a background check, has been convicted of] direct access

2475     qualified status to an applicant who, within three years from the date on which the office
2476     conducts the background check, was convicted of:
2477          (i) a felony or misdemeanor involving conduct that constitutes any of the following:
2478          (A) an offense identified as domestic violence, lewdness, voyeurism, battery, cruelty to
2479     animals, or bestiality;
2480          (B) a violation of any pornography law, including sexual exploitation of a minor or
2481     aggravated sexual exploitation of a minor;
2482          (C) sexual solicitation or prostitution;
2483          [(D) an offense included in Title 76, Chapter 5, Offenses Against the Individual, Title
2484     76, Chapter 5b, Sexual Exploitation Act, Title 76, Chapter 4, Part 4, Enticement of a Minor, or
2485     Title 76, Chapter 7, Offenses Against the Family;]
2486          (D) a violent offense committed in the presence of a child, as described in Section
2487     76-3-203.10;
2488          (E) an offense included in Title 76, Chapter 4, Part 4, Enticement of a Minor;
2489          (F) an offense included in Title 76, Chapter 5, Offenses Against the Individual;
2490          (G) an offense included in Title 76, Chapter 5b, Sexual Exploitation Act;
2491          (H) an offense included in Title 76, Chapter 7, Offenses Against the Family;
2492          (I) an offense included in Title 76, Chapter 9, Part 4, Offenses Against Privacy;
2493          (J) an offense included in Title 76, Chapter 10, Part 4, Weapons of Mass Destruction;
2494          (K) an offense included in Title 78B, Chapter 7, Protective Orders and Stalking
2495     Injunctions;
2496          [(E)] (L) aggravated arson, as described in Section 76-6-103;
2497          [(F)] (M) aggravated burglary, as described in Section 76-6-203;
2498          (N) aggravated exploitation of prostitution, as described in Section 76-10-1306;
2499          [(G)] (O) aggravated robbery, as described in Section 76-6-302;
2500          (P) endangering persons in a human services program, as described in Section
2501     26B-2-113;
2502          (Q) failure to report, as described in Section 80-2-609;
2503          [(H)] (R) identity fraud crime, as described in Section 76-6-1102;
2504          (S) leaving a child unattended in a motor vehicle, as described in Section 76-10-2202;
2505          (T) riot, as described in Section 76-9-101;

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

2537          [(c)] (d) has a class B misdemeanor or class C misdemeanor conviction [for an offense
2538     described in Subsection (5) with a date of conviction that is more than three years after, and no
2539     more than 10 years before, the date on which the applicant submits the information described
2540     in Subsection (2) and no criminal findings or non-criminal findings after the date of conviction]
2541     that is more than three years and no more than 10 years from the date on which the office
2542     conducts the background check for an offense described in Subsection (5)(a);
2543          (e) has a class B misdemeanor or class C misdemeanor conviction that is more than 10
2544     years from the date on which the office conducts the background check, for an offense
2545     described in Subsection (5)(a), with criminal or non-criminal findings after the date of
2546     conviction;
2547          [(d)] (f) has a misdemeanor charge or conviction that is no more than three years from
2548     the date on which the office conducts the background check for an offense not described in
2549     Subsection [(5) with a date of conviction that is no more than three years before the date on
2550     which the applicant submits information described in Subsection (2) and no criminal findings
2551     or non-criminal findings after the date of conviction] (5)(a);
2552          (g) has a misdemeanor charge or conviction that is more than three years from the date
2553     on which the office conducts the background check, for an offense not described in Subsection
2554     (5)(a), with criminal or non-criminal findings after the date of charge or conviction;
2555          [(e)] (h) is currently subject to a plea in abeyance or diversion agreement for an offense
2556     described in Subsection [(5)] (5)(a);
2557          [(f)] (i) appears on the Sex and Kidnap Offender Registry described in Title 77,
2558     Chapter 41, Sex and Kidnap Offender Registry, or a national sex offender registry;
2559          [(g)] (j) has a record of an adjudication in juvenile court for an act that, if committed by
2560     an adult, would be a felony or misdemeanor, if the applicant is:
2561          (i) under 28 years old; or
2562          (ii) 28 years old or older and has been convicted of, has pleaded no contest to, or is
2563     currently subject to a plea in abeyance or diversion agreement for a felony or a misdemeanor
2564     offense described in Subsection [(5)] (5)(a);
2565          [(h)] (k) has a pending charge for an offense described in Subsection [(5)] (5)(a);
2566          [(i)] (l) has a listing that occurred no more than 15 years from the date on which the
2567     office conducts the background check in the Division of Child and Family Services' Licensing

2568     Information System described in Section 80-2-1002 [that occurred no more than 15 years
2569     before the date on which the applicant submits the information described in Subsection (2) and
2570     no criminal findings or non-criminal findings dated after the date of the listing];
2571          [(j)] (m) has a listing that occurred more than 15 years from the date on which the
2572     office conducts the background check in the Division of Child and Family Services' Licensing
2573     Information System described in Section 80-2-1002, with criminal or non-criminal findings
2574     after the date of the listing;
2575          (n) has a listing that occurred no more than 15 years from the date on which the office
2576     conducts the background check in the Division of Aging and Adult Services' vulnerable adult
2577     abuse, neglect, or exploitation database described in Section 26B-6-210 [that occurred no more
2578     than 15 years before the date on which the applicant submits the information described in
2579     Subsection (2) and no criminal findings or non-criminal findings dated after the date of the
2580     listing];
2581          (o) has a listing that occurred more than 15 years from the date on which the office
2582     conducts the background check in the Division of Aging and Adult Services' vulnerable adult
2583     abuse, neglect, or exploitation database described in Section 26B-6-210, with criminal or
2584     non-criminal findings after the date of the listing;
2585          [(k)] (p) has a substantiated finding that occurred no more than 15 years from the date
2586     on which the office conducts the background check of severe child abuse or neglect under
2587     Section 80-3-404 or 80-3-504 [that occurred no more than 15 years before the date on which
2588     the applicant submits the information described in Subsection (2) and no criminal findings or
2589     non-criminal findings dated after the date of the finding]; or
2590          (q) has a substantiated finding that occurred more than 15 years from the date on which
2591     the office conducts the background check of severe child abuse or neglect under Section
2592     80-3-404 or 80-3-504, with criminal or non-criminal findings after the date of the listing.
2593          [(l) (i) is seeking a position:]
2594          [(A) as a peer support provider;]
2595          [(B) as a mental health professional; or]
2596          [(C) in a program that serves only adults with a primary mental health diagnosis, with
2597     or without a co-occurring substance use disorder; and]
2598          [(ii) within three years before the day on which the applicant submits the information

2599     described in Subsection (2):]
2600          [(A) has a felony or misdemeanor charge or conviction;]
2601          [(B) has a listing in the Division of Child and Family Services' Licensing Information
2602     System described in Section 80-2-1002;]
2603          [(C) has a listing in the Division of Aging and Adult Services' vulnerable adult abuse,
2604     neglect, or exploitation database described in Section 26B-6-210; or]
2605          [(D) has a substantiated finding of severe child abuse or neglect under Section
2606     80-3-404 or 80-3-504;]
2607          [(m) (i) (A) is seeking a position in a congregate care program;]
2608          [(B) is seeking to become a prospective foster or adoptive parent; or]
2609          [(C) is an applicant described in Subsection (1)(a)(i)(F); and]
2610          [(ii) (A) has an infraction conviction for conduct that constitutes an offense or violation
2611     described in Subsection (5)(a)(i)(A) or (B);]
2612          [(B) has a listing in the Division of Child and Family Services' Licensing Information
2613     System described in Section 80-2-1002;]
2614          [(C) has a listing in the Division of Aging and Adult Services' vulnerable adult abuse,
2615     neglect, or exploitation database described in Section 26B-6-210;]
2616          [(D) has a substantiated finding of severe child abuse or neglect under Section
2617     80-3-404 or 80-3-504; or]
2618          [(E) has a listing on the registry check described in Subsection (13)(a) as having a
2619     substantiated or supported finding of a severe type of child abuse or neglect as defined in
2620     Section 80-1-102; or]
2621          [(n) is seeking to become a prospective foster or adoptive parent and has, or has an
2622     adult living with the applicant who has, a conviction, finding, or listing described in Subsection
2623     (6)(m)(ii).]
2624          (7) (a) The comprehensive review shall include an examination of:
2625          (i) the date of the offense or incident;
2626          (ii) the nature and seriousness of the offense or incident;
2627          (iii) the circumstances under which the offense or incident occurred;
2628          (iv) the age of the perpetrator when the offense or incident occurred;
2629          (v) whether the offense or incident was an isolated or repeated incident;

2630          (vi) whether the offense or incident directly relates to abuse of a child or vulnerable
2631     adult, including:
2632          (A) actual or threatened, nonaccidental physical, mental, or financial harm;
2633          (B) sexual abuse;
2634          (C) sexual exploitation; or
2635          (D) negligent treatment;
2636          (vii) any evidence provided by the applicant of rehabilitation, counseling, psychiatric
2637     treatment received, or additional academic or vocational schooling completed; and
2638          (viii) the applicant's risk of harm to clientele in the program or in the capacity for
2639     which the applicant is applying[.];
2640          (ix) if the background check of an applicant is being conducted for the purpose of
2641     giving direct access qualified status to an applicant seeking a position in a congregate care
2642     program or to become a prospective foster or adoptive parent, any listing in the Division of
2643     Child and Family Services' Management Information System described in Section 80-2-1001.
2644          (b) At the conclusion of the comprehensive review, the office shall deny [an
2645     application to an applicant if the office finds:] direct access qualified status to an applicant if
2646     the office finds the approval would likely create a risk of harm to a child or vulnerable adult.
2647          [(i) that approval would likely create a risk of harm to a child or a vulnerable adult; or]
2648          [(ii) an individual is prohibited from having direct access to a child or vulnerable adult
2649     by court order.]
2650          (8) The office shall [approve an application] grant direct access qualified status to an
2651     applicant who is not denied under this section.
2652          (9) (a) The office may conditionally [approve an application of] grant direct access
2653     qualified status to an applicant, for a maximum of 60 days after the day on which the office
2654     sends written notice [to the applicant under Subsection (11)], without requiring that the
2655     applicant be directly supervised, if the office:
2656          (i) is awaiting the results of the criminal history search of national criminal background
2657     databases; and
2658          (ii) would otherwise [approve an application of] grant direct access qualified status to
2659     the applicant under this section.
2660          (b) The office may conditionally [approve an application of] grant direct access

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

2692          [(11) (a) Within 30 days after the day on which the applicant submits the information
2693     described in Subsection (2), the office shall notify the applicant of any potentially disqualifying
2694     criminal findings or non-criminal findings.]
2695          [(b) If the notice under Subsection (11)(a) states that the applicant's application is
2696     denied, the notice shall further advise the applicant that the applicant may, under Subsection
2697     26B-2-111(2), request a hearing in the department's Office of Administrative Hearings, to
2698     challenge the office's decision.]
2699          [(c) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
2700     the office shall make rules, consistent with this part:]
2701          [(i) defining procedures for the challenge of the office's background check decision
2702     described in Subsection (11)(b); and]
2703          [(ii) expediting the process for renewal of a license under the requirements of this
2704     section and other applicable sections.]
2705          (11) If the office denies direct access qualified status to an applicant, the applicant may
2706     request a hearing in the department's Office of Administrative Hearings to challenge the
2707     office's decision.
2708          [(12) (a) An individual or a department contractor who provides services in an adults
2709     only substance use disorder program, as defined by rule made in accordance with Title 63G,
2710     Chapter 3, Utah Administrative Rulemaking Act, is exempt from this section]
2711          (12) (a) This Subsection (12) applies to an applicant associated with a certification,
2712     contract, or licensee serving adults only.
2713          [(b) The exemption described in Subsection (12)(a) does not extend to a program
2714     director or a member, as defined by Section 26B-2-105, of the program]
2715          (b) A program director or a member, as defined in Section 26B-2-105, of the licensee
2716     shall comply with this section.
2717          (c) The office shall conduct a comprehensive review for an applicant if:
2718          (i) seeking a position:
2719          (A) as a peer support provider;
2720          (B) mental health professional; or
2721          (C) in a program that serves only adults with a primary mental health diagnosis, with or
2722     without a co-occurring substance use disorder; and

2723          (ii) within three years from the date on which the office conducts the background
2724     check, the applicant has a felony or misdemeanor charge or conviction or a non-criminal
2725     finding.
2726          [(13) (a) Except as provided in Subsection (13)(b), in addition to the other
2727     requirements of this section, if the background check of an applicant is being conducted for the
2728     purpose of giving clearance status to an applicant seeking a position in a congregate care
2729     program or an applicant seeking to become a prospective foster or adoptive parent, the office
2730     shall:]
2731          (13) (a) This Subsection (13) applies to an applicant seeking a position in a congregate
2732     care program, an applicant seeking to provide a prospective foster home, an applicant seeking
2733     to provide a prospective adoptive home, and each adult living in the home of the prospective
2734     foster or prospective adoptive home.
2735          (b) As federally required, the office shall:
2736          (i) check the child abuse and neglect registry in each state where each applicant resided
2737     in the five years immediately preceding the day on which the applicant applied to be a foster or
2738     adoptive parent, to determine whether the prospective foster or adoptive parent is listed in the
2739     registry as having a substantiated or supported finding of child abuse or neglect; and
2740          (ii) except for applicants seeking a position in a congregate care program, check the
2741     child abuse and neglect registry in each state where each adult living in the home of the
2742     [applicant described in Subsection (13)(a)(i)] prospective foster or adoptive home resided in
2743     the five years immediately preceding the day on which the applicant applied to be a foster or
2744     adoptive parent, to determine whether the adult is listed in the registry as having a substantiated
2745     or supported finding of child abuse or neglect.
2746          [(b)] (c) The requirements described in Subsection [(13)(a)] (13)(b) do not apply to the
2747     extent that:
2748          (i) federal law or rule permits otherwise; or
2749          (ii) the requirements would prohibit the Division of Child and Family Services or a
2750     court from placing a child with:
2751          (A) a noncustodial parent under Section 80-2a-301, 80-3-302, or 80-3-303; or
2752          (B) a relative, other than a noncustodial parent, under Section 80-2a-301, 80-3-302, or
2753     80-3-303, pending completion of the background check described in [Subsection (5)]

2754     Subsections (5), (6), and (7).
2755          [(c)] (d) Notwithstanding Subsections (5) through (10), the office shall deny [a
2756     clearance to an applicant seeking a position in a congregate care program or an applicant to
2757     become a prospective foster or adoptive parent if the applicant has been convicted of] direct
2758     access qualified status if the applicant has been convicted of:
2759          (i) a felony involving conduct that constitutes any of the following:
2760          (A) child abuse, as described in Sections 76-5-109, 76-5-109.2, and 76-5-109.3;
2761          (B) commission of domestic violence in the presence of a child, as described in Section
2762     76-5-114;
2763          (C) abuse or neglect of a child with a disability, as described in Section 76-5-110;
2764          (D) intentional aggravated abuse of a vulnerable adult, as described in Section
2765     76-5-111;
2766          [(D)] (E) endangerment of a child or vulnerable adult, as described in Section
2767     76-5-112.5;
2768          [(E)] (F) aggravated murder, as described in Section 76-5-202;
2769          [(F)] (G) murder, as described in Section 76-5-203;
2770          [(G)] (H) manslaughter, as described in Section 76-5-205;
2771          [(H)] (I) child abuse homicide, as described in Section 76-5-208;
2772          [(I)] (J) homicide by assault, as described in Section 76-5-209;
2773          [(J)] (K) kidnapping, as described in Section 76-5-301;
2774          [(K)] (L) child kidnapping, as described in Section 76-5-301.1;
2775          [(L)] (M) aggravated kidnapping, as described in Section 76-5-302;
2776          [(M)] (N) human trafficking of a child, as described in Section 76-5-308.5;
2777          [(N)] (O) an offense described in Title 76, Chapter 5, Part 4, Sexual Offenses;
2778          [(O)] (P) sexual exploitation of a minor, as described in Title 76, Chapter 5b, Sexual
2779     Exploitation Act;
2780          [(P)] (Q) aggravated exploitation of a minor, as described in Section 76-5b-201.1;
2781          [(Q)] (R) aggravated arson, as described in Section 76-6-103;
2782          [(R)] (S) aggravated burglary, as described in Section 76-6-203;
2783          [(S)] (T) aggravated robbery, as described in Section 76-6-302;
2784          [(T)] (U) lewdness involving a child, as described in Section 76-9-702.5;

2785          [(U)] (V) incest, as described in Section 76-7-102; or
2786          [(V)] (W) domestic violence, as described in Section 77-36-1; or
2787          (ii) an offense committed outside the state that, if committed in the state, would
2788     constitute a violation of an offense described in Subsection [(13)(c)(i)] (13)(d)(i).
2789          [(d)] (e) Notwithstanding Subsections (5) through (10), the office shall deny [a license
2790     or license renewal to an individual seeking a position in a congregate care program or a
2791     prospective foster or adoptive parent if, within the five years immediately preceding the day on
2792     which the individual's application or license would otherwise be approved, the individual]
2793     direct access qualified status to an applicant if, within the five years from the date on which the
2794     office conducts the background check, the applicant was convicted of a felony involving
2795     conduct that constitutes a violation of any of the following:
2796          (i) aggravated assault, as described in Section 76-5-103;
2797          (ii) aggravated assault by a prisoner, as described in Section 76-5-103.5;
2798          (iii) mayhem, as described in Section 76-5-105;
2799          (iv) an offense described in Title 58, Chapter 37, Utah Controlled Substances Act;
2800          (v) an offense described in Title 58, Chapter 37a, Utah Drug Paraphernalia Act;
2801          (vi) an offense described in Title 58, Chapter 37b, Imitation Controlled Substances
2802     Act;
2803          (vii) an offense described in Title 58, Chapter 37c, Utah Controlled Substance
2804     Precursor Act; or
2805          (viii) an offense described in Title 58, Chapter 37d, Clandestine Drug Lab Act.
2806          [(e)] (f) In addition to the circumstances described in Subsection (6), the office shall
2807     conduct [the] a comprehensive review of an applicant's background check under this section if
2808     [the registry check described in Subsection (13)(a) indicates that the individual is listed in a
2809     child abuse and neglect registry of another state as having a substantiated or supported finding
2810     of a severe type of child abuse or neglect as defined in Section 80-1-102.] the applicant:
2811          (i) has an offense described in Subsection (5)(a), has an infraction conviction entered
2812     on a date that is no more than three years before the date on which the office conducts the
2813     background check;
2814          (ii) has a listing in the Division of Child and Family Services' Licensing Information
2815     System described in Section 80-2-1002;

2816          (iii) has a listing in the Division of Aging and Adult Services' vulnerable adult, neglect,
2817     or exploitation database described in Section 26B-6-210;
2818          (iv) has a substantiated finding of severe child abuse or neglect under Section 80-3-404
2819     or 80-3-504; or
2820          (v) has a listing on the registry check described in Subsection (13)(b) as having a
2821     substantiated or supported finding of a severe type of child abuse or neglect, as defined in
2822     Section 80-1-102.
2823          [(14)] (g) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking
2824     Act, the office may make rules, consistent with this part, to:
2825          [(a)] (i) establish procedures for, and information to be examined in, the
2826     comprehensive review described in Subsections [(6) and (7)] (6), (7), and (13); and
2827          [(b)] (ii) determine whether to consider an offense or incident that occurred while an
2828     individual was in the custody of the Division of Child and Family Services or the [Division of
2829     Juvenile Justice Services] Division of Juvenile Justice and Youth Services for purposes of
2830     [approval or denial of an application for a prospective foster or adoptive parent] granting or
2831     denying direct access qualified status to an applicant.
2832          Section 26. Section 26B-2-122 is amended to read:
2833          26B-2-122. Access to vulnerable adult abuse and neglect information.
2834          (1) For purposes of this section:
2835          (a) "Direct service worker" means the same as that term is defined in Section
2836     26B-6-401.
2837          (b) "Personal care attendant" means the same as that term is defined in Section
2838     26B-6-401.
2839          (2) With respect to a licensee, a direct service worker, or a personal care attendant, the
2840     department may access the database created by Section 26B-6-210 for the purpose of:
2841          (a) (i) determining whether a person associated with a licensee, with direct access to
2842     vulnerable adults, has a supported or substantiated finding of:
2843          (A) abuse;
2844          (B) neglect; or
2845          (C) exploitation; and
2846          (ii) informing a licensee that a person associated with the licensee has a supported or

2847     substantiated finding of:
2848          (A) abuse;
2849          (B) neglect; or
2850          (C) exploitation;
2851          (b) (i) determining whether a direct service worker has a supported or substantiated
2852     finding of:
2853          (A) abuse;
2854          (B) neglect; or
2855          (C) exploitation; and
2856          (ii) informing a direct service worker or the direct service worker's employer that the
2857     direct service worker has a supported or substantiated finding of:
2858          (A) abuse;
2859          (B) neglect; or
2860          (C) exploitation; or
2861          (c) (i) determining whether a personal care attendant has a supported or substantiated
2862     finding of:
2863          (A) abuse;
2864          (B) neglect; or
2865          (C) exploitation; and
2866          (ii) informing a person described in Subsections 26B-6-401(9)(a)(i) through (iv) that a
2867     personal care attendant has a supported or substantiated finding of:
2868          (A) abuse;
2869          (B) neglect; or
2870          (C) exploitation.
2871          (3) The department shall receive and process personal identifying information under
2872     Subsection [26B-2-120(1)] 26B-2-120(2) for the purposes described in Subsection (2).
2873          (4) The department shall adopt rules under Title 63G, Chapter 3, Utah Administrative
2874     Rulemaking Act, consistent with this part and Chapter 6, Part 2, Abuse, Neglect, or
2875     Exploitation of a Vulnerable Adult, defining the circumstances under which a person may have
2876     direct access or provide services to vulnerable adults when the person is listed in the statewide
2877     database of the Division of Aging and Adult Services created by Section 26B-6-210 as having

2878     a supported or substantiated finding of abuse, neglect, or exploitation.
2879          Section 27. Section 26B-2-128 is amended to read:
2880          26B-2-128. Numerical limit of foster children in a foster home.
2881          [(1) Except as provided in Subsection (2) or (3), no more than:]
2882          [(a) four foster children may reside in the foster home of a licensed foster parent; or]
2883          [(b) three foster children may reside in the foster home of a certified foster parent.]
2884          (1) (a) No more than four foster children may reside in the foster home of a licensed
2885     foster parent.
2886          (b) No more than three foster children may reside in the foster home of a certified
2887     foster parent.
2888          [(2) When placing a sibling group into a foster home, the limits in Subsection (1) may
2889     be exceeded if:]
2890          [(a) no other foster children reside in the foster home;]
2891          [(b) only one other foster child resides in the foster home at the time of a sibling
2892     group's placement into the foster home; or]
2893          [(c) a sibling group re-enters foster care and is placed into the foster home where the
2894     sibling group previously resided.]
2895          [(3)] (2) When placing a child into a foster home, the limits [in] under Subsection (1)
2896     may be exceeded:
2897          (a) to place a child into a foster home where a sibling of the child currently resides; or
2898          (b) to place a child in a foster home where the child previously resided.
2899          (3) The limits under Subsection (1) may be exceeded for:
2900          (a) placement of a sibling group in a foster home with no more than one other foster
2901     child placement;
2902          (b) placement of a child or sibling group in a foster home where the child or sibling
2903     group previously resided; or
2904          (c) placement of a child in a foster home where a sibling currently resides.
2905          Section 28. Section 26B-2-201 is amended to read:
2906          26B-2-201. Definitions.
2907          As used in this part:
2908          (1) (a) "Abortion clinic" means a type I abortion clinic or a type II abortion clinic.

2909          (b) "Abortion clinic" does not mean a clinic that meets the definition of hospital under
2910     Section 76-7-301 or Section [76-71-101] 76-7a-101.
2911          (2) "Activities of daily living" means essential activities including:
2912          (a) dressing;
2913          (b) eating;
2914          (c) grooming;
2915          (d) bathing;
2916          (e) toileting;
2917          (f) ambulation;
2918          (g) transferring; and
2919          (h) self-administration of medication.
2920          (3) "Ambulatory surgical facility" means a freestanding facility, which provides
2921     surgical services to patients not requiring hospitalization.
2922          (4) "Assistance with activities of daily living" means providing of or arranging for the
2923     provision of assistance with activities of daily living.
2924          (5) (a) "Assisted living facility" means:
2925          (i) a type I assisted living facility, which is a residential facility that provides assistance
2926     with activities of daily living and social care to two or more residents who:
2927          (A) require protected living arrangements; and
2928          (B) are capable of achieving mobility sufficient to exit the facility without the
2929     assistance of another person; and
2930          (ii) a type II assisted living facility, which is a residential facility with a home-like
2931     setting that provides an array of coordinated supportive personal and health care services
2932     available 24 hours per day to residents who have been assessed under department rule to need
2933     any of these services.
2934          (b) Each resident in a type I or type II assisted living facility shall have a service plan
2935     based on the assessment, which may include:
2936          (i) specified services of intermittent nursing care;
2937          (ii) administration of medication; and
2938          (iii) support services promoting residents' independence and self-sufficiency.
2939          (6) "Birthing center" means a facility that:

2940          (a) receives maternal clients and provides care during pregnancy, delivery, and
2941     immediately after delivery; and
2942          (b) (i) is freestanding; or
2943          (ii) is not freestanding, but meets the requirements for an alongside midwifery unit
2944     described in Subsection 26B-2-228(7).
2945          (7) "Committee" means the Health Facility Committee created in Section 26B-1-204.
2946          (8) "Consumer" means any person not primarily engaged in the provision of health care
2947     to individuals or in the administration of facilities or institutions in which such care is provided
2948     and who does not hold a fiduciary position, or have a fiduciary interest in any entity involved in
2949     the provision of health care, and does not receive, either directly or through his spouse, more
2950     than 1/10 of his gross income from any entity or activity relating to health care.
2951          (9) "End stage renal disease facility" means a facility which furnishes staff-assisted
2952     kidney dialysis services, self-dialysis services, or home-dialysis services on an outpatient basis.
2953          (10) "Freestanding" means existing independently or physically separated from another
2954     health care facility by fire walls and doors and administrated by separate staff with separate
2955     records.
2956          (11) "General acute hospital" means a facility which provides diagnostic, therapeutic,
2957     and rehabilitative services to both inpatients and outpatients by or under the supervision of
2958     physicians.
2959          (12) "Governmental unit" means the state, or any county, municipality, or other
2960     political subdivision or any department, division, board, or agency of the state, a county,
2961     municipality, or other political subdivision.
2962          (13) (a) "Health care facility" means general acute hospitals, specialty hospitals, home
2963     health agencies, hospices, nursing care facilities, residential-assisted living facilities, birthing
2964     centers, ambulatory surgical facilities, small health care facilities, abortion clinics, a clinic that
2965     meets the definition of hospital under Section 76-7-301 or [76-71-201] 76-7a-101, facilities
2966     owned or operated by health maintenance organizations, end stage renal disease facilities, and
2967     any other health care facility which the committee designates by rule.
2968          (b) "Health care facility" does not include the offices of private physicians or dentists,
2969     whether for individual or group practice, except that it does include an abortion clinic.
2970          (14) "Health maintenance organization" means an organization, organized under the

2971     laws of any state which:
2972          (a) is a qualified health maintenance organization under 42 U.S.C. Sec. 300e-9; or
2973          (b) (i) provides or otherwise makes available to enrolled participants at least the
2974     following basic health care services: usual physician services, hospitalization, laboratory, x-ray,
2975     emergency, and preventive services and out-of-area coverage;
2976          (ii) is compensated, except for copayments, for the provision of the basic health
2977     services listed in Subsection (14)(b)(i) to enrolled participants by a payment which is paid on a
2978     periodic basis without regard to the date the health services are provided and which is fixed
2979     without regard to the frequency, extent, or kind of health services actually provided; and
2980          (iii) provides physicians' services primarily directly through physicians who are either
2981     employees or partners of such organizations, or through arrangements with individual
2982     physicians or one or more groups of physicians organized on a group practice or individual
2983     practice basis.
2984          (15) (a) "Home health agency" means an agency, organization, or facility or a
2985     subdivision of an agency, organization, or facility which employs two or more direct care staff
2986     persons who provide licensed nursing services, therapeutic services of physical therapy, speech
2987     therapy, occupational therapy, medical social services, or home health aide services on a
2988     visiting basis.
2989          (b) "Home health agency" does not mean an individual who provides services under
2990     the authority of a private license.
2991          (16) "Hospice" means a program of care for the terminally ill and their families which
2992     occurs in a home or in a health care facility and which provides medical, palliative,
2993     psychological, spiritual, and supportive care and treatment.
2994          (17) "Nursing care facility" means a health care facility, other than a general acute or
2995     specialty hospital, constructed, licensed, and operated to provide patient living
2996     accommodations, 24-hour staff availability, and at least two of the following patient services:
2997          (a) a selection of patient care services, under the direction and supervision of a
2998     registered nurse, ranging from continuous medical, skilled nursing, psychological, or other
2999     professional therapies to intermittent health-related or paraprofessional personal care services;
3000          (b) a structured, supportive social living environment based on a professionally
3001     designed and supervised treatment plan, oriented to the individual's habilitation or

3002     rehabilitation needs; or
3003          (c) a supervised living environment that provides support, training, or assistance with
3004     individual activities of daily living.
3005          (18) "Person" means any individual, firm, partnership, corporation, company,
3006     association, or joint stock association, and the legal successor thereof.
3007          (19) "Resident" means a person 21 years old or older who:
3008          (a) as a result of physical or mental limitations or age requires or requests services
3009     provided in an assisted living facility; and
3010          (b) does not require intensive medical or nursing services as provided in a hospital or
3011     nursing care facility.
3012          (20) "Small health care facility" means a four to 16 bed facility that provides licensed
3013     health care programs and services to residents.
3014          (21) "Specialty hospital" means a facility which provides specialized diagnostic,
3015     therapeutic, or rehabilitative services in the recognized specialty or specialties for which the
3016     hospital is licensed.
3017          (22) "Substantial compliance" means in a department survey of a licensee, the
3018     department determines there is an absence of deficiencies which would harm the physical
3019     health, mental health, safety, or welfare of patients or residents of a licensee.
3020          (23) "Type I abortion clinic" means a facility, including a physician's office, but not
3021     including a general acute or specialty hospital, that:
3022          (a) performs abortions, as defined in Section 76-7-301, during the first trimester of
3023     pregnancy; and
3024          (b) does not perform abortions, as defined in Section 76-7-301, after the first trimester
3025     of pregnancy.
3026          (24) "Type II abortion clinic" means a facility, including a physician's office, but not
3027     including a general acute or specialty hospital, that:
3028          (a) performs abortions, as defined in Section 76-7-301, after the first trimester of
3029     pregnancy; or
3030          (b) performs abortions, as defined in Section 76-7-301, during the first trimester of
3031     pregnancy and after the first trimester of pregnancy.
3032          Section 29. Section 26B-2-202 is amended to read:

3033          26B-2-202. Duties of department.
3034          (1) The department shall:
3035          (a) enforce rules established pursuant to this part;
3036          (b) authorize an agent of the department to conduct inspections of health care facilities
3037     pursuant to this part;
3038          (c) collect information authorized by the committee that may be necessary to ensure
3039     that adequate health care facilities are available to the public;
3040          (d) collect and credit fees for licenses as free revenue;
3041          (e) collect and credit fees for conducting plan reviews as dedicated credits;
3042          (f) (i) collect and credit fees for conducting [clearance] certification for direct patient
3043     access under Sections 26B-2-239 and 26B-2-240; and
3044          (ii) beginning July 1, 2012:
3045          (A) up to $105,000 of the fees collected under Subsection (1)(f)(i) are dedicated
3046     credits; and
3047          (B) the fees collected for background checks under Subsection 26B-2-240(6) and
3048     Subsection 26B-2-241(4) shall be transferred to the Department of Public Safety to reimburse
3049     the Department of Public Safety for its costs in conducting the federal background checks;
3050          (g) designate an executive secretary from within the department to assist the committee
3051     in carrying out its powers and responsibilities;
3052          (h) establish reasonable standards for criminal background checks by public and
3053     private entities;
3054          (i) recognize those public and private entities that meet the standards established
3055     pursuant to Subsection (1)(h); and
3056          (j) provide necessary administrative and staff support to the committee.
3057          (2) The department may:
3058          (a) exercise all incidental powers necessary to carry out the purposes of this part;
3059          (b) review architectural plans and specifications of proposed health care facilities or
3060     renovations of health care facilities to ensure that the plans and specifications conform to rules
3061     established by the committee; and
3062          (c) in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
3063     make rules as necessary to implement the provisions of this part.

3064          Section 30. Section 26B-2-204 is amended to read:
3065          26B-2-204. Licensing of an abortion clinic -- Rulemaking authority -- Fee --
3066     Licensing of a clinic meeting the definition of hospital.
3067          (1) (a) No abortion clinic may operate in the state on or after January 1, 2024, or the
3068     last valid date of an abortion clinic license issued under the requirements of this section,
3069     whichever date is later.
3070          (b) Notwithstanding Subsection (1)(a), a licensed abortion clinic may not perform an
3071     abortion in violation of any provision of state law.
3072          (2) The state may not issue a license for an abortion clinic after May 2, 2023.
3073          (3) For any license for an abortion clinic that is issued under this section:
3074          (a) A type I abortion clinic may not operate in the state without a license issued by the
3075     department to operate a type I abortion clinic.
3076          (b) A type II abortion clinic may not operate in the state without a license issued by the
3077     department to operate a type II abortion clinic.
3078          (c) The department shall make rules establishing minimum health, safety, sanitary, and
3079     recordkeeping requirements for:
3080          (i) a type I abortion clinic; and
3081          (ii) a type II abortion clinic.
3082          (d) To receive and maintain a license described in this section, an abortion clinic shall:
3083          (i) apply for a license on a form prescribed by the department;
3084          (ii) satisfy and maintain the minimum health, safety, sanitary, and recordkeeping
3085     requirements established [unde7r] under Subsection (3) that relate to the type of abortion clinic
3086     licensed;
3087          (iii) comply with the recordkeeping and reporting requirements of Section 76-7-313;
3088          (iv) comply with the requirements of Title 76, Chapter 7, Part 3, Abortion, and Title
3089     76, Chapter 7a, Abortion Prohibition;
3090          (v) pay the annual licensing fee; and
3091          (vi) cooperate with inspections conducted by the department.
3092          (e) The department shall, at least twice per year, inspect each abortion clinic in the state
3093     to ensure that the abortion clinic is complying with all statutory and licensing requirements
3094     relating to the abortion clinic. At least one of the inspections shall be made without providing

3095     notice to the abortion clinic.
3096          (f) The department shall charge an annual license fee, set by the department in
3097     accordance with the procedures described in Section 63J-1-504, to an abortion clinic in an
3098     amount that will pay for the cost of the licensing requirements described in this section and the
3099     cost of inspecting abortion clinics.
3100          (g) The department shall deposit the licensing fees described in this section in the
3101     General Fund as a dedicated credit to be used solely to pay for the cost of the licensing
3102     requirements described in this section and the cost of inspecting abortion clinics.
3103          (4) (a) Notwithstanding any other provision of this section, the department may license
3104     a clinic that meets the definition of hospital under Section 76-7-301 or Section 76-7a-101.
3105          (b) A clinic described in Subsection (4)(a) is not defined as an abortion clinic.
3106          Section 31. Section 26B-2-238 is amended to read:
3107          26B-2-238. Definitions for Sections 26B-2-238 through 26B-2-241.
3108          As used in this section and Sections 26B-2-239, 26B-2-240, and 26B-2-241:
3109          (1) ["Clearance"] "Certification for direct patient access" means approval by the
3110     department under Section 26B-2-239 for an individual to have direct patient access.
3111          (2) "Covered body" means a covered provider, covered contractor, or covered
3112     employer.
3113          (3) "Covered contractor" means a person that supplies covered individuals, by contract,
3114     to a covered employer or covered provider.
3115          (4) "Covered employer" means an individual who:
3116          (a) engages a covered individual to provide services in a private residence to:
3117          (i) an aged individual, as defined by department rule; or
3118          (ii) a disabled individual, as defined by department rule;
3119          (b) is not a covered provider; and
3120          (c) is not a licensed health care facility within the state.
3121          (5) "Covered individual":
3122          (a) means an individual:
3123          (i) whom a covered body engages; and
3124          (ii) who may have direct patient access;
3125          (b) includes:

3126          (i) a nursing assistant, as defined by department rule;
3127          (ii) a personal care aide, as defined by department rule;
3128          (iii) an individual licensed to engage in the practice of nursing under Title 58, Chapter
3129     31b, Nurse Practice Act;
3130          (iv) a provider of medical, therapeutic, or social services, including a provider of
3131     laboratory and radiology services;
3132          (v) an executive;
3133          (vi) administrative staff, including a manager or other administrator;
3134          (vii) dietary and food service staff;
3135          (viii) housekeeping and maintenance staff; and
3136          (ix) any other individual, as defined by department rule, who has direct patient access;
3137     and
3138          (c) does not include a student, as defined by department rule, directly supervised by a
3139     member of the staff of the covered body or the student's instructor.
3140          (6) "Covered provider" means:
3141          (a) an end stage renal disease facility;
3142          (b) a long-term care hospital;
3143          (c) a nursing care facility;
3144          (d) a small health care facility;
3145          (e) an assisted living facility;
3146          (f) a hospice;
3147          (g) a home health agency; or
3148          (h) a personal care agency.
3149          (7) "Direct patient access" means for an individual to be in a position where the
3150     individual could, in relation to a patient or resident of the covered body who engages the
3151     individual:
3152          (a) cause physical or mental harm;
3153          (b) commit theft; or
3154          (c) view medical or financial records.
3155          (8) "Engage" means to obtain one's services:
3156          (a) by employment;

3157          (b) by contract;
3158          (c) as a volunteer; or
3159          (d) by other arrangement.
3160          (9) "Long-term care hospital":
3161          (a) means a hospital that is certified to provide long-term care services under the
3162     provisions of 42 U.S.C. Sec. 1395tt; and
3163          (b) does not include a critical access hospital, designated under 42 U.S.C. Sec.
3164     1395i-4(c)(2).
3165          (10) "Patient" means an individual who receives health care services from one of the
3166     following covered providers:
3167          (a) an end stage renal disease facility;
3168          (b) a long-term care hospital;
3169          (c) a hospice;
3170          (d) a home health agency; or
3171          (e) a personal care agency.
3172          (11) "Personal care agency" means a health care facility defined by department rule.
3173          (12) "Resident" means an individual who receives health care services from one of the
3174     following covered providers:
3175          (a) a nursing care facility;
3176          (b) a small health care facility;
3177          (c) an assisted living facility; or
3178          (d) a hospice that provides living quarters as part of its services.
3179          (13) "Residential setting" means a place provided by a covered provider:
3180          (a) for residents to live as part of the services provided by the covered provider; and
3181          (b) where an individual who is not a resident also lives.
3182          (14) "Volunteer" means an individual, as defined by department rule, who provides
3183     services without pay or other compensation.
3184          Section 32. Section 26B-2-239 is amended to read:
3185          26B-2-239. Certification for direct patient access required -- Application by
3186     covered providers, covered contractors, and individuals.
3187          (1) The definitions in Section 26B-2-238 apply to this section.

3188          (2) (a) A covered provider may engage a covered individual only if the individual has
3189     [clearance] certification for direct patient access.
3190          (b) A covered contractor may supply a covered individual to a covered employer or
3191     covered provider only if the individual has [clearance] certification for direct patient access.
3192          (c) A covered employer may engage a covered individual who does not have
3193     [clearance] certification for direct patient access.
3194          (3) (a) Notwithstanding Subsections (2)(a) and (b), if a covered individual does not
3195     have [clearance] certification for direct patient access, a covered provider may engage the
3196     individual or a covered contractor may supply the individual to a covered provider or covered
3197     employer:
3198          (i) under circumstances specified by department rule; and
3199          (ii) only while an application for [clearance] certification for direct patient access for
3200     the individual is pending.
3201          (b) For purposes of Subsection (3)(a), an application is pending if the following have
3202     been submitted to the department for the individual:
3203          (i) an application for [clearance] certification for direct patient access;
3204          (ii) the personal identification information specified by the department under
3205     Subsection 26B-2-240(4)(b); and
3206          (iii) any fees established by the department under Subsection 26B-2-240(9).
3207          (4) (a) As provided in Subsection (4)(b), each covered provider and covered contractor
3208     operating in this state shall:
3209          (i) collect from each covered individual the contractor engages, and each individual the
3210     contractor intends to engage as a covered individual, the personal identification information
3211     specified by the department under Subsection 26B-2-240(4)(b); and
3212          (ii) submit to the department an application for [clearance] certification for direct
3213     patient access for the individual, including:
3214          (A) the personal identification information; and
3215          (B) any fees established by the department under Subsection 26B-2-240(9).
3216          (b) [Clearance] Certification for direct patient access granted for an individual pursuant
3217     to an application submitted by a covered provider or a covered contractor is valid [until the
3218     later of:] for 180 days after the date on which the engaged employment lapses.

3219          (i) two years after the individual is no longer engaged as a covered individual; or
3220          (ii) the covered provider's or covered contractor's next license renewal date.
3221          (5) (a) A covered provider that provides services in a residential setting shall:
3222          (i) collect the personal identification information specified by the department under
3223     Subsection 26B-2-240(4)(b) for each individual 12 years old or older, other than a resident,
3224     who resides in the residential setting; and
3225          (ii) submit to the department an application for [clearance] certification for direct
3226     patient access for the individual, including:
3227          (A) the personal identification information; and
3228          (B) any fees established by the department under Subsection 26B-2-240(9).
3229          (b) A covered provider that provides services in a residential setting may allow an
3230     individual 12 years old or older, other than a resident, to reside in the residential setting only if
3231     the individual has [clearance] certification for direct patient access.
3232          (6) (a) An individual may apply for [clearance] certification for direct patient access by
3233     submitting to the department an application, including:
3234          (i) the personal identification information specified by the department under
3235     Subsection 26B-2-240(4)(b); and
3236          (ii) any fees established by the department under Subsection 26B-2-240(9).
3237          (b) [Clearance] Certification for direct patient access granted to an individual who
3238     makes application under Subsection (6)(a) is valid for [two years] 180 days after the date the
3239     engaged employment lapses unless the department determines otherwise based on the
3240     department's ongoing review under Subsection 26B-2-240(4)(a).
3241          Section 33. Section 26B-2-240 is amended to read:
3242          26B-2-240. Department authorized to grant, deny, or revoke certification for
3243     direct patient access -- Department may limit direct patient access -- Certification for
3244     direct patient access.
3245          (1) The definitions in Section 26B-2-238 apply to this section.
3246          (2) (a) As provided in this section, the department may grant, deny, or revoke
3247     [clearance] certification for direct patient access for an individual, including a covered
3248     individual.
3249          (b) The department may limit the circumstances under which a covered individual

3250     granted [clearance] certification for direct patient access may have direct patient access, based
3251     on the relationship factors under Subsection (4) and other mitigating factors related to patient
3252     and resident protection.
3253          (c) The department shall determine whether to grant [clearance] certification for direct
3254     patient access for each applicant for whom it receives:
3255          (i) the personal identification information specified by the department under
3256     Subsection (4)(b); and
3257          (ii) any fees established by the department under Subsection (9).
3258          (d) The department shall establish a procedure for obtaining and evaluating relevant
3259     information concerning covered individuals, including fingerprinting the applicant and
3260     submitting the prints to the Criminal Investigations and Technical Services Division of the
3261     Department of Public Safety for checking against applicable state, regional, and national
3262     criminal records files.
3263          (3) The department may review the following sources to determine whether an
3264     individual should be granted or retain [clearance] certification for direct patient access, which
3265     may include:
3266          (a) Department of Public Safety arrest, conviction, and disposition records described in
3267     Title 53, Chapter 10, Criminal Investigations and Technical Services Act, including
3268     information in state, regional, and national records files;
3269          (b) juvenile court arrest, adjudication, and disposition records, as allowed under
3270     Section 78A-6-209;
3271          (c) federal criminal background databases available to the state;
3272          (d) the Division of Child and Family Services Licensing Information System described
3273     in Section 80-2-1002;
3274          (e) child abuse or neglect findings described in Section 80-3-404;
3275          (f) the Division of Aging and Adult Services vulnerable adult abuse, neglect, or
3276     exploitation database described in Section 26B-6-210;
3277          (g) registries of nurse aids described in 42 C.F.R. Sec. 483.156;
3278          (h) licensing and certification records of individuals licensed or certified by the
3279     Division of Professional Licensing under Title 58, Occupations and Professions; and
3280          (i) the List of Excluded Individuals and Entities database maintained by the United

3281     States Department of Health and Human Services' Office of Inspector General.
3282          (4) The department shall adopt rules that:
3283          (a) specify the criteria the department will use to determine whether an individual is
3284     granted or retains [clearance] certification for direct patient access:
3285          (i) based on an initial evaluation and ongoing review of information under Subsection
3286     (3); and
3287          (ii) including consideration of the relationship the following may have to patient and
3288     resident protection:
3289          (A) warrants for arrest;
3290          (B) arrests;
3291          (C) convictions, including pleas in abeyance;
3292          (D) pending diversion agreements;
3293          (E) adjudications by a juvenile court under Section 80-6-701 if the individual is over
3294     28 years old and has been convicted, has pleaded no contest, or is subject to a plea in abeyance
3295     or diversion agreement for a felony or misdemeanor, or the individual is under 28 years old;
3296     and
3297          (F) any other findings under Subsection (3); and
3298          (b) specify the personal identification information that must be submitted by an
3299     individual or covered body with an application for [clearance] certification for direct patient
3300     access, including:
3301          (i) the applicant's Social Security number; and
3302          (ii) fingerprints.
3303          (5) For purposes of Subsection (4)(a), the department shall classify a crime committed
3304     in another state according to the closest matching crime under Utah law, regardless of how the
3305     crime is classified in the state where the crime was committed.
3306          (6) The Department of Public Safety, the Administrative Office of the Courts, the
3307     Division of Professional Licensing, and any other state agency or political subdivision of the
3308     state:
3309          (a) shall allow the department to review the information the department may review
3310     under Subsection (3); and
3311          (b) except for the Department of Public Safety, may not charge the department for

3312     access to the information.
3313          (7) The department shall adopt measures to protect the security of the information it
3314     reviews under Subsection (3) and strictly limit access to the information to department
3315     employees responsible for processing an application for [clearance] certification for direct
3316     patient access.
3317          (8) The department may disclose personal identification information specified under
3318     Subsection (4)(b) to other divisions and offices within the department to verify that the subject
3319     of the information is not identified as a perpetrator or offender in the information sources
3320     described in Subsections (3)(d) through (f).
3321          (9) The department may establish fees, in accordance with Section 63J-1-504, for an
3322     application for [clearance] certification for direct patient access, which may include:
3323          (a) the cost of obtaining and reviewing information under Subsection (3);
3324          (b) a portion of the cost of creating and maintaining the Direct Access Clearance
3325     System database under Section 26B-2-241; and
3326          (c) other department costs related to the processing of the application and the ongoing
3327     review of information pursuant to Subsection (4)(a) to determine whether [clearance]
3328     certification for direct patient access should be retained.
3329          Section 34. Section 26B-2-241 (Superseded 07/01/24) is amended to read:
3330          26B-2-241 (Superseded 07/01/24). Direct Access Clearance System database --
3331     Contents and use -- Department of Public Safety retention of information and notification
3332     -- No civil liability for providing information.
3333          (1) The definitions in Section 26B-2-238 apply to this section.
3334          (2) The department shall create and maintain a Direct Access Clearance System
3335     database, which:
3336          (a) includes the names of individuals for whom the department has received[:]
3337          [(i)] an application for [clearance] certification for direct patient access under this part;
3338     [or]
3339          [(ii) an application for background clearance under Section 26B-4-124;] and
3340          (b) indicates whether an application is pending and whether [clearance] certification
3341     for direct patient access has been granted and retained for[: (i)] an applicant under this part[;
3342     and].

3343          [(ii) an applicant for background clearance under Section 26B-4-124.]
3344          (3) (a) The department shall allow covered providers and covered contractors to access
3345     the database electronically.
3346          (b) Data accessible to a covered provider or covered contractor is limited to the
3347     information under Subsections (2)(a)(i) and (2)(b)(i) for:
3348          (i) covered individuals engaged by the covered provider or covered contractor; and
3349          (ii) individuals:
3350          (A) whom the covered provider or covered contractor could engage as covered
3351     individuals; and
3352          (B) who have provided the covered provider or covered contractor with sufficient
3353     personal identification information to uniquely identify the individual in the database.
3354          (c) (i) The department may establish fees, in accordance with Section 63J-1-504, for
3355     use of the database by a covered contractor.
3356          (ii) The fees may include, in addition to any fees established by the department under
3357     Subsection 26B-2-240(9), an initial set-up fee, an ongoing access fee, and a per-use fee.
3358          (4) The Criminal Investigations and Technical Services Division within the
3359     Department of Public Safety shall:
3360          (a) retain, separate from other division records, personal information, including any
3361     fingerprints, sent to the division by the department pursuant to Subsection 26B-2-240(3)(a);
3362     and
3363          (b) notify the department upon receiving notice that an individual for whom personal
3364     information has been retained is the subject of:
3365          (i) a warrant for arrest;
3366          (ii) an arrest;
3367          (iii) a conviction, including a plea in abeyance; or
3368          (iv) a pending diversion agreement.
3369          (5) A covered body is not civilly liable for submitting to the department information
3370     required under this section, Section 26B-2-239, or Section 26B-2-240, or refusing to employ an
3371     individual who does not have clearance to have direct patient access under Section 26B-2-240.
3372          Section 35. Section 26B-2-241 (Effective 07/01/24) is amended to read:
3373          26B-2-241 (Effective 07/01/24). Direct Access Clearance System database --

3374     Contents and use -- Department of Public Safety retention of information and notification
3375     -- No civil liability for providing information.
3376          (1) The definitions in Section 26B-2-238 apply to this section.
3377          (2) The department shall create and maintain a Direct Access Clearance System
3378     database, which:
3379          (a) includes the names of individuals for whom[: (i)] the department has received an
3380     application for [clearance] certification for direct patient access under this part; [or] and
3381          [(ii) the Bureau of Emergency Medical Services has received an application for
3382     background clearance under Section 53-2d-410; and]
3383          (b) indicates whether an application is pending and whether clearance has been granted
3384     and retained for[:]
3385          [(i)] an applicant under this part[; and].
3386          [(ii) an applicant for background clearance under Section 53-2d-410.]
3387          (3) (a) The department shall allow covered providers and covered contractors to access
3388     the database electronically.
3389          (b) Data accessible to a covered provider or covered contractor is limited to the
3390     information under Subsections (2)(a)(i) and (2)(b)(i) for:
3391          (i) covered individuals engaged by the covered provider or covered contractor; and
3392          (ii) individuals:
3393          (A) whom the covered provider or covered contractor could engage as covered
3394     individuals; and
3395          (B) who have provided the covered provider or covered contractor with sufficient
3396     personal identification information to uniquely identify the individual in the database.
3397          (c) (i) The department may establish fees, in accordance with Section 63J-1-504, for
3398     use of the database by a covered contractor.
3399          (ii) The fees may include, in addition to any fees established by the department under
3400     Subsection 26B-2-240(9), an initial set-up fee, an ongoing access fee, and a per-use fee.
3401          (4) The Criminal Investigations and Technical Services Division within the
3402     Department of Public Safety shall:
3403          (a) retain, separate from other division records, personal information, including any
3404     fingerprints, sent to the division by the department pursuant to Subsection 26B-2-240(3)(a);

3405     and
3406          (b) notify the department upon receiving notice that an individual for whom personal
3407     information has been retained is the subject of:
3408          (i) a warrant for arrest;
3409          (ii) an arrest;
3410          (iii) a conviction, including a plea in abeyance; or
3411          (iv) a pending diversion agreement.
3412          (5) A covered body is not civilly liable for submitting to the department information
3413     required under this section, Section 26B-2-239, or Section 26B-2-240, or refusing to employ an
3414     individual who does not have [clearance] certification for direct patient access to have direct
3415     patient access under Section 26B-2-240.
3416          Section 36. Section 26B-3-114 is amended to read:
3417          26B-3-114. Department standards for eligibility under Medicaid -- Funds for
3418     abortions.
3419          (1) (a) The department may develop standards and administer policies relating to
3420     eligibility under the Medicaid program [as long as they are consistent] if the standards and
3421     policies comply with Subsection [26B-4-704(8)] 26B-3-108.
3422          (b) An applicant receiving Medicaid assistance may be limited to particular types of
3423     care or services or to payment of part or all costs of care determined to be medically necessary.
3424          (2) The department may not provide any funds for medical, hospital, or other medical
3425     expenditures or medical services to otherwise eligible persons where the purpose of the
3426     assistance is to perform an abortion, unless the life of the mother would be endangered if an
3427     abortion were not performed.
3428          (3) Any employee of the department who authorizes payment for an abortion contrary
3429     to the provisions of this section is guilty of a class B misdemeanor and subject to forfeiture of
3430     office.
3431          (4) Any person or organization that, under the guise of other medical treatment,
3432     provides an abortion under auspices of the Medicaid program is guilty of a third degree felony
3433     and subject to forfeiture of license to practice medicine or authority to provide medical services
3434     and treatment.
3435          Section 37. Section 26B-3-212 is amended to read:

3436          26B-3-212. Limited family planning services for low-income individuals.
3437          (1) As used in this section:
3438          (a) (i) "Family planning services" means family planning services that are provided
3439     under the state Medicaid program, including:
3440          (A) sexual health education and family planning counseling; and
3441          (B) other medical diagnosis, treatment, or preventative care routinely provided as part
3442     of a family planning service visit.
3443          (ii) "Family planning services" do not include an abortion, as that term is defined in
3444     Section 76-7-301 or 76-7a-101.
3445          (b) "Low-income individual" means an individual who:
3446          (i) has an income level that is equal to or below 185% of the federal poverty level; and
3447          (ii) does not qualify for full coverage under the Medicaid program.
3448          (2) Before January 1, 2024, the division shall apply for a Medicaid waiver or a state
3449     plan amendment with CMS to:
3450          (a) offer a program that provides family planning services to low-income individuals;
3451     and
3452          (b) receive a federal match rate of 90% of state expenditures for family planning
3453     services provided under the waiver or state plan amendment.
3454          Section 38. Section 26B-4-118 (Superseded 07/01/24) is amended to read:
3455          26B-4-118 (Superseded 07/01/24). Permits for emergency medical service vehicles
3456     and nonemergency secured behavioral health transport vehicles.
3457          (1) (a) To ensure that emergency medical service vehicles and nonemergency secured
3458     behavioral health transport vehicles are adequately staffed, safe, maintained, properly
3459     equipped, and safely operated, the committee shall establish permit requirements at levels it
3460     considers appropriate in the following categories:
3461          (i) ambulance;
3462          (ii) emergency medical response vehicle; and
3463          (iii) nonemergency secured behavioral health transport vehicle.
3464          (b) The permit requirements under Subsections (1)(a)(i) and (ii) shall include a
3465     requirement that [beginning on or after January 31, 2014,] every operator of an ambulance or
3466     emergency medical response vehicle annually provide proof of the successful completion of an

3467     emergency vehicle operator's course approved by the department for all ambulances and
3468     emergency medical response vehicle operators.
3469          (2) The department shall, based on the requirements established in Subsection (1),
3470     issue permits to emergency medical service vehicles and nonemergency secured behavioral
3471     health transport vehicles.
3472          Section 39. Section 26B-4-136 (Superseded 07/01/24) is amended to read:
3473          26B-4-136 (Superseded 07/01/24). Volunteer Emergency Medical Service
3474     Personnel Health Insurance Program -- Creation -- Administration -- Eligibility --
3475     Benefits -- Rulemaking -- Advisory board.
3476          (1) As used in this section:
3477          (a) "Health benefit plan" means the same as that term is defined in Section 31A-1-301.
3478          (b) "Local government entity" means a political subdivision that:
3479          (i) is licensed as a ground ambulance provider under Sections 26B-4-150 through
3480     26B-4-170; and
3481          (ii) [as of January 1, 2022,] does not offer health insurance benefits to volunteer
3482     emergency medical service personnel.
3483          (c) "PEHP" means the Public Employees' Benefit and Insurance Program created in
3484     Section 49-20-103.
3485          (d) "Political subdivision" means a county, a municipality, a limited purpose
3486     government entity described in Title 17B, Limited Purpose Local Government Entities -
3487     Special Districts, or Title 17D, Limited Purpose Local Government Entities - Other Entities, or
3488     an entity created by an interlocal agreement under Title 11, Chapter 13, Interlocal Cooperation
3489     Act.
3490          (e) "Qualifying association" means an association that represents two or more political
3491     subdivisions in the state.
3492          (2) The Volunteer Emergency Medical Service Personnel Health Insurance Program
3493     shall promote recruitment and retention of volunteer emergency medical service personnel by
3494     making health insurance available to volunteer emergency medical service personnel.
3495          (3) The department shall contract with a qualifying association to create, implement,
3496     and administer the Volunteer Emergency Medical Service Personnel Health Insurance Program
3497     described in this section.

3498          (4) Participation in the program is limited to emergency medical service personnel
3499     who:
3500          (a) are licensed under Section 26B-4-116 and are able to perform all necessary
3501     functions associated with the license;
3502          (b) provide emergency medical services under the direction of a local governmental
3503     entity:
3504          (i) by responding to 20% of calls for emergency medical services in a rolling
3505     twelve-month period;
3506          (ii) within a county of the third, fourth, fifth, or sixth class; and
3507          (iii) as a volunteer under the Fair Labor Standards Act, in accordance with 29 C.F.R.
3508     Sec. 553.106;
3509          (c) are not eligible for a health benefit plan through an employer or a spouse's
3510     employer;
3511          (d) are not eligible for medical coverage under a government sponsored healthcare
3512     program; and
3513          (e) reside in the state.
3514          (5) (a) A participant in the program is eligible to participate in PEHP in accordance
3515     with Subsection (5)(b) and Subsection 49-20-201(3).
3516          (b) Benefits available to program participants under PEHP are limited to health
3517     insurance that:
3518          (i) covers the program participant and the program participant's eligible dependents on
3519     a July 1 plan year;
3520          (ii) accepts enrollment during an open enrollment period or for a special enrollment
3521     event, including the initial eligibility of a program participant;
3522          (iii) if the program participant is no longer eligible for benefits, terminates on the last
3523     day of the last month for which the individual is a participant in the Volunteer Emergency
3524     Medical Service Personnel Health Insurance Program; and
3525          (iv) is not subject to continuation rights under state or federal law.
3526          (6) (a) The department may make rules in accordance with Title 63G, Chapter 3, Utah
3527     Administrative Rulemaking Act, to define additional criteria regarding benefit design and
3528     eligibility for the program.

3529          (b) The department shall convene an advisory board:
3530          (i) to advise the department on making rules under Subsection (6)(a); and
3531          (ii) that includes representation from at least the following entities:
3532          (A) the qualifying association that receives the contract under Subsection (3); and
3533          (B) PEHP.
3534          (7) For purposes of this section, the qualifying association that receives the contract
3535     under Subsection (3) shall be considered the public agency for whom the program participant is
3536     volunteering under 29 C.F.R. Sec. 553.101.
3537          Section 40. Section 26B-4-152 (Superseded 07/01/24) is amended to read:
3538          26B-4-152 (Superseded 07/01/24). Establishment of maximum rates.
3539          (1) The department shall, after receiving recommendations under Subsection (2),
3540     establish maximum rates for ground ambulance providers and paramedic providers that are just
3541     and reasonable.
3542          (2) The committee may make recommendations to the department on the maximum
3543     rates that should be set under Subsection (1).
3544          (3) (a) [The department shall prohibit ground] Ground ambulance providers and
3545     paramedic providers [from charging] may not charge fees for transporting a patient when the
3546     provider does not transport the patient.
3547          (b) The provisions of Subsection (3)(a) do not apply to ambulance providers or
3548     paramedic providers in a geographic service area which contains a town as defined in
3549     Subsection 10-2-301(2)(f).
3550          Section 41. Section 26B-4-154 (Superseded 07/01/24) is amended to read:
3551          26B-4-154 (Superseded 07/01/24). Ground ambulance and paramedic licenses --
3552     Agency notice of approval.
3553          (1) [Beginning January 1, 2004, if] If the department determines that the application
3554     meets the minimum requirements for licensure under Section 26B-4-153, the department shall
3555     issue a notice of the approved application to the applicant.
3556          (2) A current license holder responding to a request for proposal under Section
3557     26B-4-156 is considered an approved applicant for purposes of Section 26B-4-156 if the
3558     current license holder, prior to responding to the request for proposal, submits the following to
3559     the department:

3560          (a) the information described in Subsections 26B-4-153(4)(a)(i) through (iii); and
3561          (b) (i) if the license holder is a private entity, a financial statement, a pro forma budget
3562     and necessary letters of credit demonstrating a financial ability to expand service to a new
3563     service area; or
3564          (ii) if the license holder is a governmental entity, a letter from the governmental entity's
3565     governing body demonstrating the governing body's willingness to financially support the
3566     application.
3567          Section 42. Section 26B-4-201 is amended to read:
3568          26B-4-201. Definitions.
3569          As used in this part:
3570          (1) "Active tetrahydrocannabinol" means THC, any THC analog, and
3571     tetrahydrocannabinolic acid.
3572          (2) "Advertise" [or "advertising"] means information provided by a [medical cannabis
3573     pharmacy] person in any medium:
3574          (a) to the public; and
3575          (b) that is not age restricted to an individual who is at least 21 years old.
3576          (3) "Advisory board" means the Medical Cannabis Policy Advisory Board created in
3577     Section 26B-1-435.
3578          (4) " Cannabis Research Review Board" means the Cannabis Research Review Board
3579     created in Section 26B-1-420.
3580          (5) "Cannabis" means marijuana.
3581          [(6) "Cannabis cultivation facility" means the same as that term is defined in Section
3582     4-41a-102.]
3583          [(7)] (6) "Cannabis processing facility" means the same as that term is defined in
3584     Section 4-41a-102.
3585          [(8)] (7) "Cannabis product" means a product that:
3586          (a) is intended for human use; and
3587          (b) contains cannabis or any tetrahydrocannabinol or THC analog in a total
3588     concentration of 0.3% or greater on a dry weight basis.
3589          [(9)] (8) "Cannabis production establishment" means the same as that term is defined
3590     in Section 4-41a-102.

3591          [(10)] (9) "Cannabis production establishment agent" means the same as that term is
3592     defined in Section 4-41a-102.
3593          [(11)] (10) "Cannabis production establishment agent registration card" means the
3594     same as that term is defined in Section 4-41a-102.
3595          [(12) "Community location" means a public or private elementary or secondary school,
3596     a church, a public library, a public playground, or a public park.]
3597          [(13)] (11) "Conditional medical cannabis card" means an electronic medical cannabis
3598     card that the department issues in accordance with Subsection 26B-4-213(1)(b) to allow an
3599     applicant for a medical cannabis card to access medical cannabis during the department's
3600     review of the application.
3601          [(14)] (12) "Controlled substance database" means the controlled substance database
3602     created in Section 58-37f-201.
3603          [(15)] (13) "Delivery address" means:
3604          (a) for a medical cannabis cardholder who is not a facility, the medical cannabis
3605     cardholder's home address; or
3606          (b) for a medical cannabis cardholder that is a facility, the facility's address.
3607          [(16)] (14) "Department" means the Department of Health and Human Services.
3608          [(17)] (15) "Designated caregiver" means:
3609          (a) an individual:
3610          (i) whom an individual with a medical cannabis patient card or a medical cannabis
3611     guardian card designates as the patient's caregiver; and
3612          (ii) who registers with the department under Section 26B-4-214; or
3613          (b) (i) a facility that an individual designates as a designated caregiver in accordance
3614     with Subsection 26B-4-214(1)(b); or
3615          (ii) an assigned employee of the facility described in Subsection 26B-4-214(1)(b)(ii).
3616          [(18)] (16) "Directions of use" means recommended routes of administration for a
3617     medical cannabis treatment and suggested usage guidelines.
3618          [(19)] (17) "Dosing guidelines" means a quantity range and frequency of administration
3619     for a recommended treatment of medical cannabis.
3620          [(20) "Financial institution" means a bank, trust company, savings institution, or credit
3621     union, chartered and supervised under state or federal law.]

3622          [(21)] (18) "Government issued photo identification" means any of the following forms
3623     of identification:
3624          (a) a valid state-issued driver license or identification card;
3625          (b) a valid United States federal-issued photo identification, including:
3626          (i) a United States passport;
3627          (ii) a United States passport card;
3628          (iii) a United States military identification card; or
3629          (iv) a permanent resident card or alien registration receipt card; or
3630          (c) a foreign passport.
3631          [(22)] (19) "Home delivery medical cannabis pharmacy" means a medical cannabis
3632     pharmacy that the department authorizes, as part of the pharmacy's license, to deliver medical
3633     cannabis shipments to a delivery address to fulfill electronic orders that the state central patient
3634     portal facilitates.
3635          [(23)] (20) "Inventory control system" means the system described in Section
3636     4-41a-103.
3637          [(24)] (21) "Legal dosage limit" means an amount that:
3638          (a) is sufficient to provide 30 days of treatment based on the dosing guidelines that the
3639     relevant recommending medical provider or the state central patient portal or pharmacy
3640     medical provider, in accordance with Subsection 26B-4-230(5), recommends; and
3641          (b) may not exceed:
3642          (i) for unprocessed cannabis in a medicinal dosage form, 113 grams by weight; and
3643          (ii) for a cannabis product in a medicinal dosage form, a quantity that contains, in total,
3644     greater than 20 grams of active tetrahydrocannabinol.
3645          [(25)] (22) "Legal use termination date" means a date on the label of a container of
3646     unprocessed cannabis flower:
3647          (a) that is 60 days after the date of purchase of the cannabis; and
3648          (b) after which, the cannabis is no longer in a medicinal dosage form outside of the
3649     primary residence of the relevant medical cannabis patient cardholder.
3650          [(26)] (23) "Limited medical provider" means an individual who:
3651          (a) meets the recommending qualifications; and
3652          (b) has no more than 15 patients with a valid medical cannabis patient card [or

3653     provisional patient card] as a result of the individual's recommendation, in accordance with
3654     Subsection 26B-4-204(1)(b).
3655          [(27)] (24) "Marijuana" means the same as that term is defined in Section 58-37-2.
3656          [(28)] (25) "Medical cannabis" means cannabis in a medicinal dosage form or a
3657     cannabis product in a medicinal dosage form.
3658          [(29)] (26) "Medical cannabis card" means a medical cannabis patient card, a medical
3659     cannabis guardian card, a medical cannabis caregiver card, or a conditional medical cannabis
3660     card.
3661          [(30)] (27) "Medical cannabis cardholder" means:
3662          (a) a holder of a medical cannabis card; or
3663          (b) a facility or assigned employee, described in Subsection(17)(b), only:
3664          (i) within the scope of the facility's or assigned employee's performance of the role of a
3665     medical cannabis patient cardholder's caregiver designation under Subsection 26B-4-214(1)(b);
3666     and
3667          (ii) while in possession of documentation that establishes:
3668          (A) a caregiver designation described in Subsection 26B-4-214(1)(b);
3669          (B) the identity of the individual presenting the documentation; and
3670          (C) the relation of the individual presenting the documentation to the caregiver
3671     designation.
3672          [(31)] (28) "Medical cannabis caregiver card" means an electronic document that a
3673     cardholder may print or store on an electronic device or a physical card or document that:
3674          (a) the department issues to an individual whom a medical cannabis patient cardholder
3675     or a medical cannabis guardian cardholder designates as a designated caregiver; and
3676          (b) is connected to the electronic verification system.
3677          [(32)] (29) "Medical cannabis courier" means the same as that term is defined in
3678     Section 4-41a-102.
3679          [(33) "Medical cannabis courier agent" means the same as that term is defined in
3680     Section 4-41a-102.]
3681          [(34)] (30) (a) "Medical cannabis device" means a device that an individual uses to
3682     ingest or inhale cannabis in a medicinal dosage form or a cannabis product in a medicinal
3683     dosage form.

3684          (b) "Medical cannabis device" does not include a device that:
3685          (i) facilitates cannabis combustion; or
3686          (ii) an individual uses to ingest substances other than cannabis.
3687          [(35)] (31) "Medical cannabis guardian card" means an electronic document that a
3688     cardholder may print or store on an electronic device or a physical card or document that:
3689          (a) the department issues to the parent or legal guardian of a minor with a qualifying
3690     condition; and
3691          (b) is connected to the electronic verification system.
3692          [(36)] (32) "Medical cannabis patient 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 an individual with a qualifying condition; and
3695          (b) is connected to the electronic verification system.
3696          [(37)] (33) "Medical cannabis pharmacy" means a person that:
3697          (a) (i) acquires or intends to acquire medical cannabis or a cannabis product in a
3698     medicinal dosage form from a cannabis processing facility or another medical cannabis
3699     pharmacy or a medical cannabis device; or
3700          (ii) possesses medical cannabis or a medical cannabis device; and
3701          (b) sells or intends to sell medical cannabis or a medical cannabis device to a medical
3702     cannabis cardholder.
3703          [(38)] (34) "Medical cannabis pharmacy agent" means an individual who holds a valid
3704     medical cannabis pharmacy agent registration card issued by the department.
3705          [(39)] (35) "Medical cannabis pharmacy agent registration card" means a registration
3706     card issued by the department that authorizes an individual to act as a medical cannabis
3707     pharmacy agent.
3708          [(40)] (36) "Medical cannabis shipment" means the same as that term is defined in
3709     Section 4-41a-102.
3710          [(41)] (37) "Medical cannabis treatment" means cannabis in a medicinal dosage form, a
3711     cannabis product in a medicinal dosage form, or a medical cannabis device.
3712          [(42)] (38) (a) "Medicinal dosage form" means:
3713          (i) for processed medical cannabis or a medical cannabis product, the following with a
3714     specific and consistent cannabinoid content:

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

3746     on a nail or other metal object that is heated by a flame, including a blowtorch;
3747          (iv) a liquid suspension that is branded as a beverage; or
3748          (v) a substance described in Subsection (42)(a)(i) or (ii) if the substance is not
3749     measured in grams, milligrams, or milliliters.
3750          [(43)] (39) "Nonresident patient" means an individual who:
3751          (a) is not a resident of Utah or has been a resident of Utah for less than 45 days;
3752          (b) has a currently valid medical cannabis card or the equivalent of a medical cannabis
3753     card under the laws of another state, district, territory, commonwealth, or insular possession of
3754     the United States; and
3755          (c) has been diagnosed with a qualifying condition as described in Section 26B-4-203.
3756          [(44) "Payment provider" means an entity that contracts with a cannabis production
3757     establishment or medical cannabis pharmacy to facilitate transfers of funds between the
3758     establishment or pharmacy and other businesses or individuals.]
3759          [(45)] (40) "Pharmacy medical provider" means the medical provider required to be on
3760     site at a medical cannabis pharmacy under Section 26B-4-219.
3761          [(46)] (41) "Provisional patient card" means a card that:
3762          (a) the department issues to a minor with a qualifying condition for whom:
3763          (i) a recommending medical provider has recommended a medical cannabis treatment;
3764     and
3765          (ii) the department issues a medical cannabis guardian card to the minor's parent or
3766     legal guardian; and
3767          (b) is connected to the electronic verification system.
3768          [(47)] (42) "Qualified medical provider" means an individual:
3769          (a) who meets the recommending qualifications; and
3770          (b) whom the department registers to recommend treatment with cannabis in a
3771     medicinal dosage form under Section 26B-4-204.
3772          [(48)] (43) "Qualified Patient Enterprise Fund" means the enterprise fund created in
3773     Section 26B-1-310.
3774          [(49)] (44) "Qualifying condition" means a condition described in Section 26B-4-203.
3775          [(50)] (45) "Recommend" or "recommendation" means, for a recommending medical
3776     provider, the act of suggesting the use of medical cannabis treatment, which:

3777          (a) certifies the patient's eligibility for a medical cannabis card; and
3778          (b) may include, at the recommending medical provider's discretion, directions of use,
3779     with or without dosing guidelines.
3780          [(51)] (46) "Recommending medical provider" means a qualified medical provider or a
3781     limited medical provider.
3782          [(52)] (47) "Recommending qualifications" means that an individual:
3783          (a) (i) has the authority to write a prescription;
3784          (ii) is licensed to prescribe a controlled substance under Title 58, Chapter 37, Utah
3785     Controlled Substances Act; and
3786          (iii) possesses the authority, in accordance with the individual's scope of practice, to
3787     prescribe a Schedule II controlled substance; and
3788          (b) is licensed as:
3789          (i) a podiatrist under Title 58, Chapter 5a, Podiatric Physician Licensing Act;
3790          (ii) an advanced practice registered nurse under Title 58, Chapter 31b, Nurse Practice
3791     Act;
3792          (iii) a physician under Title 58, Chapter 67, Utah Medical Practice Act, or Title 58,
3793     Chapter 68, Utah Osteopathic Medical Practice Act; or
3794          (iv) a physician assistant under Title 58, Chapter 70a, Utah Physician Assistant Act.
3795          [(53)] (48) "State central patient portal" means the website the department creates, in
3796     accordance with Section 26B-4-236, to facilitate patient safety, education, and an electronic
3797     medical cannabis order.
3798          [(54)] (49) "State electronic verification system" means the system described in Section
3799     26B-4-202.
3800          [(55) "Targeted marketing" means the promotion by a medical cannabis pharmacy of a
3801     medical cannabis product, medical cannabis brand, or a medical cannabis device using any of
3802     the following methods:]
3803          [(a) electronic communication to an individual who is at least 21 years old and has
3804     requested to receive promotional information from the medical cannabis pharmacy;]
3805          [(b) an in-person marketing event that is:]
3806          [(i) held inside a medical cannabis pharmacy; and]
3807          [(ii) in an area where only a medical cannabis cardholder may access the event; or]

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

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

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

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

3932     qualified medical provider if:
3933          (i) the qualified medical provider has designated the employee as an individual
3934     authorized to access the electronic verification system on behalf of the qualified medical
3935     provider;
3936          (ii) the qualified medical provider and the employing business jointly provide written
3937     notice to the department of the employee's identity and the designation described in Subsection
3938     (3)(b)(i); and
3939          (iii) the department grants to the employee access to the electronic verification system.
3940          (4) (a) As used in this Subsection (4), "prescribing provider" means:
3941          (i) a podiatrist licensed under Title 58, Chapter 5a, Podiatric Physician Licensing Act;
3942          (ii) an advanced practice registered nurse licensed under Title 58, Chapter 31b, Nurse
3943     Practice Act;
3944          (iii) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or
3945     Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or
3946          (iv) a physician assistant licensed under Title 58, Chapter 70a, Utah Physician
3947     Assistant Act.
3948          (b) A prescribing provider may access information in the electronic verification system
3949     regarding a patient the prescribing provider treats.
3950          (5) The department may release limited data that the system collects for the purpose of:
3951          (a) conducting medical and other department approved research;
3952          (b) providing the report required by Section 26B-4-222; and
3953          (c) other official department purposes.
3954          (6) The department shall make rules, in accordance with Title 63G, Chapter 3, Utah
3955     Administrative Rulemaking Act, to establish:
3956          (a) the limitations on access to the data in the state electronic verification system as
3957     described in this section; and
3958          (b) standards and procedures to ensure accurate identification of an individual
3959     requesting information or receiving information in this section.
3960          (7) (a) Any person who knowingly and intentionally releases any information in the
3961     state electronic verification system in violation of this section is guilty of a third degree felony.
3962          (b) Any person who negligently or recklessly releases any information in the state

3963     electronic verification system in violation of this section is guilty of a class C misdemeanor.
3964          (8) (a) Any person who obtains or attempts to obtain information from the state
3965     electronic verification system by misrepresentation or fraud is guilty of a third degree felony.
3966          (b) Any person who obtains or attempts to obtain information from the state electronic
3967     verification system for a purpose other than a purpose this part authorizes is guilty of a third
3968     degree felony.
3969          (9) (a) Except as provided in Subsection (9)(e), a person may not knowingly and
3970     intentionally use, release, publish, or otherwise make available to any other person information
3971     obtained from the state electronic verification system for any purpose other than a purpose
3972     specified in this section.
3973          (b) Each separate violation of this Subsection (9) is:
3974          (i) a third degree felony; and
3975          (ii) subject to a civil penalty not to exceed $5,000.
3976          (c) The department shall determine a civil violation of this Subsection (9) in
3977     accordance with Title 63G, Chapter 4, Administrative Procedures Act.
3978          (d) Civil penalties assessed under this Subsection (9) shall be deposited into the
3979     General Fund.
3980          (e) This Subsection (9) does not prohibit a person who obtains information from the
3981     state electronic verification system under Subsection (2)(a), (c), or (f) from:
3982          (i) including the information in the person's medical chart or file for access by a person
3983     authorized to review the medical chart or file;
3984          (ii) providing the information to a person in accordance with the requirements of the
3985     Health Insurance Portability and Accountability Act of 1996; or
3986          (iii) discussing or sharing that information about the patient with the patient.
3987          Section 44. Section 26B-4-213 is amended to read:
3988          26B-4-213. Medical cannabis patient card -- Medical cannabis guardian card --
3989     Conditional medical cannabis card -- Application -- Fees -- Studies.
3990          (1) (a) Subject to Section 26B-4-246, within 15 days after the day on which an
3991     individual who satisfies the eligibility criteria in this section or Section 26B-4-214 submits an
3992     application in accordance with this section or Section 26B-4-214, the department shall:
3993          (i) issue a medical cannabis patient card to an individual described in Subsection

3994     (2)(a);
3995          (ii) issue a medical cannabis guardian card to an individual described in Subsection
3996     (2)(b);
3997          (iii) issue a provisional patient card to a minor described in Subsection (2)(c); and
3998          (iv) issue a medical cannabis caregiver card to an individual described in Subsection
3999     26B-4-214(4).
4000          (b) (i) Upon the entry of a recommending medical provider's medical cannabis
4001     recommendation for a patient in the state electronic verification system, either by the provider
4002     or the provider's employee or by a medical cannabis pharmacy medical provider or medical
4003     cannabis pharmacy in accordance with Subsection 4-41a-1101(10)(a), the department shall
4004     issue to the patient an electronic conditional medical cannabis card, in accordance with this
4005     Subsection (1)(b).
4006          (ii) A conditional medical cannabis card is valid for the lesser of:
4007          (A) 60 days; or
4008          (B) the day on which the department completes the department's review and issues a
4009     medical cannabis card under Subsection (1)(a), denies the patient's medical cannabis card
4010     application, or revokes the conditional medical cannabis card under Subsection (8).
4011          (iii) The department may issue a conditional medical cannabis card to an individual
4012     applying for a medical cannabis patient card for which approval of the Compassionate Use
4013     Board is not required.
4014          (iv) An individual described in Subsection (1)(b)(iii) has the rights, restrictions, and
4015     obligations under law applicable to a holder of the medical cannabis card for which the
4016     individual applies and for which the department issues the conditional medical cannabis card.
4017          (2) (a) An individual is eligible for a medical cannabis patient card if:
4018          (i) (A) the individual is at least 21 years old; or
4019          (B) the individual is 18, 19, or 20 years old, the individual petitions the Compassionate
4020     Use Board under Section 26B-1-421, and the Compassionate Use Board recommends
4021     department approval of the petition;
4022          (ii) the individual is a Utah resident;
4023          (iii) the individual's recommending medical provider recommends treatment with
4024     medical cannabis in accordance with Subsection (4);

4025          (iv) the individual signs an acknowledgment stating that the individual received the
4026     information described in Subsection (9); and
4027          (v) the individual pays to the department a fee in an amount that, subject to Subsection
4028     26B-1-310(5), the department sets in accordance with Section 63J-1-504.
4029          (b) (i) An individual is eligible for a medical cannabis guardian card if the individual:
4030          (A) is at least 18 years old;
4031          (B) is a Utah resident;
4032          (C) is the parent or legal guardian of a minor for whom the minor's qualified medical
4033     provider recommends a medical cannabis treatment, the individual petitions the Compassionate
4034     Use Board under Section 26B-1-421, and the Compassionate Use Board recommends
4035     department approval of the petition;
4036          (D) the individual signs an acknowledgment stating that the individual received the
4037     information described in Subsection (9);
4038          (E) pays to the department a fee in an amount that, subject to Subsection 26B-1-310(5),
4039     the department sets in accordance with Section 63J-1-504, plus the cost of the criminal
4040     background check described in Section 26B-4-215.
4041          (ii) The department shall notify the Department of Public Safety of each individual that
4042     the department registers for a medical cannabis guardian card.
4043          (c) (i) A minor is eligible for a provisional patient card if:
4044          (A) the minor has a qualifying condition;
4045          (B) the minor's qualified medical provider recommends a medical cannabis treatment
4046     to address the minor's qualifying condition;
4047          (C) one of the minor's parents or legal guardians petitions the Compassionate Use
4048     Board under Section 26B-1-421, and the Compassionate Use Board recommends department
4049     approval of the petition; and
4050          (D) the minor's parent or legal guardian is eligible for a medical cannabis guardian card
4051     under Subsection (2)(b) or designates a caregiver under Subsection (2)(d) who is eligible for a
4052     medical cannabis caregiver card under Section 26B-4-214.
4053          (ii) The department shall automatically issue a provisional patient card to the minor
4054     described in Subsection (2)(c)(i) at the same time the department issues a medical cannabis
4055     guardian card to the minor's parent or legal guardian.

4056          (d) If the parent or legal guardian of a minor described in Subsections (2)(c)(i)(A)
4057     through (C) does not qualify for a medical cannabis guardian card under Subsection (2)(b), the
4058     parent or legal guardian may designate up to two caregivers in accordance with Subsection
4059     26B-4-214(1)(c) to ensure that the minor has adequate and safe access to the recommended
4060     medical cannabis treatment.
4061          (3) (a) An individual who is eligible for a medical cannabis card described in
4062     Subsection (2)(a) or (b) shall submit an application for a medical cannabis card to the
4063     department:
4064          (i) through an electronic application connected to the state electronic verification
4065     system;
4066          (ii) with the recommending medical provider; and
4067          (iii) with information including:
4068          (A) the applicant's name, gender, age, and address;
4069          (B) the number of the applicant's government issued photo identification;
4070          (C) for a medical cannabis guardian card, the name, gender, and age of the minor
4071     receiving a medical cannabis treatment under the cardholder's medical cannabis guardian card;
4072     and
4073          (D) for a provisional patient card, the name of the minor's parent or legal guardian who
4074     holds the associated medical cannabis guardian card.
4075          (b) The department shall ensure that a medical cannabis card the department issues
4076     under this section contains the information described in Subsection (3)(a)(iii).
4077          (c) (i) If a recommending medical provider determines that, because of age, illness, or
4078     disability, a medical cannabis patient cardholder requires assistance in administering the
4079     medical cannabis treatment that the recommending medical provider recommends, the
4080     recommending medical provider may indicate the cardholder's need in the state electronic
4081     verification system, either directly or, for a limited medical provider, through the order
4082     described in Subsections 26B-4-204(1)(c) and (d).
4083          (ii) If a recommending medical provider makes the indication described in Subsection
4084     (3)(c)(i):
4085          (A) the department shall add a label to the relevant medical cannabis patient card
4086     indicating the cardholder's need for assistance;

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

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

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

4180          (B) is convicted under state or federal law of, after March 17, 2021, a drug distribution
4181     offense.
4182          (b) The department may not refuse to issue a medical cannabis card to a patient solely
4183     based on a prior revocation under Subsection (8)(a)(i).
4184          (9) The department shall establish by rule, in accordance with Title 63G, Chapter 3,
4185     Utah Administrative Rulemaking Act, a process to provide information regarding the following
4186     to an individual receiving a medical cannabis card:
4187          (a) risks associated with medical cannabis treatment;
4188          (b) the fact that a condition's listing as a qualifying condition does not suggest that
4189     medical cannabis treatment is an effective treatment or cure for that condition, as described in
4190     Subsection 26B-4-203(1); and
4191          (c) other relevant warnings and safety information that the department determines.
4192          (10) The department may establish procedures by rule, in accordance with Title 63G,
4193     Chapter 3, Utah Administrative Rulemaking Act, to implement the application and issuance
4194     provisions of this section.
4195          (11) (a) [On or before September 1, 2021, the] The department shall establish by rule,
4196     in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, a process to
4197     allow an individual from another state to register with the department in order to purchase
4198     medical cannabis or a medical cannabis device from a medical cannabis pharmacy while the
4199     individual is visiting the state.
4200          (b) The department may only provide the registration process described in Subsection
4201     (11)(a):
4202          (i) to a nonresident patient; and
4203          (ii) for no more than two visitation periods per calendar year of up to 21 calendar days
4204     per visitation period.
4205          (12) (a) A person may submit to the department a request to conduct a research study
4206     using medical cannabis cardholder data that the state electronic verification system contains.
4207          (b) The department shall review a request described in Subsection (12)(a) to determine
4208     whether an institutional review board, as that term is defined in Section 26B-4-201, could
4209     approve the research study.
4210          (c) At the time an individual applies for a medical cannabis card, the department shall

4211     notify the individual:
4212          (i) of how the individual's information will be used as a cardholder;
4213          (ii) that by applying for a medical cannabis card, unless the individual withdraws
4214     consent under Subsection (12)(d), the individual consents to the use of the individual's
4215     information for external research; and
4216          (iii) that the individual may withdraw consent for the use of the individual's
4217     information for external research at any time, including at the time of application.
4218          (d) An applicant may, through the medical cannabis card application, and a medical
4219     cannabis cardholder may, through the state central patient portal, withdraw the applicant's or
4220     cardholder's consent to participate in external research at any time.
4221          (e) The department may release, for the purposes of a study described in this
4222     Subsection (12), information about a cardholder under this section who consents to participate
4223     under Subsection (12)(c).
4224          (f) If an individual withdraws consent under Subsection (12)(d), the withdrawal of
4225     consent:
4226          (i) applies to external research that is initiated after the withdrawal of consent; and
4227          (ii) does not apply to research that was initiated before the withdrawal of consent.
4228          (g) The department may establish standards for a medical research study's validity, by
4229     rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
4230          (13) The department shall record the issuance or revocation of a medical cannabis card
4231     under this section in the controlled substance database.
4232          Section 45. Section 26B-4-214 is amended to read:
4233          26B-4-214. Medical cannabis caregiver card -- Registration -- Renewal --
4234     Revocation.
4235          (1) (a) A cardholder described in Section 26B-4-213 may designate, through the state
4236     central patient portal, up to two individuals, or an individual and a facility in accordance with
4237     Subsection (1)(b), to serve as a designated caregiver for the cardholder.
4238          (b) (i) [Beginning on the earlier of September 1, 2021, or the date on which the
4239     electronic verification system is functionally capable of servicing the designation, a] A
4240     cardholder described in Section 26B-4-213 may designate one of the following types of
4241     facilities as one of the caregivers described in Subsection (1)(a):

4242          (A) for a patient or resident, an assisted living facility, as that term is defined in Section
4243     26B-2-201;
4244          (B) for a patient or resident, a nursing care facility, as that term is defined in Section
4245     26B-2-201; or
4246          (C) for a patient, a general acute hospital, as that term is defined in Section 26B-2-201.
4247          (ii) A facility may:
4248          (A) assign one or more employees to assist patients with medical cannabis treatment
4249     under the caregiver designation described in this Subsection (1)(b); and
4250          (B) receive a medical cannabis shipment from a medical cannabis pharmacy or a
4251     medical cannabis courier on behalf of the medical cannabis cardholder within the facility who
4252     designated the facility as a caregiver.
4253          (iii) The department shall make rules to regulate the practice of facilities and facility
4254     employees serving as designated caregivers under this Subsection (1)(b).
4255          (c) A parent or legal guardian described in Subsection 26B-4-213(2)(d), in consultation
4256     with the minor and the minor's qualified medical provider, may designate, through the state
4257     central patient portal, up to two individuals to serve as a designated caregiver for the minor, if
4258     the department determines that the parent or legal guardian is not eligible for a medical
4259     cannabis guardian card under Section 26B-4-213.
4260          (d) (i) [Beginning on the earlier of September 1, 2022, or the date on which the
4261     electronic verification system is functionally capable of facilitating a conditional medical
4262     cannabis caregiver card under this Subsection (1)(d), upon] Upon the entry of a caregiver
4263     designation under Subsection (1) by a patient with a terminal illness described in Section
4264     26B-4-203, the department shall issue to the designated caregiver an electronic conditional
4265     medical cannabis caregiver card, in accordance with this Subsection (1)(d).
4266          (ii) A conditional medical cannabis caregiver card is valid for the lesser of:
4267          (A) 60 days; or
4268          (B) the day on which the department completes the department's review and issues a
4269     medical cannabis caregiver card under Subsection (1)(a), denies the patient's medical cannabis
4270     caregiver card application, or revokes the conditional medical cannabis caregiver card under
4271     26B-4-246.
4272          (iii) The department may issue a conditional medical cannabis card to an individual

4273     applying for a medical cannabis patient card for which approval of the Compassionate Use
4274     Board is not required.
4275          (iv) An individual described in Subsection (1)(b)(iii) has the rights, restrictions, and
4276     obligations under law applicable to a holder of the medical cannabis card for which the
4277     individual applies and for which the department issues the conditional medical cannabis card.
4278          (2) An individual that the department registers as a designated caregiver under this
4279     section and a facility described in Subsection (1)(b):
4280          (a) for an individual designated caregiver, may carry a valid medical cannabis caregiver
4281     card;
4282          (b) in accordance with this part, may purchase, possess, transport, or assist the patient
4283     in the use of cannabis in a medicinal dosage form, a cannabis product in a medicinal dosage
4284     form, or a medical cannabis device on behalf of the designating medical cannabis cardholder;
4285          (c) may not charge a fee to an individual to act as the individual's designated caregiver
4286     or for a service that the designated caregiver provides in relation to the role as a designated
4287     caregiver; and
4288          (d) may accept reimbursement from the designating medical cannabis cardholder for
4289     direct costs the designated caregiver incurs for assisting with the designating cardholder's
4290     medicinal use of cannabis.
4291          (3) (a) The department shall:
4292          (i) within 15 days after the day on which an individual submits an application in
4293     compliance with this section, issue a medical cannabis card to the applicant if the applicant:
4294          (A) is designated as a caregiver under Subsection (1);
4295          (B) is eligible for a medical cannabis caregiver card under Subsection (4); and
4296          (C) complies with this section; and
4297          (ii) notify the Department of Public Safety of each individual that the department
4298     registers as a designated caregiver.
4299          (b) The department shall ensure that a medical cannabis caregiver card contains the
4300     information described in Subsections (5)(b) and (3)(c)(i).
4301          (c) If a cardholder described in Section 26B-4-213 designates an individual as a
4302     caregiver who already holds a medical cannabis caregiver card, the individual with the medical
4303     cannabis caregiver card:

4304          (i) shall report to the department the information required of applicants under
4305     Subsection (5)(b) regarding the new designation;
4306          (ii) if the individual makes the report described in Subsection (3)(c)(i), is not required
4307     to file an application for another medical cannabis caregiver card;
4308          (iii) may receive an additional medical cannabis caregiver card in relation to each
4309     additional medical cannabis patient who designates the caregiver; and
4310          (iv) is not subject to an additional background check.
4311          (4) An individual is eligible for a medical cannabis caregiver card if the individual:
4312          (a) is at least 21 years old;
4313          (b) is a Utah resident;
4314          (c) pays to the department a fee in an amount that, subject to Subsection 26B-1-310(5),
4315     the department sets in accordance with Section 63J-1-504, plus the cost of the criminal
4316     background check described in Section 26B-4-215;
4317          (d) signs an acknowledgment stating that the applicant received the information
4318     described in Subsection 26B-4-213(9) .
4319          (5) An eligible applicant for a medical cannabis caregiver card shall:
4320          (a) submit an application for a medical cannabis caregiver card to the department
4321     through an electronic application connected to the state electronic verification system; and
4322          (b) submit the following information in the application described in Subsection (5)(a):
4323          (i) the applicant's name, gender, age, and address;
4324          (ii) the name, gender, age, and address of the cardholder described in Section
4325     26B-4-213 who designated the applicant;
4326          (iii) if a medical cannabis guardian cardholder designated the caregiver, the name,
4327     gender, and age of the minor receiving a medical cannabis treatment in relation to the medical
4328     cannabis guardian cardholder; and
4329          (iv) any additional information that the department requests to assist in matching the
4330     application with the designating medical cannabis patient.
4331          (6) Except as provided in Subsection (6)(b), a medical cannabis caregiver card that the
4332     department issues under this section is valid for the lesser of:
4333          (a) an amount of time that the cardholder described in Section 26B-4-213 who
4334     designated the caregiver determines; or

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

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

4397          (2) "Accredited clinical training program" means a clinical training program that is
4398     accredited by an entity recognized within medical education circles as an accrediting body for
4399     medical education, advanced practice nursing education, physician [assistance] assistant
4400     education, doctor of pharmacy education, dental education, or registered nursing education.
4401          (3) "Centers for Medicare and Medicaid Services" means the Centers for Medicare and
4402     Medicaid Services within the United States Department of Health and Human Services.
4403          (4) "Health care professionals in training" means medical students and residents,
4404     [advance] advanced practice nursing students, physician assistant students, doctor of pharmacy
4405     students, dental students, and registered nursing students.
4406          (5) "Hospital" means a general acute hospital, as defined in Section 26B-2-201.
4407          (6) "Physician" means a person:
4408          (a) licensed as a physician under Title 58, Chapter 67, Utah Medical Practice Act; or
4409          (b) licensed as a physician under Title 58, Chapter 68, Utah Osteopathic Medical
4410     Practice Act.
4411          (7) "Rural county" means a county [with a population of less than 50,000, as
4412     determined by:] of the third, fourth, fifth, or sixth class under Section 17-50-501.
4413          [(a) the most recent official census or census estimate of the United States Bureau of
4414     the Census; or]
4415          [(b) the most recent population estimate for the county from the Utah Population
4416     Committee, if a population figure for the county is not available under Subsection (7)(a).]
4417          (8) "Rural hospital" means a hospital located within a rural county.
4418          (9) "UMEC" means the Utah Medical Education Council created in Section
4419     26B-4-706.
4420          Section 49. Section 26B-5-101 is amended to read:
4421          26B-5-101. Chapter definitions.
4422          As used in this chapter:
4423          (1) "Criminal risk factors" means a person's characteristics and behaviors that:
4424          (a) affect the person's risk of engaging in criminal behavior; and
4425          (b) are diminished when addressed by effective treatment, supervision, and other
4426     support resources, resulting in reduced risk of criminal behavior.
4427          (2) "Director" means the director appointed under Section 26B-5-103.

4428          (3) "Division" means the Division of Integrated Healthcare created in Section
4429     [26B-1-202] 26B-1-1202.
4430          (4) "Local mental health authority" means a county legislative body.
4431          (5) "Local substance abuse authority" means a county legislative body.
4432          (6) "Mental health crisis" means:
4433          (a) a mental health condition that manifests in an individual by symptoms of sufficient
4434     severity that a prudent layperson who possesses an average knowledge of mental health issues
4435     could reasonably expect the absence of immediate attention or intervention to result in:
4436          (i) serious danger to the individual's health or well-being; or
4437          (ii) a danger to the health or well-being of others; or
4438          (b) a mental health condition that, in the opinion of a mental health therapist or the
4439     therapist's designee, requires direct professional observation or intervention.
4440          (7) "Mental health crisis response training" means community-based training that
4441     educates laypersons and professionals on the warning signs of a mental health crisis and how to
4442     respond.
4443          (8) "Mental health crisis services" means an array of services provided to an individual
4444     who experiences a mental health crisis, which may include:
4445          (a) direct mental health services;
4446          (b) on-site intervention provided by a mobile crisis outreach team;
4447          (c) the provision of safety and care plans;
4448          (d) prolonged mental health services for up to 90 days after the day on which an
4449     individual experiences a mental health crisis;
4450          (e) referrals to other community resources;
4451          (f) local mental health crisis lines; and
4452          (g) the statewide mental health crisis line.
4453          (9) "Mental health therapist" means the same as that term is defined in Section
4454     58-60-102.
4455          (10) "Mobile crisis outreach team" or "MCOT" means a mobile team of medical and
4456     mental health professionals that, in coordination with local law enforcement and emergency
4457     medical service personnel, provides mental health crisis services.
4458          (11) "Office" means the Office of Substance Use and Mental Health created in Section

4459     26B-5-102.
4460          (12) (a) "Public funds" means federal money received from the department, and state
4461     money appropriated by the Legislature to the department, a county governing body, or a local
4462     substance abuse authority, or a local mental health authority for the purposes of providing
4463     substance abuse or mental health programs or services.
4464          (b) "Public funds" include federal and state money that has been transferred by a local
4465     substance abuse authority or a local mental health authority to a private provider under an
4466     annual or otherwise ongoing contract to provide comprehensive substance abuse or mental
4467     health programs or services for the local substance abuse authority or local mental health
4468     authority. The money maintains the nature of "public funds" while in the possession of the
4469     private entity that has an annual or otherwise ongoing contract with a local substance abuse
4470     authority or a local mental health authority to provide comprehensive substance use or mental
4471     health programs or services for the local substance abuse authority or local mental health
4472     authority.
4473          (c) Public funds received for the provision of services under substance use or mental
4474     health service plans may not be used for any other purpose except those authorized in the
4475     contract between the local mental health or substance abuse authority and provider for the
4476     provision of plan services.
4477          (13) "Severe mental disorder" means schizophrenia, major depression, bipolar
4478     disorders, delusional disorders, psychotic disorders, and other mental disorders as defined by
4479     the division.
4480          (14) "Stabilization services" means in-home services provided to a child with, or who
4481     is at risk for, complex emotional and behavioral needs, including teaching the child's parent or
4482     guardian skills to improve family functioning.
4483          (15) "Statewide mental health crisis line" means the same as that term is defined in
4484     Section 26B-5-610.
4485          (16) "System of care" means a broad, flexible array of services and supports that:
4486          (a) serve a child with or who is at risk for complex emotional and behavioral needs;
4487          (b) are community based;
4488          (c) are informed about trauma;
4489          (d) build meaningful partnerships with families and children;

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

4521          (d) there is no appropriate less-restrictive alternative.
4522          (5) (a) The commitment proceeding before the neutral and detached fact finder shall be
4523     conducted in as informal manner as possible and in a physical setting that is not likely to have a
4524     harmful effect on the child.
4525          (b) The child, the child's parent or legal guardian, the petitioner, and a representative of
4526     the appropriate local mental health authority:
4527          (i) shall receive informal notice of the date and time of the proceeding; and
4528          (ii) may appear and address the petition for commitment.
4529          (c) The neutral and detached fact finder may, in the fact finder's discretion, receive the
4530     testimony of any other person.
4531          (d) The fact finder may allow a child to waive the child's right to be present at the
4532     commitment proceeding, for good cause shown. If that right is waived, the purpose of the
4533     waiver shall be made a matter of record at the proceeding.
4534          (e) At the time of the commitment proceeding, the appropriate local mental health
4535     authority, its designee, or the psychiatrist who has been in charge of the child's care prior to the
4536     commitment proceeding, shall provide the neutral and detached fact finder with the following
4537     information, as it relates to the period of current admission:
4538          (i) the petition for commitment;
4539          (ii) the admission notes;
4540          (iii) the child's diagnosis;
4541          (iv) physicians' orders;
4542          (v) progress notes;
4543          (vi) nursing notes; and
4544          (vii) medication records.
4545          (f) The information described in Subsection (5)(e) shall also be provided to the child's
4546     parent or legal guardian upon written request.
4547          (g) (i) The neutral and detached fact finder's decision of commitment shall state the
4548     duration of the commitment. Any commitment to the physical custody of a local mental health
4549     authority may not exceed 180 days. Prior to expiration of the commitment, and if further
4550     commitment is sought, a hearing shall be conducted in the same manner as the initial
4551     commitment proceeding, in accordance with the requirements of this section.

4552          (ii) At the conclusion of the hearing and subsequently in writing, when a decision for
4553     commitment is made, the neutral and detached fact finder shall inform the child and the child's
4554     parent or legal guardian of that decision and of the reasons for ordering commitment.
4555          (iii) The neutral and detached fact finder shall state in writing the basis of the decision,
4556     with specific reference to each of the criteria described in Subsection (4), as a matter of record.
4557          (6) A child may be temporarily committed for a maximum of 72 hours, excluding
4558     Saturdays, Sundays, and legal holidays, to the physical custody of a local mental health
4559     authority in accordance with the procedures described in Section 26B-5-331 and upon
4560     satisfaction of the risk factors described in Subsection (4). A child who is temporarily
4561     committed shall be released at the expiration of the 72 hours unless the procedures and findings
4562     required by this section for the commitment of a child are satisfied.
4563          (7) A local mental health authority shall have physical custody of each child committed
4564     to it under this section. The parent or legal guardian of a child committed to the physical
4565     custody of a local mental health authority under this section, retains legal custody of the child,
4566     unless legal custody has been otherwise modified by a court of competent jurisdiction. In cases
4567     when the Division of Child and Family Services or the Division of Juvenile Justice and Youth
4568     Services has legal custody of a child, that division shall retain legal custody for purposes of this
4569     part.
4570          (8) The cost of caring for and maintaining a child in the physical custody of a local
4571     mental health authority shall be assessed to and paid by the child's parents, according to their
4572     ability to pay. For purposes of this section, the Division of Child and Family Services or the
4573     Division of Juvenile Justice and Youth Services shall be financially responsible, in addition to
4574     the child's parents, if the child is in the legal custody of either of those divisions at the time the
4575     child is committed to the physical custody of a local mental health authority under this section,
4576     unless Medicaid regulation or contract provisions specify otherwise. The Office of Recovery
4577     Services shall assist those divisions in collecting the costs assessed pursuant to this section.
4578          (9) Whenever application is made for commitment of a minor to a local mental health
4579     authority under any provision of this section by a person other than the child's parent or
4580     guardian, the local mental health authority or its designee shall notify the child's parent or
4581     guardian. The parents shall be provided sufficient time to prepare and appear at any scheduled
4582     proceeding.

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

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

4645     more restrictive environment, or the administrator's designee, and the child's former treatment
4646     provider or facility.
4647          (d) If the child has been in a less restrictive environment for more than 30 days and is
4648     aggrieved by the change to a more restrictive environment, the child or the child's
4649     representative may request a review within 30 days of the change, by a neutral and detached
4650     fact finder as described in Subsection (3). The fact finder shall determine whether:
4651          (i) the less restrictive environment in which the child has been placed is exacerbating
4652     the child's mental illness or increasing the risk of harm to self or others; or
4653          (ii) the less restrictive environment in which the child has been placed is not
4654     exacerbating the child's mental illness or increasing the risk of harm to self or others, in which
4655     case the fact finder shall designate that the child remain in the less restrictive environment.
4656          (e) Nothing in this section prevents a local mental health authority or its designee, in
4657     conjunction with the child's current mental health professional, from discharging a child from
4658     commitment or from placing a child in an environment that is less restrictive than that
4659     designated by the neutral and detached fact finder.
4660          (13) Each local mental health authority or its designee, in conjunction with the child's
4661     current treating mental health professional shall discharge any child who, in the opinion of that
4662     local authority, or its designee, and the child's current treating mental health professional, no
4663     longer meets the criteria specified in Subsection (4), except as provided by Section 26B-5-405.
4664     The local authority and the mental health professional shall assure that any further supportive
4665     services required to meet the child's needs upon release will be provided.
4666          (14) Even though a child has been committed to the physical custody of a local mental
4667     health authority under this section, the child is still entitled to additional due process
4668     proceedings, in accordance with Section [26B-5-704] 26B-5-404, before any treatment that
4669     may affect a constitutionally protected liberty or privacy interest is administered. Those
4670     treatments include, but are not limited to, antipsychotic medication, electroshock therapy, and
4671     psychosurgery.
4672          Section 51. Section 26B-6-401 is amended to read:
4673          26B-6-401. Definitions.
4674          As used in this part:
4675          (1) "Approved provider" means a person approved by the division to provide

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

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

4738          (II) activities of daily life;
4739          (III) judgment and self-protection;
4740          (IV) control of emotions;
4741          (V) communication;
4742          (VI) physical health; or
4743          (VII) employment; and
4744          (iv) requires a combination or sequence of special interdisciplinary or generic care,
4745     treatment, or other services that:
4746          (A) may continue throughout life; and
4747          (B) must be individually planned and coordinated.
4748          (b) "Disability" does not include a condition due solely to:
4749          (i) mental illness;
4750          (ii) personality disorder;
4751          (iii) deafness or being hard of hearing;
4752          (iv) visual impairment;
4753          (v) learning disability;
4754          (vi) behavior disorder;
4755          (vii) substance abuse; or
4756          (viii) the aging process.
4757          (10) "Division" means the Division of Services for People with Disabilities.
4758          (11) "Eligible to receive division services" or "eligibility" means qualification, based
4759     on criteria established by the division, to receive services that are administered by the division.
4760          (12) "Endorsed program" means a facility or program that:
4761          (a) is operated:
4762          (i) by the division; or
4763          (ii) under contract with the division; or
4764          (b) provides services to a person committed to the division under Part 6, Admission to
4765     an Intermediate Care Facility for People with an Intellectual Disability.
4766          (13) "Licensed physician" means:
4767          (a) an individual licensed to practice medicine under:
4768          (i) Title 58, Chapter 67, Utah Medical Practice Act; or

4769          (ii) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act; or
4770          (b) a medical officer of the United States Government while in this state in the
4771     performance of official duties.
4772          (14) "Limited support services" means services that are administered by the division to
4773     individuals with a disability:
4774          (a) under a waiver authorized under 42 U.S.C. Sec. 1396n(c) by the Centers for
4775     Medicare and Medicaid Services that permits the division to limit services to an individual who
4776     is eligible to receive division services; and
4777          (b) through a program that:
4778          (i) was not operated by the division on or before January 1, 2020; and
4779          (ii) (A) limits the kinds of services that an individual may receive; or
4780          (B) sets a maximum total dollar amount for program services provided to each
4781     individual.
4782          (15) "Physical disability" means a medically determinable physical impairment that has
4783     resulted in the functional loss of two or more of a person's limbs.
4784          (16) "Public funds" means state or federal funds that are disbursed by the division.
4785          (17) "Resident" means an individual under observation, care, or treatment in an
4786     intermediate care facility for people with an intellectual disability.
4787          (18) "Sustainability fund" means the Utah State Developmental Center Long-Term
4788     Sustainability Fund created in Section 26B-1-331.
4789          Section 52. Section 26B-7-213 is amended to read:
4790          26B-7-213. Sexually transmitted infections -- Examinations by authorities --
4791     Treatment of infected persons.
4792          State, county, and municipal health officers within their respective jurisdictions may
4793     make examinations of persons reasonably suspected of being infected with [venereal disease]
4794     sexually transmitted infections. Persons infected with [venereal disease] sexually transmitted
4795     infections shall be required to report for treatment to either a reputable physician or physician
4796     assistant and continue treatment until cured or to submit to treatment provided at public
4797     expense until cured.
4798          Section 53. Section 26B-7-215 is amended to read:
4799          26B-7-215. Sexually transmitted infections -- Examination and treatment of

4800     persons in prison or jail.
4801          (1) (a) All persons confined in any state, county, or city prison or jail shall be
4802     examined, and if infected, treated for [venereal diseases] sexually transmitted infections by the
4803     health authorities.
4804          (b) The prison authorities of every state, county, or city prison or jail shall make
4805     available to the health authorities such portion of the prison or jail as may be necessary for a
4806     clinic or hospital wherein all persons suffering with [venereal disease] sexually transmitted
4807     infections at the time of the expiration of their terms of imprisonment, shall be isolated and
4808     treated at public expense until cured.
4809          (2) (a) The department may require persons suffering with [venereal disease] sexually
4810     transmitted infections at the time of the expiration of their terms of imprisonment to report for
4811     treatment to a licensed physician or physician assistant or submit to treatment provided at
4812     public expense in lieu of isolation.
4813          (b) Nothing in this section shall interfere with the service of any sentence imposed by a
4814     court as a punishment for the commission of crime.
4815          Section 54. Section 26B-8-201 is amended to read:
4816          26B-8-201. Definitions.
4817          As used in this part:
4818          (1) "Dead body" means the same as that term is defined in Section 26B-8-101.
4819          (2) (a) "Death by violence" means death that resulted by the decedent's exposure to
4820     physical, mechanical, or chemical forces.
4821          (b) "Death by violence" includes death that appears to have been due to homicide,
4822     death that occurred during or in an attempt to commit rape, mayhem, kidnapping, robbery,
4823     burglary, housebreaking, extortion, or blackmail accompanied by threats of violence, assault
4824     with a dangerous weapon, assault with intent to commit any offense punishable by
4825     imprisonment for more than one year, arson punishable by imprisonment for more than one
4826     year, or any attempt to commit any of the foregoing offenses.
4827          (3) "Immediate relative" means an individual's spouse, child, parent, sibling,
4828     grandparent, or grandchild.
4829          (4) "Health care professional" means any of the following while acting in a
4830     professional capacity:

4831          (a) a physician licensed under Title 58, Chapter 67, Utah Medical Practice Act, or Title
4832     58, Chapter 68, Utah Osteopathic Medical Practice Act;
4833          (b) a physician assistant licensed under Title 58, Chapter 70a, Utah Physician Assistant
4834     Act; or
4835          (c) an advance practice registered nurse licensed under Subsection 58-31b-301(2)(e).
4836          (5) "Medical examiner" means the state medical examiner appointed pursuant to
4837     Section 26B-8-202 or a deputy appointed by the medical examiner.
4838          (6) "Medical examiner record" means:
4839          (a) all information that the medical examiner obtains regarding a decedent; [and]
4840          (b) reports that the medical examiner makes regarding a decedent[.]; and
4841          (c) all administrative forms and correspondence related to the decedent's case.
4842          (7) "Regional pathologist" means [a trained] an American Board of Pathology certified
4843     pathologist licensed to practice medicine and surgery in the state, appointed by the medical
4844     examiner pursuant to Subsection 26B-8-202(3).
4845          (8) "Sudden death while in apparent good health" means apparently instantaneous
4846     death without obvious natural cause, death during or following an unexplained syncope or
4847     coma, or death during an acute or unexplained rapidly fatal illness.
4848          (9) "Sudden [infant death syndrome] unexpected infant death" means the death of a
4849     child who was thought to be in good health or whose terminal illness appeared to be so mild
4850     that the possibility of a fatal outcome was not anticipated.
4851          (10) "Suicide" means death caused by an intentional and voluntary act of an individual
4852     who understands the physical nature of the act and intends by such act to accomplish
4853     self-destruction.
4854          (11) "Unattended death" means a death that occurs more than 365 days after the day on
4855     which a health care professional examined or treated the deceased individual for any purpose,
4856     including writing a prescription.
4857          (12) (a) "Unavailable for postmortem investigation" means that a dead body is:
4858          (i) transported out of state;
4859          (ii) buried at sea;
4860          (iii) cremated;
4861          (iv) processed by alkaline hydrolysis; or

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

4893     death.
4894          (3) The medical examiner may appoint regional pathologists, each of whom shall be
4895     approved by the executive director.
4896          Section 56. Section 26B-8-203 is amended to read:
4897          26B-8-203. County medical examiners.
4898          The county executive, with the advice and consent of the county legislative body and
4899     approval of the chief medical examiner, may appoint medical examiners for their respective
4900     counties.
4901          Section 57. Section 26B-8-205 is amended to read:
4902          26B-8-205. Jurisdiction of medical examiner.
4903          Upon notification under Section 26B-8-206 or investigation by the medical examiner's
4904     office, the medical examiner shall assume [custody of] jurisdiction over a deceased body if it
4905     appears that death:
4906          (1) was by violence, gunshot, suicide, or accident;
4907          (2) was sudden death while in apparent good health;
4908          (3) occurred unattended, except that an autopsy may only be performed in accordance
4909     with the provisions of Subsection 26B-8-207(3);
4910          (4) occurred under suspicious or unusual circumstances;
4911          (5) resulted from poisoning or overdose of drugs;
4912          (6) resulted from a disease that may constitute a threat to the public health;
4913          (7) resulted from disease, injury, toxic effect, or unusual exertion incurred within the
4914     scope of the decedent's employment;
4915          (8) was due to [sudden infant death syndrome] sudden unexpected infant death;
4916          (9) occurred while the decedent was in prison, jail, police custody, the state hospital, or
4917     in a detention or medical facility operated for the treatment of persons with a mental illness,
4918     persons who are emotionally disturbed, or delinquent persons;
4919          (10) resulted directly from the actions of a law enforcement officer, as defined in
4920     Section 53-13-103;
4921          (11) was associated with diagnostic or therapeutic procedures; or
4922          (12) was described in this section when request is made to assume custody by a county
4923     or district attorney or law enforcement agency in connection with a potential homicide

4924     investigation or prosecution.
4925          Section 58. Section 26B-8-207 is amended to read:
4926          26B-8-207. Custody of dead body and personal effects -- Examination of scene of
4927     death -- Preservation of body -- Autopsies.
4928          (1) (a) Upon notification of a death under Section 26B-8-206, the medical examiner
4929     shall assume [custody of] jurisdiction over the deceased body, clothing on the body, biological
4930     samples taken, and any article on or near the body which may aid the medical examiner in
4931     determining the cause of death except those articles which will assist the investigative agency
4932     to proceed without delay with the investigation.
4933          (b) In all cases the scene of the event may not be disturbed until authorization is given
4934     by the senior ranking peace officer from the law enforcement agency having jurisdiction of the
4935     case and conducting the investigation.
4936          (c) Where death appears to have occurred under circumstances listed in Section
4937     26B-8-205, the person or persons finding or having custody of the body, or jurisdiction over
4938     the investigation of the death, shall take reasonable precautions to preserve the body and body
4939     fluids so that minimum deterioration takes place.
4940          (d) A person may not move a body [in the custody] under the jurisdiction of the
4941     medical examiner unless:
4942          (i) the medical examiner, or district attorney or county attorney that has criminal
4943     jurisdiction, authorizes the person to move the body;
4944          (ii) a designee of an individual listed in this Subsection (1)(d) authorizes the person to
4945     move the body;
4946          (iii) not moving the body would be an affront to public decency or impractical; or
4947          (iv) the medical examiner determines the cause of death is likely due to natural causes.
4948          (e) The body can under direction of the medical examiner or the medical examiner's
4949     designee be moved to a place specified by the medical examiner or the medical examiner's
4950     designee.
4951          (2) (a) If the medical examiner has [custody of] jurisdiction over a body, a person may
4952     not clean or embalm the body without first obtaining the medical examiner's permission.
4953          (b) An intentional or knowing violation of Subsection (2)(a) is a class B misdemeanor.
4954          (3) (a) When the medical examiner assumes lawful [custody of] jurisdiction over a

4955     body under Subsection 26B-8-205(3) solely because the death was unattended, an autopsy may
4956     not be performed unless requested by the district attorney, county attorney having criminal
4957     jurisdiction, or law enforcement agency having jurisdiction of the place where the body is
4958     found.
4959          (b) The county attorney or district attorney and law enforcement agency having
4960     jurisdiction shall consult with the medical examiner to determine the need for an autopsy.
4961          (c) If the deceased chose not to be seen or treated by a health care professional for a
4962     spiritual or religious reason, a district attorney, county attorney, or law enforcement agency,
4963     may not request an autopsy or inquest under Subsection (3)(a) solely because of the deceased's
4964     choice.
4965          (d) The medical examiner or medical examiner's designee may not conduct a requested
4966     autopsy described in Subsection (3)(a) if the medical examiner or medical examiner's designee
4967     determines:
4968          (i) the request violates Subsection (3)(c); or
4969          (ii) the cause of death can be determined without performing an autopsy.
4970          Section 59. Section 26B-8-210 is amended to read:
4971          26B-8-210. Medical examiner to report death caused by prescribed controlled
4972     substance poisoning or overdose.
4973          (1) If a medical examiner determines that the death of a person who is 12 years old or
4974     older at the time of death resulted from poisoning or overdose involving a [prescribed]
4975     controlled substance prescribed to the decedent, the medical examiner shall, within three
4976     business days after the day on which the medical examiner determines the cause of death, send
4977     a written report to the Division of Professional Licensing, created in Section 58-1-103, that
4978     includes:
4979          (a) the decedent's name;
4980          (b) each drug or other substance found in the decedent's system that may have
4981     contributed to the poisoning or overdose, if known; and
4982          (c) the name of each person the medical examiner has reason to believe may have
4983     prescribed a controlled substance described in Subsection (1)(b) to the decedent.
4984          (2) This section does not create a new cause of action.
4985          Section 60. Section 26B-8-217 is amended to read:

4986          26B-8-217. Records of medical examiner -- Confidentiality.
4987          (1) The medical examiner shall maintain complete, original records for the medical
4988     examiner record, which shall:
4989          (a) be properly indexed, giving the name, if known, or otherwise identifying every
4990     individual whose death is investigated;
4991          (b) indicate the place where the body was found;
4992          (c) indicate the date of death;
4993          (d) indicate the cause and manner of death;
4994          (e) indicate the occupation of the decedent, if available;
4995          (f) include all other relevant information concerning the death; and
4996          (g) include a full report and detailed findings of the autopsy or report of the
4997     investigation.
4998          (2) (a) Upon written request from an individual described in Subsections (2)(a)(i)
4999     through (iv), the medical examiner shall provide a copy of the [medical examiner's final report
5000     of examination for the decedent, including the] autopsy report, toxicology report, lab reports,
5001     [and] investigative reports, documents generated by the medical examiner related to any report,
5002     and any other specifically requested portions of the medical examiner record, if any, to any of
5003     the following:
5004          (i) a decedent's immediate relative;
5005          (ii) a decedent's legal representative;
5006          (iii) a physician or physician assistant who attended the decedent during the year before
5007     the decedent's death; or
5008          (iv) a county attorney, a district attorney, a criminal defense attorney, or other law
5009     enforcement official with jurisdiction, as necessary for the performance of the attorney or
5010     official's professional duties.
5011          (b) [Upon] Subject to Subsection (c), upon written request from the director or a
5012     designee of the director of an entity described in Subsections (2)(b)(i) through (iv), the medical
5013     examiner may provide a copy of [the of the medical examiner's final report of examination for
5014     the decedent, including any other reports] any medical examiner report or other portions of the
5015     medical examiner's record described in Subsection (2)(a), to any of the following entities as
5016     necessary for performance of the entity's official purposes:

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

5048     identifiable information;
5049          (c) limit the use of a medical examiner record to the purpose for which the person
5050     requested the medical examiner record;
5051          (d) destroy a medical examiner record and the data abstracted from the medical
5052     examiner record at the conclusion of the research for which the person requested the medical
5053     examiner record;
5054          (e) reimburse the medical examiner, as provided in Section 26B-1-209, for any costs
5055     incurred by the medical examiner in providing a medical examiner record;
5056          (f) allow the medical examiner to review, before public release, a publication in which
5057     data from a medical examiner record is referenced or analyzed; and
5058          (g) provide the medical examiner access to the researcher's database containing data
5059     from a medical examiner record, until the day on which the researcher permanently destroys
5060     the medical examiner record and all data obtained from the medical examiner record.
5061          (7) The department may make rules, in accordance with Title 63G, Chapter 3, Utah
5062     Administrative Rulemaking Act, and in consideration of applicable state and federal law, to
5063     establish permissible uses and disclosures of a medical examiner record or other record
5064     obtained under this section.
5065          (8) Except as provided in this chapter or ordered by a court, the medical examiner may
5066     not disclose any part of a medical examiner record.
5067          (9) A person who obtains a medical examiner record under Subsection (4) is guilty of a
5068     class B misdemeanor, if the person fails to comply with the requirements of Subsections (6)(a)
5069     through (d).
5070          Section 61. Section 26B-8-221 is amended to read:
5071          26B-8-221. Authority of county attorney or district attorney to subpoena
5072     witnesses and compel testimony -- Determination if decedent died by unlawful means.
5073          (1) The district attorney or county attorney having criminal jurisdiction may subpoena
5074     witnesses and compel testimony concerning the death of any person and have such testimony
5075     reduced to writing under his direction and may employ a [shorthand] court reporter for that
5076     purpose at the same compensation as is allowed to reporters in the district courts. When the
5077     testimony has been taken down by the [shorthand] court reporter, a transcript thereof, duly
5078     certified, shall constitute the deposition of the witness.

5079          (2) Upon review of all facts and testimony taken concerning the death of a person, the
5080     district attorney or county attorney having criminal jurisdiction shall determine if the decedent
5081     died by unlawful means and shall also determine if criminal prosecution shall be instituted.
5082          Section 62. Section 26B-8-223 is amended to read:
5083          26B-8-223. Authority of examiner to provide organ or other tissue for transplant
5084     purposes.
5085          (1) When requested by the licensed physician of a patient who is in need of an organ or
5086     other tissue for transplant purpose, by a legally created Utah eye bank, organ bank or medical
5087     facility, the medical examiner may provide an organ or other tissue if:
5088          (a) a decedent who may provide a suitable organ or other tissue for the transplant is in
5089     the custody of the medical examiner;
5090          (b) the medical examiner is assured that the requesting party has made reasonable
5091     search for and inquiry of next of kin of the decedent and that no objection by the next of kin is
5092     known by the requesting party; and
5093          (c) the removal of the organ or other tissue will not interfere with the investigation or
5094     autopsy or alter the post-mortem facial appearance.
5095          (2) When the medical examiner [is in custody of] has jurisdiction over a decedent who
5096     may provide a suitable organ or other tissue for transplant purposes, he may contact the
5097     appropriate eye bank, organ bank or medical facility and notify them concerning the suitability
5098     of the organ or other tissue. In such contact the medical examiner may disclose the name of the
5099     decedent so that necessary clearances can be obtained.
5100          (3) No person shall be held civilly or criminally liable for any acts performed pursuant
5101     to this section.
5102          Section 63. Section 26B-8-225 is amended to read:
5103          26B-8-225. Burial of an unclaimed body -- Request by the school of medicine at
5104     the University of Utah -- Medical examiner may retain tissue for dog training.
5105          (1) Except as described in Subsection (2) or (3), a county shall provide, at the county's
5106     expense, decent [burial for] disposition of an unclaimed body found in the county.
5107          (2) A county is not responsible for decent [burial] disposition of an unclaimed body
5108     found in the county if the body is requested by the dean of the school of medicine at the
5109     University of Utah under Section 53B-17-301.

5110          (3) For an unclaimed body that is temporarily in the medical examiner's custody before
5111     [burial] disposition under Subsection (1), the medical examiner may retain tissue from the
5112     unclaimed body in order to donate the tissue to an individual who is affiliated with an
5113     established search and rescue dog organization, for the purpose of training a dog to search for
5114     human remains.
5115          Section 64. Section 26B-8-227 is amended to read:
5116          26B-8-227. Registry of unidentified deceased persons.
5117          (1) If the identity of a deceased person over which the medical examiner has
5118     jurisdiction under Section 26B-8-205 is unknown, the medical examiner shall do the following
5119     [before releasing the body to the county in which the body was found as provided in Section
5120     26B-8-225]:
5121          (a) assign a unique identifying number to the body;
5122          (b) create and maintain a file under the assigned number;
5123          (c) examine the body, take samples, and perform other related tasks for the purpose of
5124     deriving information that may be useful in ascertaining the identity of the deceased person;
5125          (d) use the identifying number in all records created by the medical examiner that
5126     pertains to the body;
5127          (e) record all information pertaining to the body in the file created and maintained
5128     under Subsection (1)(b);
5129          (f) communicate the unique identifying number to the county in which the body was
5130     found; and
5131          (g) access information from available government sources and databases in an attempt
5132     to ascertain the identity of the deceased person.
5133          [(2) A county which has received a body to which Subsection (1) applies:]
5134          [(a) shall adopt and use the same identifying number assigned by Subsection (1) in all
5135     records created by the county that pertain to the body;]
5136          [(b) require any funeral director or sexton who is involved in the disposition of the
5137     body to adopt and use the same identifying number assigned by Subsection (1) in all records
5138     created by the funeral director or sexton pertaining to the body; and]
5139          [(c) shall provide a decent burial for the body.]
5140          [(3) Within 30 days of receiving a body to which Subsection (1) applies, the county

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

5172     Department of Psychiatry or other university-based departments conducting research on
5173     suicide;
5174          (e) coordinate no less than monthly with the suicide prevention coordinator described
5175     in Subsection 26B-5-611(2); and
5176          (f) coordinate no less than quarterly with the state suicide prevention coalition.
5177          Section 66. Section 34A-6-107 is amended to read:
5178          34A-6-107. Research and related activities.
5179          (1) (a) The division, after consultation with other appropriate agencies, shall conduct,
5180     directly or by grants or contracts, whether federal or otherwise, research, experiments, and
5181     demonstrations in the area of occupational safety and health, including studies of psychological
5182     factors involved in innovative methods, techniques, and approaches for dealing with
5183     occupational safety and health problems.
5184          (b) (i) The division, to comply with its responsibilities under this section, and to
5185     develop needed information regarding toxic substances or harmful physical agents, may make
5186     rules requiring employers to measure, record, and make reports on the exposure of employees
5187     to substances or physical agents reasonably believed to endanger the health or safety of
5188     employees.
5189          (ii) The division may establish programs for medical examinations and tests necessary
5190     for determining the incidence of occupational diseases and the susceptibility of employees to
5191     the diseases.
5192          (iii) Nothing in this chapter authorizes or requires a medical examination,
5193     immunization, or treatment for persons who object on religious grounds, except when
5194     necessary for the protection of the health or safety of others.
5195          (iv) Any employer who is required to measure and record employee exposure to
5196     substances or physical agents as provided under Subsection (1)(b) may receive full or partial
5197     financial or other assistance to defray additional expense incurred by measuring and recording
5198     as provided in this Subsection (1)(b).
5199          (c) (i) Following a written request by any employer or authorized representative of
5200     employees, specifying with reasonable particularity the grounds on which the request is made,
5201     the division shall determine whether any substance normally found in a workplace has toxic
5202     effects in the concentrations used or found, and shall submit its determination both to

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

5234     of Transportation, any other major administrative subdivisions of state government, the State
5235     Board of Education, the Utah Board of Higher Education, the Utah Housing Corporation, the
5236     State Retirement Board, and each institution of higher education within the system of higher
5237     education.
5238          (3) "Division" means the Division of Emergency Management established in Title 53,
5239     Chapter 2a, Part 1, Emergency Management Act.
5240          (4) "Emergency interim successor" means a person designated by this part to exercise
5241     the powers and discharge the duties of an office when the person legally exercising the powers
5242     and duties of the office is unavailable.
5243          (5) "Executive director" means the person with ultimate responsibility for managing
5244     and overseeing the operations of each department, however denominated.
5245          (6) (a) "Office" includes all state and local offices, the powers and duties of which are
5246     defined by constitution, statutes, charters, optional plans, ordinances, articles, or by-laws.
5247          (b) "Office" does not include the office of governor or the legislative or judicial offices.
5248          (7) "Place of governance" means the physical location where the powers of an office
5249     are being exercised.
5250          (8) "Political subdivision" includes counties, cities, towns, metro townships, districts,
5251     authorities, and other public corporations and entities whether organized and existing under
5252     charter or general law.
5253          (9) "Political subdivision officer" means a person holding an office in a political
5254     subdivision.
5255          (10) "State officer" means the attorney general, the state treasurer, the state auditor, and
5256     the executive director of each department.
5257          (11) "Unavailable" means:
5258          (a) absent from the place of governance during a disaster that seriously disrupts normal
5259     governmental operations, whether or not that absence or inability would give rise to a vacancy
5260     under existing constitutional or statutory provisions; or
5261          (b) as otherwise defined by local ordinance.
5262          Section 68. Section 53-2d-404 (Effective 07/01/24) is amended to read:
5263          53-2d-404 (Effective 07/01/24). Permits for emergency medical service vehicles
5264     and nonemergency secured behavioral health transport vehicles.

5265          (1) (a) To ensure that emergency medical service vehicles and nonemergency secured
5266     behavioral health transport vehicles are adequately staffed, safe, maintained, properly
5267     equipped, and safely operated, the committee shall establish permit requirements at levels it
5268     considers appropriate in the following categories:
5269          (i) ambulance;
5270          (ii) emergency medical response vehicle; and
5271          (iii) nonemergency secured behavioral health transport vehicle.
5272          (b) The permit requirements under Subsections (1)(a)(i) and (ii) shall include a
5273     requirement that [beginning on or after January 31, 2014,] every operator of an ambulance or
5274     emergency medical response vehicle annually provide proof of the successful completion of an
5275     emergency vehicle operator's course approved by the bureau for all ambulances and emergency
5276     medical response vehicle operators.
5277          (2) The bureau shall, based on the requirements established in Subsection (1), issue
5278     permits to emergency medical service vehicles and nonemergency secured behavioral health
5279     transport vehicles.
5280          Section 69. Section 53-2d-503 (Effective 07/01/24) is amended to read:
5281          53-2d-503 (Effective 07/01/24). Establishment of maximum rates.
5282          (1) The bureau shall, after receiving recommendations under Subsection (2), establish
5283     maximum rates for ground ambulance providers and paramedic providers that are just and
5284     reasonable.
5285          (2) The committee may make recommendations to the bureau on the maximum rates
5286     that should be set under Subsection (1).
5287          (3) (a) [The bureau shall prohibit ground] Ground ambulance providers and paramedic
5288     providers [from charging] may not charge fees for transporting a patient when the provider
5289     does not transport the patient.
5290          (b) The provisions of Subsection (3)(a) do not apply to ambulance providers or
5291     paramedic providers in a geographic service area which contains a town as defined in
5292     Subsection 10-2-301(2)(f).
5293          Section 70. Section 53-2d-703 (Effective 07/01/24) is amended to read:
5294          53-2d-703 (Effective 07/01/24). Volunteer Emergency Medical Service Personnel
5295     Health Insurance Program -- Creation -- Administration -- Eligibility -- Benefits --

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

5327          (ii) within a county of the third, fourth, fifth, or sixth class; and
5328          (iii) as a volunteer under the Fair Labor Standards Act, in accordance with 29 C.F.R.
5329     Sec. 553.106;
5330          (c) are not eligible for a health benefit plan through an employer or a spouse's
5331     employer;
5332          (d) are not eligible for medical coverage under a government sponsored healthcare
5333     program; and
5334          (e) reside in the state.
5335          (5) (a) A participant in the program is eligible to participate in PEHP in accordance
5336     with Subsection (5)(b) and Subsection 49-20-201(3).
5337          (b) Benefits available to program participants under PEHP are limited to health
5338     insurance that:
5339          (i) covers the program participant and the program participant's eligible dependents on
5340     a July 1 plan year;
5341          (ii) accepts enrollment during an open enrollment period or for a special enrollment
5342     event, including the initial eligibility of a program participant;
5343          (iii) if the program participant is no longer eligible for benefits, terminates on the last
5344     day of the last month for which the individual is a participant in the Volunteer Emergency
5345     Medical Service Personnel Health Insurance Program; and
5346          (iv) is not subject to continuation rights under state or federal law.
5347          (6) (a) The bureau may make rules in accordance with Title 63G, Chapter 3, Utah
5348     Administrative Rulemaking Act, to define additional criteria regarding benefit design and
5349     eligibility for the program.
5350          (b) The bureau shall convene an advisory board:
5351          (i) to advise the bureau on making rules under Subsection (6)(a); and
5352          (ii) that includes representation from at least the following entities:
5353          (A) the qualifying association that receives the contract under Subsection (3); and
5354          (B) PEHP.
5355          (7) For purposes of this section, the qualifying association that receives the contract
5356     under Subsection (3) shall be considered the public agency for whom the program participant is
5357     volunteering under 29 C.F.R. Sec. 553.101.

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

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

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

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

5482     court's jurisdiction, if possible, but no later than before the court's jurisdiction over the minor's
5483     case terminates.
5484          (c) Priority of obtaining DNA specimens by the division from minors under Section
5485     53-10-403 who are committed to the legal custody of the division shall be:
5486          (i) first, to obtain specimens from minors who as of July 1, 2002, are within the
5487     division's legal custody and who have not previously provided a DNA specimen under this
5488     section, before termination of the division's legal custody of these minors; and
5489          (ii) second, to obtain specimens from minors who are placed in the legal custody of the
5490     division after July 1, 2002, within 120 days of the minor's being placed in the custody of the
5491     division, if possible, but no later than before the termination of the court's jurisdiction over the
5492     minor's case.
5493          (8) (a) The Department of Corrections, the juvenile court, the [Division of Juvenile
5494     Justice Services] Division of Juvenile Justice and Youth Services, and all law enforcement
5495     agencies in the state shall by policy establish procedures for obtaining saliva DNA specimens,
5496     and shall provide training for employees designated to collect saliva DNA specimens.
5497          (b) (i) The department may designate correctional officers, including those employed
5498     by the adult probation and parole section of the department, to obtain the saliva DNA
5499     specimens required under this section.
5500          (ii) The department shall ensure that the designated employees receive appropriate
5501     training and that the specimens are obtained in accordance with accepted protocol.
5502          (c) Blood DNA specimens shall be obtained in accordance with Section 53-10-405.
5503          Section 72. Section 53-10-407 is amended to read:
5504          53-10-407. DNA Specimen Restricted Account.
5505          (1) There is created the DNA Specimen Restricted Account, which is referred to in this
5506     section as "the account."
5507          (2) The sources of money for the account are:
5508          (a) DNA collection fees paid under Section 53-10-404;
5509          (b) any appropriations made to the account by the Legislature; and
5510          (c) all federal money provided to the state for the purpose of funding the collection or
5511     analysis of DNA specimens collected under Section 53-10-403.
5512          (3) The account shall earn interest, and this interest shall be deposited in the account.

5513          (4) The Legislature may appropriate money from the account solely for the following
5514     purposes:
5515          (a) to the Department of Corrections for the costs of collecting DNA specimens as
5516     required under Section 53-10-403;
5517          (b) to the juvenile court for the costs of collecting DNA specimens as required under
5518     Sections 53-10-403 and 80-6-608;
5519          (c) to the [Division of Juvenile Justice Services] Division of Juvenile Justice and
5520     Youth Services for the costs of collecting DNA specimens as required under Sections
5521     53-10-403 and 80-5-201; and
5522          (d) to the Department of Public Safety for the costs of:
5523          (i) storing and analyzing DNA specimens in accordance with the requirements of this
5524     part;
5525          (ii) DNA testing which cannot be performed by the Utah State Crime Lab, as provided
5526     in Subsection 78B-9-301(7); and
5527          (iii) reimbursing sheriffs for collecting the DNA specimens as provided under Sections
5528     53-10-404 and 53-10-404.5.
5529          (5) Appropriations from the account to the Department of Corrections, the juvenile
5530     court, the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth
5531     Services, and to the Department of Public Safety are nonlapsing.
5532          Section 73. Section 53E-10-301 is amended to read:
5533          53E-10-301. Definitions.
5534          As used in this part:
5535          (1) "Career and technical education course" means a concurrent enrollment course in
5536     career and technical education, as determined by the policy established by the Utah Board of
5537     Higher Education under Section 53E-10-302.
5538          (2) "Concurrent enrollment" means enrollment in a course offered through the
5539     concurrent enrollment program described in Section 53E-10-302.
5540          (3) "Educator" means the same as that term is defined in Section 53E-6-102.
5541          (4) "Eligible instructor" means an instructor who meets the requirements described in
5542     Subsection 53E-10-302(6).
5543          (5) "Eligible student" means a student who:

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

5575          (ii) been rated as effective by a standardized program evaluation tool; or
5576          (iii) been approved by the state board.
5577          (b) "Habitual truant" means a school-age child who:
5578          (i) is in grade 7 or above, unless the school-age child is under 12 years old;
5579          (ii) is subject to the requirements of Section 53G-6-202; and
5580          (iii) (A) is truant at least 10 times during one school year; or
5581          (B) fails to cooperate with efforts on the part of school authorities to resolve the
5582     school-age child's attendance problem as required under Section 53G-6-206.
5583          (c) "Minor" means the same as that term is defined in Section 80-1-102.
5584          (d) "Mobile crisis outreach team" means the same as that term is defined in Section
5585     [62A-15-102] 26B-5-101.
5586          (e) "Prosecuting attorney" means the same as that term is defined in Subsections
5587     80-1-102(65)(b) and (c).
5588          (f) "Restorative justice program" means a school-based program or a program used or
5589     adopted by a local education agency that is designed:
5590          (i) to enhance school safety, reduce school suspensions, and limit referrals to law
5591     enforcement agencies and courts; and
5592          (ii) to help minors take responsibility for and repair harmful behavior that occurs in
5593     school.
5594          (g) "School administrator" means a principal of a school.
5595          (h) "School is in session" means a day during which the school conducts instruction for
5596     which student attendance is counted toward calculating average daily membership.
5597          (i) "School resource officer" means a law enforcement officer, as defined in Section
5598     53-13-103, who contracts with, is employed by, or whose law enforcement agency contracts
5599     with a local education agency to provide law enforcement services for the local education
5600     agency.
5601          (j) "School-age child" means the same as that term is defined in Section 53G-6-201.
5602          (k) (i) "School-sponsored activity" means an activity, fundraising event, club, camp,
5603     clinic, or other event or activity that is authorized by a specific local education agency or public
5604     school, according to LEA governing board policy, and satisfies at least one of the following
5605     conditions:

5606          (A) the activity is managed or supervised by a local education agency or public school,
5607     or local education agency or public school employee;
5608          (B) the activity uses the local education agency's or public school's facilities,
5609     equipment, or other school resources; or
5610          (C) the activity is supported or subsidized, more than inconsequentially, by public
5611     funds, including the public school's activity funds or Minimum School Program dollars.
5612          (ii) "School-sponsored activity" includes preparation for and involvement in a public
5613     performance, contest, athletic competition, demonstration, display, or club activity.
5614          (l) (i) "Status offense" means an offense that would not be an offense but for the age of
5615     the offender.
5616          (ii) "Status offense" does not mean an offense that by statute is a misdemeanor or
5617     felony.
5618          (2) This section applies to a minor enrolled in school who is alleged to have committed
5619     an offense on school property where the student is enrolled:
5620          (a) when school is in session; or
5621          (b) during a school-sponsored activity.
5622          (3) If a minor is alleged to have committed an offense on school property that is a class
5623     C misdemeanor, an infraction, or a status offense, the school administrator, the school
5624     administrator's designee, or a school resource officer may refer the minor:
5625          (a) to an evidence-based alternative intervention, including:
5626          (i) a mobile crisis outreach team;
5627          (ii) a youth services center, as defined in Section 80-5-102;
5628          (iii) a youth court or comparable restorative justice program;
5629          (iv) an evidence-based alternative intervention created and developed by the school or
5630     school district;
5631          (v) an evidence-based alternative intervention that is jointly created and developed by a
5632     local education agency, the state board, the juvenile court, local counties and municipalities,
5633     the Department of Health and Human Services; or
5634          (vi) a tobacco cessation or education program if the offense is a violation of Section
5635     76-10-105; or
5636          (b) for prevention and early intervention youth services, as described in Section

5637     80-5-201, by the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth
5638     Services if the minor refuses to participate in an evidence-based alternative intervention
5639     described in Subsection (3)(a).
5640          (4) Except as provided in Subsection (5), if a minor is alleged to have committed an
5641     offense on school property that is a class C misdemeanor, an infraction, or a status offense, a
5642     school administrator, the school administrator's designee, or a school resource officer may refer
5643     a minor to a law enforcement officer or agency or a court only if:
5644          (a) the minor allegedly committed the same offense on school property on two previous
5645     occasions; and
5646          (b) the minor was referred to an evidence-based alternative intervention, or to
5647     prevention or early intervention youth services, as described in Subsection (3) for both of the
5648     two previous offenses.
5649          (5) If a minor is alleged to have committed a traffic offense that is an infraction, a
5650     school administrator, the school administrator's designee, or a school resource officer may refer
5651     the minor to a law enforcement officer or agency, a prosecuting attorney, or a court for the
5652     traffic offense.
5653          (6) Notwithstanding Subsection (4), a school resource officer may:
5654          (a) investigate possible criminal offenses and conduct, including conducting probable
5655     cause searches;
5656          (b) consult with school administration about the conduct of a minor enrolled in a
5657     school;
5658          (c) transport a minor enrolled in a school to a location if the location is permitted by
5659     law;
5660          (d) take temporary custody of a minor in accordance with Section 80-6-201; or
5661          (e) protect the safety of students and the school community, including the use of
5662     reasonable and necessary physical force when appropriate based on the totality of the
5663     circumstances.
5664          (7) (a) If a minor is referred to a court or a law enforcement officer or agency under
5665     Subsection (4), the school or the school district shall appoint a school representative to
5666     continue to engage with the minor and the minor's family through the court process.
5667          (b) A school representative appointed under Subsection (7)(a) may not be a school

5668     resource officer.
5669          (c) A school district or school shall include the following in the school district's or
5670     school's referral to the court or the law enforcement officer or agency:
5671          (i) attendance records for the minor;
5672          (ii) a report of evidence-based alternative interventions used by the school before the
5673     referral, including outcomes;
5674          (iii) the name and contact information of the school representative assigned to actively
5675     participate in the court process with the minor and the minor's family;
5676          (iv) if the minor was referred to prevention or early intervention youth services under
5677     Subsection (3)(b), a report from the [Division of Juvenile Justice Services] Division of Juvenile
5678     Justice and Youth Services that demonstrates the minor's failure to complete or participate in
5679     prevention and early intervention youth services under Subsection (3)(b); and
5680          (v) any other information that the school district or school considers relevant.
5681          (d) A minor referred to a court under Subsection (4) may not be ordered to or placed in
5682     secure detention, including for a contempt charge or violation of a valid court order under
5683     Section 78A-6-353, when the underlying offense is a status offense or infraction.
5684          (e) If a minor is referred to a court under Subsection (4), the court may use, when
5685     available, the resources of the [Division of Juvenile Justice Services] Division of Juvenile
5686     Justice and Youth Services or the [Division of Substance Abuse and Mental Health] Office of
5687     Substance Use and Mental Health to address the minor.
5688          (8) If a minor is alleged to have committed an offense on school property that is a class
5689     B misdemeanor or a class A misdemeanor, the school administrator, the school administrator's
5690     designee, or a school resource officer may refer the minor directly to a court or to the
5691     evidence-based alternative interventions in Subsection (3)(a).
5692          Section 75. Section 53G-8-213 is amended to read:
5693          53G-8-213. Reintegration plan for student alleged to have committed violent
5694     felony or weapon offense.
5695          (1) As used in this section:
5696          (a) "Multidisciplinary team" means the local education agency, the juvenile court, the
5697     [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services, a
5698     school resource officer if applicable, and any other relevant party that should be involved in a

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

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

5761     Utah public schools; and
5762          (iii) the provider's experience in providing a program that is effective.
5763          (7) (a) The state board shall use money from the Underage Drinking and Substance
5764     Abuse Prevention Program Restricted Account described in Section 53F-9-304 for the
5765     program.
5766          (b) The state board may use money from the Underage Drinking Prevention Program
5767     Restricted Account to fund up to .5 of a full-time equivalent position to administer the
5768     program.
5769          (8) In accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, the
5770     state board shall make rules that:
5771          (a) beginning with the 2018-19 school year, require an LEA to offer the Underage
5772     Drinking and Substance Abuse Prevention Program each school year to each student in grade 7
5773     or 8 and grade 9 or 10;
5774          (b) beginning with the 2020-21 school year, require an LEA to offer the Underage
5775     Drinking and Substance Abuse Prevention Program each school year to each student in grade 4
5776     or 5; and
5777          (c) establish criteria for the state board to use in selecting a provider described in
5778     Subsection (6).
5779          Section 77. Section 58-17b-309.7 is amended to read:
5780          58-17b-309.7. Opioid treatment program.
5781          (1) As used in this section:
5782          (a) "Covered provider" means an individual who is licensed to engage in:
5783          (i) the practice of advanced practice registered nursing as defined in Section
5784     58-31b-102;
5785          (ii) the practice of registered nursing as defined in Section 58-31b-102; or
5786          (iii) practice as a physician assistant as defined in Section 58-70a-102.
5787          (b) "Opioid treatment program" means a program or practitioner that is:
5788          (i) engaged in dispensing an opiate medication assisted treatment for opioid use
5789     disorder;
5790          (ii) registered under 21 U.S.C. Sec. 823(g)(1);
5791          (iii) licensed by the [Office of Licensing] Division of Licensing and Background

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

5823          (ii) fluoride treatment;
5824          (iii) travel immunization;
5825          (iv) preventative treatment for an individual with latent tuberculosis infection;
5826          (v) preventative treatment for an individual at risk for an infectious disease that has a
5827     direct impact on public health when the treatment is indicated to prevent the spread of disease
5828     or to mitigate the seriousness of infection in the exposed individual; or
5829          (vi) other treatment as defined by the Department of Health and Human Services by
5830     rule made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
5831          (3) In a circumstance described in Subsection (2), an individual with prescriptive
5832     authority may write a prescription for each contact, as defined in Section 26B-7-201, of a
5833     patient of the individual with prescriptive authority without a face-to-face exam, if:
5834          (a) the individual with prescriptive authority is treating the patient for a reportable
5835     disease or non-emergency condition having a direct impact on public health; and
5836          (b) the contact's condition is the same as the patient of the individual with prescriptive
5837     authority.
5838          (4) The following prescription procedure shall be carried out in accordance with the
5839     requirements of Subsection (5) and may be used only in the circumstances described under
5840     Subsections (2) and (3):
5841          (a) a physician writes and signs a prescription for a prescription drug, other than a
5842     controlled substance, without the name and address of the patient and without the date the
5843     prescription is provided to the patient; and
5844          (b) the physician authorizes a registered nurse employed by the health department to
5845     complete the prescription written under this Subsection (4) by inserting the patient's name and
5846     address, and the date the prescription is provided to the patient, in accordance with the
5847     physician's standing written orders and a written health department protocol approved by the
5848     [physician and the medical director] public health department physician medical director or the
5849     physician medical director of the state Department of Health and Human Services licensed
5850     under Chapter 67, Utah Medical Practices Act, or Chapter 68, Utah Osteopathic Medical
5851     Practice Act.
5852          (5) A physician assumes responsibility for all prescriptions issued under this section in
5853     the physician's name.

5854          (6) (a) All prescription forms to be used by a physician and health department in
5855     accordance with this section shall be serially numbered according to a numbering system
5856     assigned to that health department.
5857          (b) All prescriptions issued shall contain all information required under this chapter
5858     and rules adopted under this chapter.
5859          (7) Notwithstanding Sections 58-17b-302 and 58-17b-309, a nurse who is employed by
5860     a health department and licensed under Chapter 31b, Nurse Practice Act, may dispense a drug
5861     to treat a sexually transmitted infection if the drug is:
5862          (a) a prepackaged drug as defined in Section 58-17b-802;
5863          (b) dispensed under a prescription authorized by this section;
5864          (c) provided at a location that is described in Subsection (2)(a) or (b) and operated by
5865     the health department;
5866          (d) provided in accordance with a dispensing standard that is issued by a physician who
5867     is employed by the health department; and
5868          (e) if applicable, in accordance with requirements established by the division in
5869     collaboration with the board under Subsection (8).
5870          (8) The division may make rules in collaboration with the board and in accordance
5871     with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, to establish specific
5872     requirements regarding the dispensing of a drug under Subsection (7).
5873          Section 79. Section 63B-3-102 is amended to read:
5874          63B-3-102. Maximum amount -- Projects authorized.
5875          (1) The total amount of bonds issued under this part may not exceed $64,600,000.
5876          (2) (a) Proceeds from the issuance of bonds shall be provided to the division to provide
5877     funds to pay all or part of the cost of acquiring and constructing the projects listed in this
5878     Subsection (2).
5879          (b) These costs may include the cost of acquiring land, interests in land, easements and
5880     rights-of-way, improving sites, and acquiring, constructing, equipping, and furnishing facilities
5881     and all structures, roads, parking facilities, utilities, and improvements necessary, incidental, or
5882     convenient to the facilities, interest estimated to accrue on these bonds during the period to be
5883     covered by construction of the projects plus a period of six months after the end of the
5884     construction period and all related engineering, architectural, and legal fees.

5885          (c) For the division, proceeds shall be provided for the following:
5886      CAPITAL IMPROVEMENTS
5887      1Alterations, Repairs, and Improvements
$5,000,000          
5888      TOTAL IMPROVEMENTS
$5,000,000
5889      CAPITAL AND ECONOMIC DEVELOPMENT
5890     


PRIORITY
PROJECT



PROJECT
DESCRIPTION



AMOUNT
FUNDED
ESTIMATED
OPERATIONS
AND
MAINTENANCE
COSTS
5891      1University of Utah
Marriott Library Phase III (Final)
$13,811,500$881,600
5892      2Bridgerland Applied Technology Center
Utah State University Space
$2,400,000
$0
5893      3Weber State University -
Heat Plant
$2,332,100$9,600
5894      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
5895      5Snow College - Administrative
Services/Student Center
$3,885,100$224,500
5896      6Ogden Weber Applied Technology
Center - Metal Trades Building Design
and Equipment Purchase
$750,000$0
5897      7Department of Corrections B-Block
Remodel
$1,237,100$72,000
5898      8Utah State University - Old Main Phase
III Design
$550,000$0
5899      9Department of Corrections - 144 bed
Uintah Expansion
$6,700,000$168,800
5900      10Southern Utah University
Administrative Services/Student Center
$5,630,400$314,200
5901      11Anasazi Museum$760,200$8,500
5902      12Hill Air Force Base - Easements
Purchase
$9,500,000$0
5903      13Signetics Building Remodel$2,000,000$0
5904      14Antelope Island Visitors Center$750,000$30,000
5905      15State Fair Park - Master Study$150,000$0
5906      16Utah National Guard - Draper Land$380,800$0
5907      17Davis Applied Technology Center -
Design
$325,000$0
5908      18Palisade State Park - Land and Park
Development
$800,000$0
5909      19Department of Health and Human
Services - Cedar City Land
$80,000$0
5910      20Department of Health and Human
Services - Clearfield Land
$163,400$0
5911      21Electronic technology, equipment, and
hardware
$2,500,000$0
5912      TOTAL CAPITAL AND ECONOMIC DEVELOPMENT          $58,885,600
5913      TOTAL IMPROVEMENTS AND CAPITAL
AND ECONOMIC DEVELOPMENT                    $63,885,600
5914          (d) For purposes of this section, operations and maintenance costs:
5915          (i) are estimates only;
5916          (ii) may include any operations and maintenance costs already funded in existing

5917     agency budgets; and
5918          (iii) are not commitments by this Legislature or future Legislatures to fund those
5919     operations and maintenance costs.
5920          (3) (a) The amounts funded as listed in Subsection (2) are estimates only and do not
5921     constitute a limitation on the amount that may be expended for any project.
5922          (b) The board may revise these estimates and redistribute the amount estimated for a
5923     project among the projects authorized.
5924          (c) The commission, by resolution and in consultation with the board, may delete one
5925     or more projects from this list if the inclusion of that project or those projects in the list could
5926     be construed to violate state law or federal law or regulation.
5927          (4) (a) The division may enter into agreements related to these projects before the
5928     receipt of proceeds of bonds issued under this chapter.
5929          (b) The division shall make those expenditures from unexpended and unencumbered
5930     building funds already appropriated to the Capital Projects Fund.
5931          (c) The division shall reimburse the Capital Projects Fund upon receipt of the proceeds
5932     of bonds issued under this chapter.
5933          (d) The commission may, by resolution, make any statement of intent relating to that
5934     reimbursement that is necessary or desirable to comply with federal tax law.
5935          (5) (a) For those projects for which only partial funding is provided in Subsection (2),
5936     it is the intent of the Legislature that the balance necessary to complete the projects be
5937     addressed by future Legislatures, either through appropriations or through the issuance or sale
5938     of bonds.
5939          (b) For those phased projects, the division may enter into contracts for amounts not to
5940     exceed the anticipated full project funding but may not allow work to be performed on those
5941     contracts in excess of the funding already authorized by the Legislature.
5942          (c) Those contracts shall contain a provision for termination of the contract for the
5943     convenience of the state.
5944          (d) It is also the intent of the Legislature that this authorization to the division does not
5945     bind future Legislatures to fund projects initiated from this authorization.
5946          Section 80. Section 63B-3-301 is amended to read:
5947          63B-3-301. Legislative intent -- Additional projects.

5948          (1) It is the intent of the Legislature that, for any lease purchase agreement that the
5949     Legislature may authorize the Division of Facilities Construction and Management to enter into
5950     during its 1994 Annual General Session, the State Building Ownership Authority, at the
5951     reasonable rates and amounts it may determine, and with technical assistance from the state
5952     treasurer, the director of the Division of Finance, and the executive director of the Governor's
5953     Office of Planning and Budget, may seek out the most cost effective and prudent lease
5954     purchase plans available to the state and may, pursuant to Chapter 1, Part 3, State Building
5955     Ownership Authority Act, certificate out interests in, or obligations of the authority pertaining
5956     to:
5957          (a) the lease purchase obligation; or
5958          (b) lease rental payments under the lease purchase obligation.
5959          (2) It is the intent of the Legislature that the Department of Transportation dispose of
5960     surplus real properties and use the proceeds from those properties to acquire or construct
5961     through the Division of Facilities Construction and Management a new District Two Complex.
5962          (3) It is the intent of the Legislature that the Division of Facilities Construction and
5963     Management allocate funds from the Capital Improvement appropriation and donations to
5964     cover costs associated with the upgrade of the Governor's Residence that go beyond the
5965     restoration costs which can be covered by insurance proceeds.
5966          (4) (a) It is the intent of the Legislature to authorize the State Building Ownership
5967     Authority under authority of Chapter 1, Part 3, State Building Ownership Authority Act, to
5968     issue or execute obligations or enter into or arrange for a lease purchase agreement in which
5969     participation interests may be created, to provide up to $10,600,000 for the construction of a
5970     Natural Resources Building in Salt Lake City, together with additional amounts necessary to:
5971          (i) pay costs of issuance;
5972          (ii) pay capitalized interest; and
5973          (iii) fund any debt service reserve requirements.
5974          (b) It is the intent of the Legislature that the authority seek out the most cost effective
5975     and prudent lease purchase plan available with technical assistance from the state treasurer, the
5976     director of the Division of Finance, and the executive director of the Governor's Office of
5977     Planning and Budget.
5978          (c) It is the intent of the Legislature that the operating budget for the Department of

5979     Natural Resources not be increased to fund these lease payments.
5980          (5) (a) It is the intent of the Legislature to authorize the State Building Ownership
5981     Authority under authority of Chapter 1, Part 3, State Building Ownership Authority Act, to
5982     issue or execute obligations or enter into or arrange for a lease purchase agreement in which
5983     participation interests may be created, to provide up to $8,300,000 for the acquisition of the
5984     office buildings currently occupied by the Department of Environmental Quality and
5985     approximately 19 acres of additional vacant land at the Airport East Business Park in Salt Lake
5986     City, together with additional amounts necessary to:
5987          (i) pay costs of issuance;
5988          (ii) pay capitalized interest; and
5989          (iii) fund any debt service reserve requirements.
5990          (b) It is the intent of the Legislature that the authority seek out the most cost effective
5991     and prudent lease purchase plan available with technical assistance from the state treasurer, the
5992     director of the Division of Finance, and the executive director of the Governor's Office of
5993     Planning and Budget.
5994          (6) (a) It is the intent of the Legislature to authorize the State Building Ownership
5995     Authority under authority of Chapter 1, Part 3, State Building Ownership Authority Act, to
5996     issue or execute obligations or enter into or arrange for a lease purchase agreement in which
5997     participation interests may be created, to provide up to $9,000,000 for the acquisition or
5998     construction of up to two field offices for the Department of Health and Human Services in the
5999     southwestern portion of Salt Lake County, together with additional amounts necessary to:
6000          (i) pay costs of issuance;
6001          (ii) pay capitalized interest; and
6002          (iii) fund any debt service reserve requirements.
6003          (b) It is the intent of the Legislature that the authority seek out the most cost effective
6004     and prudent lease purchase plan available with technical assistance from the state treasurer, the
6005     director of the Division of Finance, and the executive director of the Governor's Office of
6006     Planning and Budget.
6007          (7) (a) It is the intent of the Legislature to authorize the State Building Ownership
6008     Authority under authority of Chapter 1, Part 3, State Building Ownership Authority Act, to
6009     issue or execute obligations or enter into or arrange for lease purchase agreements in which

6010     participation interests may be created, to provide up to $5,000,000 for the acquisition or
6011     construction of up to 13 stores for the Department of Alcoholic Beverage Services, together
6012     with additional amounts necessary to:
6013          (i) pay costs of issuance;
6014          (ii) pay capitalized interest; and
6015          (iii) fund any debt service reserve requirements.
6016          (b) It is the intent of the Legislature that the authority seek out the most cost effective
6017     and prudent lease purchase plan available with technical assistance from the state treasurer, the
6018     director of the Division of Finance, and the executive director of the Governor's Office of
6019     Planning and Budget.
6020          (c) It is the intent of the Legislature that the operating budget for the Department of
6021     Alcoholic Beverage Services not be increased to fund these lease payments.
6022          (8) (a) It is the intent of the Legislature to authorize the State Building Ownership
6023     Authority under authority of Chapter 1, Part 3, State Building Ownership Authority Act, to
6024     issue or execute obligations or enter into or arrange for a lease purchase agreement in which
6025     participation interests may be created, to provide up to $6,800,000 for the construction of a
6026     Prerelease and Parole Center for the Department of Corrections, containing a minimum of 300
6027     beds, together with additional amounts necessary to:
6028          (i) pay costs of issuance;
6029          (ii) pay capitalized interest; and
6030          (iii) fund any debt service reserve requirements.
6031          (b) It is the intent of the Legislature that the authority seek out the most cost effective
6032     and prudent lease purchase plan available with technical assistance from the state treasurer, the
6033     director of the Division of Finance, and the executive director of the Governor's Office of
6034     Planning and Budget.
6035          (9) If S.B. 275, 1994 General Session, which authorizes funding for a Courts Complex
6036     in Salt Lake City, becomes law, it is the intent of the Legislature that:
6037          (a) the Legislative Management Committee, the Interim Appropriation Subcommittees
6038     for General Government and Capital Facilities and Executive Offices, Courts, and Corrections,
6039     the Office of the Legislative Fiscal Analyst, the Governor's Office of Planning and Budget, and
6040     the Division of Facilities Construction and Management participate in a review of the proposed

6041     facility design for the Courts Complex no later than December 1994; and
6042          (b) although this review will not affect the funding authorization issued by the 1994
6043     Legislature, it is expected that Division of Facilities Construction and Management will give
6044     proper attention to concerns raised in these reviews and make appropriate design changes
6045     pursuant to the review.
6046          (10) It is the intent of the Legislature that:
6047          (a) the Division of Facilities Construction and Management, in cooperation with the
6048     [Division of Youth Corrections renamed in 2003 to the Division of Juvenile Justice Services]
6049     Division of Juvenile Justice and Youth Services, formerly known as the Division of Youth
6050     Corrections and then the Division of Juvenile Justice Services, develop a flexible use prototype
6051     facility for [the Division of Youth Corrections renamed in 2003 to the Division of Juvenile
6052     Justice Services] the Division of Juvenile Justice and Youth Services;
6053          (b) the development process use existing prototype proposals unless it can be
6054     quantifiably demonstrated that the proposals cannot be used;
6055          (c) the facility is designed so that with minor modifications, it can accommodate
6056     detention, observation and assessment, transition, and secure programs as needed at specific
6057     geographical locations;
6058          (d) (i) funding as provided in the fiscal year 1995 bond authorization for the Division
6059     of Youth Corrections [renamed in 2003 to the Division of Juvenile Justice Services], now
6060     known as the Division of Juvenile Justice and Youth Services is used to design and construct
6061     one facility and design the other;
6062          (ii) the [Division of Youth Corrections renamed in 2003 to the Division of Juvenile
6063     Justice Services] Division of Juvenile Justice and Youth Services shall:
6064          (A) determine the location for the facility for which design and construction are fully
6065     funded; and
6066          (B) in conjunction with the Division of Facilities Construction and Management,
6067     determine the best methodology for design and construction of the fully funded facility;
6068          (e) the Division of Facilities Construction and Management submit the prototype as
6069     soon as possible to the Infrastructure and General Government Appropriations Subcommittee
6070     and Executive Offices, Criminal Justice, and Legislature Appropriation Subcommittee for
6071     review;

6072          (f) the Division of Facilities Construction and Management issue a Request for
6073     Proposal for one of the facilities, with that facility designed and constructed entirely by the
6074     winning firm;
6075          (g) the other facility be designed and constructed under the existing Division of
6076     Facilities Construction and Management process;
6077          (h) that both facilities follow the program needs and specifications as identified by
6078     Division of Facilities Construction and Management and the [Division of Youth Corrections
6079     renamed in 2003 to the Division of Juvenile Justice Services] Division of Juvenile Justice and
6080     Youth Services in the prototype; and
6081          (i) the fully funded facility should be ready for occupancy by September 1, 1995.
6082          (11) It is the intent of the Legislature that the fiscal year 1995 funding for the State Fair
6083     Park Master Study be used by the Division of Facilities Construction and Management to
6084     develop a master plan for the State Fair Park that:
6085          (a) identifies capital facilities needs, capital improvement needs, building
6086     configuration, and other long term needs and uses of the State Fair Park and its buildings; and
6087          (b) establishes priorities for development, estimated costs, and projected timetables.
6088          (12) It is the intent of the Legislature that:
6089          (a) the Division of Facilities Construction and Management, in cooperation with the
6090     Division of State Parks, formerly known as the Division of Parks and Recreation, and
6091     surrounding counties, develop a master plan and general program for the phased development
6092     of Antelope Island;
6093          (b) the master plan:
6094          (i) establish priorities for development;
6095          (ii) include estimated costs and projected time tables; and
6096          (iii) include recommendations for funding methods and the allocation of
6097     responsibilities between the parties; and
6098          (c) the results of the effort be reported to the Natural Resources, Agriculture, and
6099     Environmental Quality Appropriations Subcommittee and Infrastructure and General
6100     Government Appropriations Subcommittee.
6101          (13) It is the intent of the Legislature to authorize the University of Utah to use:
6102          (a) bond reserves to plan, design, and construct the Kingsbury Hall renovation under

6103     the supervision of the director of the Division of Facilities Construction and Management
6104     unless supervisory authority is delegated by the director; and
6105          (b) donated and other nonappropriated funds to plan, design, and construct the Biology
6106     Research Building under the supervision of the director of the Division of Facilities
6107     Construction and Management unless supervisory authority is delegated by the director.
6108          (14) It is the intent of the Legislature to authorize Utah State University to use:
6109          (a) federal and other funds to plan, design, and construct the Bee Lab under the
6110     supervision of the director of the Division of Facilities Construction and Management unless
6111     supervisory authority is delegated by the director;
6112          (b) donated and other nonappropriated funds to plan, design, and construct an Athletic
6113     Facility addition and renovation under the supervision of the director of the Division of
6114     Facilities Construction and Management unless supervisory authority is delegated by the
6115     director;
6116          (c) donated and other nonappropriated funds to plan, design, and construct a renovation
6117     to the Nutrition and Food Science Building under the supervision of the director of the
6118     Division of Facilities Construction and Management unless supervisory authority is delegated
6119     by the director; and
6120          (d) federal and private funds to plan, design, and construct the Millville Research
6121     Facility under the supervision of the director of the Division of Facilities Construction and
6122     Management unless supervisory authority is delegated by the director.
6123          (15) It is the intent of the Legislature to authorize Salt Lake Community College to use:
6124          (a) institutional funds to plan, design, and construct a remodel to the Auto Trades
6125     Office and Learning Center under the supervision of the director of the Division of Facilities
6126     Construction and Management unless supervisory authority is delegated by the director;
6127          (b) institutional funds to plan, design, and construct the relocation and expansion of a
6128     temporary maintenance compound under the supervision of the director of the Division of
6129     Facilities Construction and Management unless supervisory authority is delegated by the
6130     director; and
6131          (c) institutional funds to plan, design, and construct the Alder Amphitheater under the
6132     supervision of the director of the Division of Facilities Construction and Management unless
6133     supervisory authority is delegated by the director.

6134          (16) It is the intent of the Legislature to authorize Southern Utah University to use:
6135          (a) federal funds to plan, design, and construct a Community Services Building under
6136     the supervision of the director of the Division of Facilities Construction and Management
6137     unless supervisory authority is delegated by the director; and
6138          (b) donated and other nonappropriated funds to plan, design, and construct a stadium
6139     expansion under the supervision of the director of the Division of Facilities Construction and
6140     Management unless supervisory authority is delegated by the director.
6141          (17) It is the intent of the Legislature to authorize the Department of Corrections to use
6142     donated funds to plan, design, and construct a Prison Chapel at the Central Utah Correctional
6143     Facility in Gunnison under the supervision of the director of the Division of Facilities
6144     Construction and Management unless supervisory authority is delegated by the director.
6145          (18) If the Utah National Guard does not relocate in the Signetics Building, it is the
6146     intent of the Legislature to authorize the Guard to use federal funds and funds from Provo City
6147     to plan and design an Armory in Provo, Utah, under the supervision of the director of the
6148     Division of Facilities Construction and Management unless supervisory authority is delegated
6149     by the director.
6150          (19) It is the intent of the Legislature that the Utah Department of Transportation use
6151     $250,000 of the fiscal year 1995 highway appropriation to fund an environmental study in
6152     Ogden, Utah of the 2600 North Corridor between Washington Boulevard and I-15.
6153          (20) It is the intent of the Legislature that the Ogden-Weber Applied Technology
6154     Center use the money appropriated for fiscal year 1995 to design the Metal Trades Building
6155     and purchase equipment for use in that building that could be used in metal trades or other
6156     programs in other Applied Technology Centers.
6157          (21) It is the intent of the Legislature that the Bridgerland Applied Technology Center
6158     and the Ogden-Weber Applied Technology Center projects as designed in fiscal year 1995 be
6159     considered as the highest priority projects for construction funding in fiscal year 1996.
6160          (22) It is the intent of the Legislature that:
6161          (a) the Division of Facilities Construction and Management complete physical space
6162     utilization standards by June 30, 1995, for the use of technology education activities;
6163          (b) these standards are to be developed with and approved by the State Board of
6164     Education, the Board of Regents, and the Division of Facilities Construction and Management;

6165          (c) these physical standards be used as the basis for:
6166          (i) determining utilization of any technology space based on number of stations capable
6167     and occupied for any given hour of operation; and
6168          (ii) requests for any new space or remodeling;
6169          (d) the fiscal year 1995 projects at the Bridgerland Applied Technology Center and the
6170     Ogden-Weber Applied Technology Center are exempt from this process; and
6171          (e) the design of the Davis Applied Technology Center take into account the utilization
6172     formulas established by the Division of Facilities Construction and Management.
6173          (23) It is the intent of the Legislature that Utah Valley State College may use the
6174     money from the bond allocated to the remodel of the Signetics building to relocate its technical
6175     education programs at other designated sites or facilities under the supervision of the director
6176     of the Division of Facilities Construction and Management unless supervisory authority is
6177     delegated by the director.
6178          (24) It is the intent of the Legislature that the money provided for the fiscal year 1995
6179     project for the Bridgerland Applied Technology Center be used to design and construct the
6180     space associated with Utah State University and design the technology center portion of the
6181     project.
6182          (25) It is the intent of the Legislature that the governor provide periodic reports on the
6183     expenditure of the funds provided for electronic technology, equipment, and hardware to the
6184     Infrastructure and General Government Appropriations Subcommittee, and the Legislative
6185     Management Committee.
6186          Section 81. Section 63B-4-102 is amended to read:
6187          63B-4-102. Maximum amount -- Projects authorized.
6188          (1) The total amount of bonds issued under this part may not exceed $45,300,000.
6189          (2) (a) Proceeds from the issuance of bonds shall be provided to the division to provide
6190     funds to pay all or part of the cost of acquiring and constructing the projects listed in this
6191     Subsection (2).
6192          (b) These costs may include the cost of acquiring land, interests in land, easements and
6193     rights-of-way, improving sites, and acquiring, constructing, equipping, and furnishing facilities
6194     and all structures, roads, parking facilities, utilities, and improvements necessary, incidental, or
6195     convenient to the facilities, interest estimated to accrue on these bonds during the period to be

6196     covered by construction of the projects plus a period of six months after the end of the
6197     construction period, and all related engineering, architectural, and legal fees.
6198          (c) For the division, proceeds shall be provided for the following:
6199      CAPITAL IMPROVEMENTS
6200      Alterations, Repairs, and Improvements$7,200,000
6201      TOTAL IMPROVEMENTS$7,200,000
6202      CAPITAL AND ECONOMIC DEVELOPMENT
6203     


     PROJECT
     DESCRIPTION



AMOUNT
FUNDED
ESTIMATED
OPERATIONS
AND
MAINTENANCE
COSTS
6204      Corrections - Uinta IVA$11,300,000$212,800
6205      Utah County Youth Correctional Facility$6,650,000$245,000
6206      Ogden Weber Applied Technology Center -
Metal Trades
$5,161,000$176,000
6207      Project Reserve Fund$3,500,000None
6208      Weber State University - Browning Center
Remodel
$3,300,000None
6209      Heber Wells Building Remodel$2,000,000None
6210      Higher Education Davis County - Land Purchase$1,600,000None
6211      National Guard -- Provo Armory$1,500,000$128,000
6212      Department of Natural Resources - Pioneer
Trails Visitor Center
$900,000$65,000
6213      Higher Education Design Projects$800,000Varies depending
upon projects
selected
6214      Salt Lake Community College - South Valley
Planning
$300,000None
6215      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
6216      TOTAL CAPITAL AND ECONOMIC DEVELOPMENT$37,131,000
6217      TOTAL IMPROVEMENTS AND CAPITAL AND ECONOMIC
DEVELOPMENT
$44,331,000
6218          (d) For purposes of this section, operations and maintenance costs:
6219          (i) are estimates only;
6220          (ii) may include any operations and maintenance costs already funded in existing
6221     agency budgets; and
6222          (iii) are not commitments by this Legislature or future Legislatures to fund those
6223     operations and maintenance costs.
6224          (3) (a) The amounts funded as listed in Subsection (2) are estimates only and do not
6225     constitute a limitation on the amount that may be expended for any project.
6226          (b) The board may revise these estimates and redistribute the amount estimated for a
6227     project among the projects authorized.
6228          (c) The commission, by resolution and in consultation with the board, may delete one
6229     or more projects from this list if the inclusion of that project or those projects in the list could
6230     be construed to violate state law or federal law or regulation.
6231          (4) (a) The division may enter into agreements related to these projects before the
6232     receipt of proceeds of bonds issued under this chapter.
6233          (b) The division shall make those expenditures from unexpended and unencumbered
6234     building funds already appropriated to the Capital Projects Fund.
6235          (c) The division shall reimburse the Capital Projects Fund upon receipt of the proceeds
6236     of bonds issued under this chapter.
6237          (d) The commission may, by resolution, make any statement of intent relating to that
6238     reimbursement that is necessary or desirable to comply with federal tax law.
6239          (5) (a) For those projects for which only partial funding is provided in Subsection (2),
6240     it is the intent of the Legislature that the balance necessary to complete the projects be
6241     addressed by future Legislatures, either through appropriations or through the issuance or sale

6242     of bonds.
6243          (b) For those phased projects, the division may enter into contracts for amounts not to
6244     exceed the anticipated full project funding but may not allow work to be performed on those
6245     contracts in excess of the funding already authorized by the Legislature.
6246          (c) Those contracts shall contain a provision for termination of the contract for the
6247     convenience of the state.
6248          (d) It is also the intent of the Legislature that this authorization to the division does not
6249     bind future Legislatures to fund projects initiated from this authorization.
6250          Section 82. Section 63B-11-702 is amended to read:
6251          63B-11-702. Other capital facility authorizations and intent language.
6252          (1) It is the intent of the Legislature that:
6253          (a) Salt Lake Community College use donations and other institutional funds to plan,
6254     design, and construct a renovation of and addition to the Grand Theater under the direction of
6255     the director of the Division of Facilities Construction and Management unless supervisory
6256     authority has been delegated;
6257          (b) no state funds be used for any portion of this project; and
6258          (c) the college may request state funds for operations and maintenance to the extent
6259     that the college is able to demonstrate to the Board of Regents that the facility meets approved
6260     academic and training purposes under Board of Regents policy R710.
6261          (2) It is the intent of the Legislature that:
6262          (a) the University of Utah use donations, grants, and other institutional funds to plan,
6263     design, and construct a Department of Chemistry Gauss House under the direction of the
6264     director of the Division of Facilities Construction and Management unless supervisory
6265     authority has been delegated;
6266          (b) no state funds be used for any portion of this project; and
6267          (c) the university may request state funds for operations and maintenance to the extent
6268     that the university is able to demonstrate to the Board of Regents that the facility meets
6269     approved academic and training purposes under Board of Regents policy R710.
6270          (3) It is the intent of the Legislature that:
6271          (a) the University of Utah use donations and other institutional funds to plan, design,
6272     and construct an expansion of the Eccles Health Science Library and the associated parking

6273     structure under the direction of the director of the Division of Facilities Construction and
6274     Management unless supervisory authority has been delegated;
6275          (b) no state funds be used for any portion of this project; and
6276          (c) the university may request state funds for operations and maintenance to the extent
6277     that the university is able to demonstrate to the Board of Regents that the facility meets
6278     approved academic and training purposes under Board of Regents policy R710.
6279          (4) It is the intent of the Legislature that:
6280          (a) the University of Utah use donations and other institutional funds to plan, design,
6281     and construct a Phase II Addition to the Moran Eye Center under the direction of the director of
6282     the Division of Facilities Construction and Management unless supervisory authority has been
6283     delegated;
6284          (b) no state funds be used for any portion of this project; and
6285          (c) the university may not request state funds for operations and maintenance.
6286          (5) It is the intent of the Legislature that:
6287          (a) the University of Utah use donations and other institutional funds to plan, design,
6288     and construct a Children's Dance Theatre under the direction of the director of the Division of
6289     Facilities Construction and Management unless supervisory authority has been delegated;
6290          (b) no state funds be used for any portion of this project; and
6291          (c) the university may not request state funds for operations and maintenance.
6292          (6) It is the intent of the Legislature that:
6293          (a) Utah State University use donations and other institutional funds to plan, design,
6294     and construct a Teaching Pavilion at its Animal Science Farm under the direction of the
6295     director of the Division of Facilities Construction and Management unless supervisory
6296     authority has been delegated;
6297          (b) no state funds be used for any portion of this project; and
6298          (c) the university may request state funds for operations and maintenance to the extent
6299     that the university is able to demonstrate to the Board of Regents that the facility meets
6300     approved academic and training purposes under Board of Regents policy R710.
6301          (7) It is the intent of the Legislature that:
6302          (a) the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth
6303     Services use donations to plan, design, and construct a chapel at the Slate Canyon Youth

6304     Corrections Facility under the direction of the director of the Division of Facilities
6305     Construction and Management unless supervisory authority has been delegated;
6306          (b) no state funds be used for any portion of this project; and
6307          (c) the division may not request additional state funding for operations and
6308     maintenance.
6309          (8) It is the intent of the Legislature that the Utah National Guard use federal funds and
6310     proceeds from the sale of property to acquire a site for new facilities in Salt Lake or Davis
6311     County.
6312          (9) It is the intent of the Legislature that:
6313          (a) the Utah National Guard use donations and grants to plan, design, and construct the
6314     renovation and expansion of the Fort Douglas Military Museum under the direction of the
6315     director of the Division of Facilities Construction and Management unless supervisory
6316     authority has been delegated;
6317          (b) no state funds be used for any portion of this project; and
6318          (c) the National Guard may not request additional state funding for operations and
6319     maintenance.
6320          (10) It is the intent of the Legislature that:
6321          (a) the Division of Facilities Construction and Management pursue the exchange of
6322     public safety facilities in Orem if:
6323          (i) the land and newly constructed replacement facilities meet the needs of the Driver
6324     License Division and the Utah Highway Patrol; and
6325          (ii) the replacement property and facilities can be obtained at a cost that is not less than
6326     the market value of the existing property and facilities; and
6327          (b) the division confirms the value of the properties to be exchanged.
6328          Section 83. Section 63M-7-208 is amended to read:
6329          63M-7-208. Juvenile justice oversight -- Delegation -- Effective dates.
6330          (1) The State Commission on Criminal and Juvenile Justice shall:
6331          (a) support implementation and expansion of evidence-based juvenile justice programs
6332     and practices, including assistance regarding implementation fidelity, quality assurance, and
6333     ongoing evaluation;
6334          (b) examine and make recommendations on the use of third-party entities or an

6335     intermediary organization to assist with implementation and to support the performance-based
6336     contracting system authorized in Subsection (1)(m);
6337          (c) oversee the development of performance measures to track juvenile justice reforms,
6338     and ensure early and ongoing stakeholder engagement in identifying the relevant performance
6339     measures;
6340          (d) evaluate currently collected data elements throughout the juvenile justice system
6341     and contract reporting requirements to streamline reporting, reduce redundancies, eliminate
6342     inefficiencies, and ensure a focus on recidivism reduction;
6343          (e) review averted costs from reductions in out-of-home placements for juvenile justice
6344     youth placed with the [Division of Juvenile Justice Services] Division of Juvenile Justice and
6345     Youth Services and the Division of Child and Family Services, and make recommendations to
6346     prioritize the reinvestment and realignment of resources into community-based programs for
6347     youth living at home, including the following:
6348          (i) statewide expansion of:
6349          (A) juvenile receiving centers, as defined in Section 80-1-102;
6350          (B) mobile crisis outreach teams, as defined in Section [62A-15-102] 26B-5-101;
6351          (C) youth courts; and
6352          (D) victim-offender mediation;
6353          (ii) statewide implementation of nonresidential diagnostic assessment;
6354          (iii) statewide availability of evidence-based programs and practices including
6355     cognitive behavioral and family therapy programs for minors assessed by a validated risk and
6356     needs assessment as moderate or high risk;
6357          (iv) implementation and infrastructure to support the sustainability and fidelity of
6358     evidence-based juvenile justice programs, including resources for staffing, transportation, and
6359     flexible funds; and
6360          (v) early intervention programs such as family strengthening programs, family
6361     wraparound services, and proven truancy interventions;
6362          (f) assist the Administrative Office of the Courts in the development of a statewide
6363     sliding scale for the assessment of fines, fees, and restitution, based on the ability of the minor's
6364     family to pay;
6365          (g) analyze the alignment of resources and the roles and responsibilities of agencies,

6366     such as the operation of early intervention services, receiving centers, and diversion, and make
6367     recommendations to reallocate functions as appropriate, in accordance with Section 80-5-401;
6368          (h) comply with the data collection and reporting requirements under Section
6369     80-6-104;
6370          (i) develop a reasonable timeline within which all programming delivered to minors in
6371     the juvenile justice system must be evidence-based or consist of practices that are rated as
6372     effective for reducing recidivism by a standardized program evaluation tool;
6373          (j) provide guidelines to be considered by the Administrative Office of the Courts and
6374     the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services in
6375     developing tools considered by the Administrative Office of the Courts and the [Division of
6376     Juvenile Justice Services] Division of Juvenile Justice and Youth Services in developing or
6377     selecting tools to be used for the evaluation of juvenile justice programs;
6378          (k) develop a timeline to support improvements to juvenile justice programs to achieve
6379     reductions in recidivism and review reports from relevant state agencies on progress toward
6380     reaching that timeline;
6381          (l) subject to Subsection (2), assist in the development of training for juvenile justice
6382     stakeholders, including educators, law enforcement officers, probation staff, judges, [Division
6383     of Juvenile Justice Services] Division of Juvenile Justice and Youth Services staff, Division of
6384     Child and Family Services staff, and program providers;
6385          (m) subject to Subsection (3), assist in the development of a performance-based
6386     contracting system, which shall be developed by the Administrative Office of the Courts and
6387     the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services for
6388     contracted services in the community and contracted out-of-home placement providers;
6389          (n) assist in the development of a validated detention risk assessment tool that is
6390     developed or adopted and validated by the Administrative Office of the Courts and the
6391     [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services as
6392     provided in Section 80-5-203; and
6393          (o) annually issue and make public a report to the governor, president of the Senate,
6394     speaker of the House of Representatives, and chief justice of the Utah Supreme Court on the
6395     progress of the reforms and any additional areas in need of review.
6396          (2) Training described in Subsection (1)(l) should include instruction on

6397     evidence-based programs and principles of juvenile justice, such as risk, needs, responsivity,
6398     and fidelity, and shall be supplemented by the following topics:
6399          (a) adolescent development;
6400          (b) identifying and using local behavioral health resources;
6401          (c) cross-cultural awareness;
6402          (d) graduated responses;
6403          (e) Utah juvenile justice system data and outcomes; and
6404          (f) gangs.
6405          (3) The system described in Subsection (1)(m) shall provide incentives for:
6406          (a) the use of evidence-based juvenile justice programs and practices rated as effective
6407     by the tools selected in accordance with Subsection (1)(j);
6408          (b) the use of three-month timelines for program completion; and
6409          (c) evidence-based programs and practices for minors living at home in rural areas.
6410          (4) The State Commission on Criminal and Juvenile Justice may delegate the duties
6411     imposed under this section to a subcommittee or board established by the State Commission on
6412     Criminal and Juvenile Justice in accordance with Subsection 63M-7-204(2).
6413          Section 84. Section 63M-7-401 is amended to read:
6414          63M-7-401. Creation -- Members -- Appointment -- Qualifications.
6415          (1) There is created a state commission to be known as the Sentencing Commission
6416     composed of 28 members. The commission shall develop by-laws and rules in compliance
6417     with Title 63G, Chapter 3, Utah Administrative Rulemaking Act, and elect its officers.
6418          (2) The commission's members shall be:
6419          (a) two members of the House of Representatives, appointed by the speaker of the
6420     House and not of the same political party;
6421          (b) two members of the Senate, appointed by the president of the Senate and not of the
6422     same political party;
6423          (c) the executive director of the Department of Corrections or a designee appointed by
6424     the executive director;
6425          (d) the director of the [Division of Juvenile Justice Services] Division of Juvenile
6426     Justice and Youth Services or a designee appointed by the director;
6427          (e) the executive director of the Commission on Criminal and Juvenile Justice or a

6428     designee appointed by the executive director;
6429          (f) the chair of the Board of Pardons and Parole or a designee appointed by the chair;
6430          (g) the chair of the Youth Parole Authority or a designee appointed by the chair;
6431          (h) two trial judges and an appellate judge appointed by the chair of the Judicial
6432     Council;
6433          (i) two juvenile court judges designated by the chair of the Judicial Council;
6434          (j) an attorney in private practice who is a member of the Utah State Bar, experienced
6435     in criminal defense, and appointed by the Utah Bar Commission;
6436          (k) an attorney who is a member of the Utah State Bar, experienced in the defense of
6437     minors in juvenile court, and appointed by the Utah Bar Commission;
6438          (l) the director of Salt Lake Legal Defenders or a designee appointed by the director;
6439          (m) the attorney general or a designee appointed by the attorney general;
6440          (n) a criminal prosecutor appointed by the Statewide Association of Public Attorneys;
6441          (o) a juvenile court prosecutor appointed by the Statewide Association of Public
6442     Attorneys;
6443          (p) a representative of the Utah Sheriff's Association appointed by the governor;
6444          (q) a chief of police appointed by the governor;
6445          (r) a licensed professional appointed by the governor who assists in the rehabilitation
6446     of adult offenders;
6447          (s) a licensed professional appointed by the governor who assists in the rehabilitation
6448     of juvenile offenders;
6449          (t) two members from the public appointed by the governor who exhibit sensitivity to
6450     the concerns of victims of crime and the ethnic composition of the population;
6451          (u) one member from the public at large appointed by the governor; and
6452          (v) a representative of an organization that specializes in civil rights or civil liberties on
6453     behalf of incarcerated individuals appointed by the governor.
6454          Section 85. Section 63M-7-601 is amended to read:
6455          63M-7-601. Creation -- Members -- Chair.
6456          (1) There is created within the governor's office the Utah Council on Victims of Crime.
6457          (2) The council is composed of 28 voting members as follows:
6458          (a) a representative of the State Commission on Criminal and Juvenile Justice

6459     appointed by the executive director;
6460          (b) a representative of the Department of Corrections appointed by the executive
6461     director;
6462          (c) a representative of the Board of Pardons and Parole appointed by the chair;
6463          (d) a representative of the Department of Public Safety appointed by the commissioner;
6464          (e) a representative of the [Division of Juvenile Justice Services] Division of Juvenile
6465     Justice and Youth Services appointed by the director;
6466          (f) a representative of the Utah Office for Victims of Crime appointed by the director;
6467          (g) a representative of the Office of the Attorney General appointed by the attorney
6468     general;
6469          (h) a representative of the United States Attorney for the district of Utah appointed by
6470     the United States Attorney;
6471          (i) a representative of Utah's Native American community appointed by the director of
6472     the Division of Indian Affairs after input from federally recognized tribes in Utah;
6473          (j) a professional or volunteer working in the area of violence against women and
6474     families appointed by the governor;
6475          (k) a representative of the Department of Health and Human Services Violence and
6476     Injury Prevention Program appointed by the program's manager;
6477          (l) the chair of each judicial district's victims' rights committee;
6478          (m) a representative of the Statewide Association of Public Attorneys appointed by that
6479     association;
6480          (n) a representative of the Utah Chiefs of Police Association appointed by the president
6481     of that association;
6482          (o) a representative of the Utah Sheriffs' Association appointed by the president of that
6483     association;
6484          (p) a representative of a Children's Justice Center appointed by the attorney general;
6485          (q) the director of the Division of Child and Family Services or that individual's
6486     designee;
6487          (r) the chair of the Utah Victim Services Commission or the chair's designee; and
6488          (s) the following members appointed by the members in Subsections (2)(a) through
6489     (2)(r) to serve four-year terms:

6490          (i) an individual who engages in community based advocacy;
6491          (ii) a citizen representative; and
6492          (iii) a citizen representative who has been a victim of crime.
6493          (3) The council shall annually elect:
6494          (a) one member to serve as chair;
6495          (b) one member to serve as vice-chair; and
6496          (c) one member to serve as treasurer.
6497          Section 86. Section 63M-7-702 is amended to read:
6498          63M-7-702. Domestic Violence Offender Treatment Board -- Creation --
6499     Membership -- Quorum -- Per diem -- Staff support -- Meetings.
6500          (1) There is created within the commission the Domestic Violence Offender Treatment
6501     Board consisting of the following members:
6502          (a) the executive director of the Department of Corrections, or the executive director's
6503     designee;
6504          (b) the executive director of the Department of Health and Human Services, or the
6505     executive director's designee;
6506          (c) one individual who represents a state program that focuses on prevention of injury
6507     and domestic violence appointed by the executive director of the Department of Health and
6508     Human Services;
6509          (d) the commissioner of public safety for the Department of Public Safety, or the
6510     commissioner's designee;
6511          (e) the chair of the Utah Victim Services Commission or the chair's designee;
6512          (f) the director of the Utah Office for Victims of Crime, or the director's designee;
6513          (g) the chair of the Board of Pardons and Parole, or the chair's designee;
6514          (h) the director of the [Division of Juvenile Justice Services] Division of Juvenile
6515     Justice and Youth Services, or the director's designee;
6516          (i) one individual who represents the Administrative Office of the Courts appointed by
6517     the state court administrator; and
6518          (j) ten individuals appointed by the executive director of the commission, including:
6519          (i) the following four individuals licensed under Title 58, Chapter 60, Mental Health
6520     Professional Practice Act:

6521          (A) a clinical social worker;
6522          (B) a marriage and family therapist;
6523          (C) a professional counselor; and
6524          (D) a psychologist;
6525          (ii) one individual who represents an association of criminal defense attorneys;
6526          (iii) one criminal defense attorney who primarily represents indigent criminal
6527     defendants;
6528          (iv) one individual who represents an association of prosecuting attorneys;
6529          (v) one individual who represents law enforcement;
6530          (vi) one individual who represents an association of criminal justice victim advocates;
6531     and
6532          (vii) one individual who represents a nonprofit organization that provides domestic
6533     violence victim advocate services.
6534          (2) (a) A member may not serve on the board for more than eight consecutive years.
6535          (b) If a vacancy occurs in the membership of the board appointed under Subsection (1),
6536     the member shall be replaced in the same manner in which the original appointment was made.
6537          (c) A member of the board serves until the member's successor is appointed.
6538          (3) The members of the board shall vote on a chair and co-chair of the board to serve
6539     for two years.
6540          (4) (a) A majority of the board members constitutes a quorum.
6541          (b) The action of a majority of a quorum constitutes an action of the board.
6542          (5) A board member may not receive compensation or benefits for the member's
6543     service on the board, but may receive per diem and reimbursement for travel expenses incurred
6544     as a board member at the rates established by the Division of Finance under:
6545          (a) Sections 63A-3-106 and 63A-3-107; and
6546          (b) rules made by the Division of Finance under Sections 63A-3-106 and 63A-3-107.
6547          (6) The commission shall provide staff support to the board.
6548          (7) The board shall meet at least quarterly on a date the board sets.
6549          Section 87. Section 63M-7-802 is amended to read:
6550          63M-7-802. Sex Offense Management Board - Creation - Members appointment -
6551     Qualifications - Terms.

6552          (1) There is created within the commission the Sex Offense Management Board
6553     consisting of the following members:
6554          (a) the executive director of the Department of Corrections, or the executive director's
6555     designee;
6556          (b) the commissioner of the Department of Public Safety, or the commissioner's
6557     designee;
6558          (c) the attorney general, or the attorney general's designee;
6559          (d) an officer with the adult probation and parole section of the Department of
6560     Corrections with experience supervising adults convicted of sex offenses, appointed by the
6561     executive director of the Department of Corrections;
6562          (e) the executive director of the Department of Health and Human Services, or the
6563     executive director's designee;
6564          (f) an individual who represents the Administrative Office of the Courts appointed by
6565     the state court administrator;
6566          (g) the director of the Utah Office for Victims of Crime, or the director's designee;
6567          (h) the director of the [Division of Juvenile Justice Services] Division of Juvenile
6568     Justice and Youth Services, or the director's designee;
6569          (i) the chair of the Board of Pardons and Parole, or the chair's designee; and
6570          (j) nine individuals appointed by the executive director of the commission, including:
6571          (i) the following two individuals licensed under Title 58, Chapter 60, Mental Health
6572     Professional Practice Act:
6573          (A) an individual with experience in the treatment of adults convicted of sex offenses
6574     in the community;
6575          (B) an individual with experience in the treatment of juveniles adjudicated of sex
6576     offenses in the community;
6577          (ii) an individual who represents an association of criminal defense attorneys;
6578          (iii) an individual who is a criminal defense attorney experienced in indigent criminal
6579     defense;
6580          (iv) an individual who represents an association of prosecuting attorneys;
6581          (v) an individual who represents law enforcement;
6582          (vi) an individual who represents an association of criminal justice victim advocates;

6583          (vii) an individual who is a clinical polygraph examiner experienced in providing
6584     polygraph examinations to individuals convicted of sex offenses; and
6585          (viii) an individual who has been previously convicted of a sex offense and has
6586     successfully completed treatment and supervision for the offense.
6587          (2) (a) A member described in Subsection (1)(j) shall serve a four-year term.
6588          (b) If a vacancy occurs among a member described in Subsection (1)(j), the executive
6589     director of the commission may appoint a new individual to fill the remainder of the term.
6590          (c) When a term of a member described in Subsection (1)(j) expires, the executive
6591     director of the commission shall appoint a new member or reappoint the member whose term
6592     has expired to a new four-year term.
6593          (3) The members of the board shall vote on a chair and co-chair of the board from
6594     among the members described in Subsection (1) to serve a two-year term.
6595          (4) A majority of the board constitutes a quorum.
6596          (5) A board member may not receive compensation or benefits for the member's
6597     service on the board, but may receive per diem and reimbursement for travel expenses incurred
6598     as a board member at rates established by the Division of Finance under:
6599          (a) Sections 63A-3-106 and 63A-3-107; and
6600          (b) rules made by the Division of Finance under Sections 63A-3-106 and 63A-3-107.
6601          (6) The commission shall provide staff support to the board.
6602          (7) The board shall meet at least six times per year on dates the board sets.
6603          Section 88. Section 67-5b-101 is amended to read:
6604          67-5b-101. Definitions.
6605          As used in this part:
6606          (1) "Center" means a Children's Justice Center established in accordance with Section
6607     67-5b-102.
6608          (2) "Child abuse case" means a juvenile, civil, or criminal case involving a child abuse
6609     victim.
6610          (3) "Child abuse victim" means a child 17 years [of age] old or younger who is:
6611          (a) a victim of:
6612          (i) sexual abuse; or
6613          (ii) physical abuse; or

6614          (b) a victim or a critical witness in any criminal case, such as a child endangerment
6615     case described in Section 76-5-112.5.
6616          (4) "Officers and employees" means any person performing services for two or more
6617     public agencies as agreed in a memorandum of understanding in accordance with Section
6618     67-5b-104.
6619          (5) "Public agency" means a municipality, a county, the attorney general, the Division
6620     of Child and Family Services, the [Division of Juvenile Justice Services] Division of Juvenile
6621     Justice and Youth Services, the Department of Corrections, the juvenile court, or the
6622     Administrative Office of the Courts.
6623          (6) "Satellite office" means a child-friendly facility supervised by a Children's Justice
6624     Center established in accordance with Section 67-5b-102.
6625          (7) (a) "Volunteer" means any individual who donates service without pay or other
6626     compensation except expenses actually and reasonably incurred as approved by the supervising
6627     agency.
6628          (b) "Volunteer" does not include an individual participating in human subjects research
6629     or a court-ordered compensatory service worker as defined in Section 67-20-2.
6630          Section 89. Section 76-3-401.5 is amended to read:
6631          76-3-401.5. Concurrent or consecutive sentence with a juvenile disposition.
6632          (1) As used in this section:
6633          (a) "Authority" means the Youth Parole Authority created in Section 80-5-701.
6634          (b) "Board" means the Board of Pardons and Parole created in Section 77-27-2.
6635          (c) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
6636     Justice and Youth Services created in Section 80-5-103.
6637          (d) (i) "Juvenile disposition" means an order for commitment to the custody of the
6638     division under Subsection 80-6-703(2).
6639          (ii) "Juvenile disposition" includes an order for secure care under Subsection
6640     80-6-705(1).
6641          (e) "Secure correctional facility" means the same as that term is defined in Section
6642     64-13-1.
6643          (f) "Secure care" means the same as that term is defined in Section 80-1-102.
6644          (2) If a defendant who is 18 years old or older is serving a juvenile disposition, a court

6645     may not terminate the juvenile disposition for the defendant when:
6646          (a) the defendant is convicted of an offense; and
6647          (b) the court imposes a sentence under Section 76-3-201 for the offense.
6648          (3) (a) If a defendant who is 18 years old or older is convicted and sentenced for an
6649     offense and the defendant is serving a juvenile disposition at the time of sentencing, the court
6650     shall determine whether the sentence is to run concurrently or consecutively to the juvenile
6651     disposition.
6652          (b) The court shall state on the record and in the order of judgment and commitment
6653     whether the sentence imposed is to run concurrently or consecutively with the juvenile
6654     disposition.
6655          (c) In determining whether a sentence is to run concurrently or consecutively with a
6656     juvenile disposition, the court shall consider:
6657          (i) the gravity and circumstances of the offense for which the defendant is convicted;
6658          (ii) the number of victims; and
6659          (iii) the history, character, and rehabilitative needs of the defendant.
6660          (d) If an order of judgment and commitment does not clearly state whether the sentence
6661     is to run consecutively or concurrently with the juvenile disposition, the division shall request
6662     clarification from the court.
6663          (e) Upon receipt of the request under Subsection (3)(d), the court shall enter a clarified
6664     order of judgment and commitment stating whether the sentence is to run concurrently or
6665     consecutively to the juvenile disposition.
6666          (4) If a court orders a sentence for imprisonment to run concurrently with a juvenile
6667     disposition for secure care, the defendant shall serve the sentence in secure care until the
6668     juvenile disposition is terminated by the authority in accordance with Section 80-6-804.
6669          (5) If a court orders a sentence for imprisonment in a county jail to run concurrently
6670     with a juvenile disposition for secure care and the disposition is terminated before the
6671     defendant's sentence for imprisonment in the county jail is terminated, the division shall:
6672          (a) notify the county jail at least 14 days before the day on which the defendant's
6673     disposition is terminated or the defendant is released from secure care; and
6674          (b) facilitate the transfer or release of the defendant in accordance with the order of
6675     judgment and commitment imposed by the court.

6676          (6) (a) If a court orders a sentence for imprisonment in a secure correctional facility to
6677     run concurrently with a juvenile disposition for secure care:
6678          (i) the board has authority over the defendant for purposes of ordering parole, pardon,
6679     commutation, termination of sentence, remission of fines or forfeitures, restitution, and any
6680     other authority granted by law; and
6681          (ii) the court and the division shall immediately notify the board that the defendant will
6682     remain in secure care as described in Subsection (4) for the board to schedule a hearing for the
6683     defendant in accordance with board procedures.
6684          (b) If a court orders a sentence for imprisonment in a secure correctional facility to run
6685     concurrently with a juvenile disposition for secure care and the juvenile disposition is
6686     terminated before the defendant's sentence is terminated, the division shall:
6687          (i) notify the board and the Department of Corrections at least 14 days before the day
6688     on which the defendant's disposition is terminated or the defendant is released from the secure
6689     care; and
6690          (ii) facilitate a release or transfer of the defendant in accordance with the order of
6691     judgment and commitment imposed by the court.
6692          Section 90. Section 76-5-101 is amended to read:
6693          76-5-101. Definitions.
6694          Unless otherwise provided, as used in this part:
6695          (1) "Detained individual" means an individual detained under Section 77-7-15.
6696          (2) "Prisoner" means an individual who is in custody of a peace officer pursuant to a
6697     lawful arrest or who is confined in a jail or other penal institution or a facility used for
6698     confinement of delinquent juveniles operated by the [Division of Juvenile Justice Services]
6699     Division of Juvenile Justice and Youth Services regardless of whether the confinement is legal.
6700          Section 91. Section 76-5-413 is amended to read:
6701          76-5-413. Custodial sexual relations with youth receiving state services --
6702     Penalties -- Defenses and limitations.
6703          (1) (a) As used in this section:
6704          (i) "Actor" means:
6705          (A) an individual employed by the Department of Health and Human Services created
6706     in Section 26B-1-201, or an employee of a private provider or contractor; or

6707          (B) an individual employed by the juvenile court of the state, or an employee of a
6708     private provider or contractor.
6709          (ii) "Department" means the Department of Health and Human Services created in
6710     Section 26B-1-201.
6711          (iii) "Juvenile court" means the juvenile court of the state created in Section
6712     78A-6-102.
6713          (iv) "Private provider or contractor" means a person that contracts with the:
6714          (A) department to provide services or functions that are part of the operation of the
6715     department; or
6716          (B) juvenile court to provide services or functions that are part of the operation of the
6717     juvenile court.
6718          (v) "Youth receiving state services" means an individual:
6719          (A) younger than 18 years old, except as provided under Subsection (1)(a)(v)(B), who
6720     is:
6721          (I) in the custody of the department under Section 80-6-703; or
6722          (II) receiving services from any division of the department if any portion of the costs of
6723     these services is covered by public money; or
6724          (B) younger than 21 years old:
6725          (I) who is in the custody of the [Division of Juvenile Justice Services] Division of
6726     Juvenile Justice and Youth Services, or the Division of Child and Family Services; or
6727          (II) whose case is under the jurisdiction of the juvenile court.
6728          (b) Terms defined in Section 76-1-101.5 apply to this section.
6729          (2) (a) Under circumstances not amounting to an offense listed in Subsection (4), an
6730     actor commits custodial sexual relations with a youth receiving state services if:
6731          (i) the actor commits any of the acts described in Subsection (2)(b); and
6732          (ii) (A) the actor knows that the individual is a youth receiving state services; or
6733          (B) a reasonable person in the actor's position should have known under the
6734     circumstances that the individual was a youth receiving state services.
6735          (b) Acts referred to in Subsection (2)(a)(i) are:
6736          (i) having sexual intercourse with a youth receiving state services;
6737          (ii) engaging in any sexual act with a youth receiving state services involving the

6738     genitals of one individual and the mouth or anus of another individual; or
6739          (iii) (A) causing the penetration, however slight, of the genital or anal opening of a
6740     youth receiving state services by any foreign object, substance, instrument, or device, including
6741     a part of the human body; and
6742          (B) with the intent to cause substantial emotional or bodily pain to any individual or
6743     with the intent to arouse or gratify the sexual desire of any individual.
6744          (c) Any touching, even if accomplished through clothing, is sufficient to constitute the
6745     relevant element of a violation of Subsection (2)(a).
6746          (3) (a) A violation of Subsection (2) is a third degree felony.
6747          (b) Notwithstanding Subsection (3)(a), if the youth receiving state services is younger
6748     than 18 years old, a violation of Subsection (2) is a second degree felony.
6749          (c) If the act committed under Subsection (2) amounts to an offense subject to a greater
6750     penalty under another provision of state law than is provided under this Subsection (3), this
6751     Subsection (3) does not prohibit prosecution and sentencing for the more serious offense.
6752          (4) The offenses referred to in Subsection (2) are:
6753          (a) unlawful sexual activity with a minor, in violation of Section 76-5-401;
6754          (b) rape, in violation of Section 76-5-402;
6755          (c) rape of a child, in violation of Section 76-5-402.1;
6756          (d) object rape, in violation of Section 76-5-402.2;
6757          (e) object rape of a child, in violation of Section 76-5-402.3;
6758          (f) forcible sodomy, in violation of Section 76-5-403;
6759          (g) sodomy on a child, in violation of Section 76-5-403.1;
6760          (h) forcible sexual abuse, in violation of Section 76-5-404;
6761          (i) sexual abuse of a child, in violation of Section 76-5-404.1;
6762          (j) aggravated sexual abuse of a child, in violation of Section 76-5-404.3;
6763          (k) aggravated sexual assault, in violation of Section 76-5-405; or
6764          (l) an attempt to commit an offense listed in Subsections (4)(a) through (4)(k).
6765          (5) (a) It is not a defense to the commission of, or an attempt to commit, the offense
6766     described in Subsection (2) if the youth receiving state services is younger than 18 years old,
6767     that the actor:
6768          (i) mistakenly believed the youth receiving state services to be 18 years old or older at

6769     the time of the alleged offense; or
6770          (ii) was unaware of the true age of the youth receiving state services.
6771          (b) Consent of the youth receiving state services is not a defense to any violation or
6772     attempted violation of Subsection (2).
6773          (6) It is a defense that the commission by the actor of an act under Subsection (2) is the
6774     result of compulsion, as the defense is described in Subsection 76-2-302(1).
6775          Section 92. Section 76-8-311.5 is amended to read:
6776          76-8-311.5. Aiding or concealing a juvenile offender -- Trespass of a secure care
6777     facility -- Criminal penalties.
6778          (1) As used in this section:
6779          (a) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
6780     Justice and Youth Services created in Section 80-5-103.
6781          (b) "Juvenile offender" means the same as that term is defined in Section 80-1-102.
6782          (c) "Secure care" means the same as that term is defined in Section 80-1-102.
6783          (d) "Secure care facility" means the same as that term is defined in Section 80-1-102.
6784          (2) An individual who commits any of the following offenses is guilty of a class A
6785     misdemeanor:
6786          (a) entering, or attempting to enter, a building or enclosure appropriated to the use of
6787     juvenile offenders, without permission;
6788          (b) entering any premises belonging to a secure care facility and committing or
6789     attempting to commit a trespass or damage on the premises of a secure care facility; or
6790          (c) willfully annoying or disturbing the peace and quiet of a secure care facility or of a
6791     juvenile offender in a secure care facility.
6792          (3) An individual is guilty of a third degree felony who:
6793          (a) knowingly harbors or conceals a juvenile offender who has:
6794          (i) escaped from secure care; or
6795          (ii) as described in Subsection (4), absconded from:
6796          (A) a facility or supervision; or
6797          (B) supervision of the division; or
6798          (b) willfully aided or assisted a juvenile offender who has been lawfully committed to a
6799     secure care facility in escaping or attempting to escape from the secure care facility.

6800          (4) As used in this section:
6801          (a) a juvenile offender absconds from a facility under this section when the juvenile
6802     offender:
6803          (i) leaves the facility without permission; or
6804          (ii) fails to return at a prescribed time.
6805          (b) A juvenile offender absconds from supervision when the juvenile offender:
6806          (i) changes the juvenile offender's residence from the residence that the juvenile
6807     offender reported to the division as the juvenile offender's correct address to another residence,
6808     without notifying the division or obtaining permission; or
6809          (ii) for the purpose of avoiding supervision:
6810          (A) hides at a different location from the juvenile offender's reported residence; or
6811          (B) leaves the juvenile offender's reported residence.
6812          Section 93. Section 77-16b-102 is amended to read:
6813          77-16b-102. Definitions.
6814          As used in this chapter:
6815          (1) "Correctional facility" means:
6816          (a) a county jail;
6817          (b) a secure correctional facility as defined by Section 64-13-1; or
6818          (c) a secure care facility as defined in Section 80-1-102.
6819          (2) "Correctional facility administrator" means:
6820          (a) a county sheriff in charge of a county jail;
6821          (b) a designee of the executive director of the Utah Department of Corrections; or
6822          (c) a designee of the director of the [Division of Juvenile Justice Services] Division of
6823     Juvenile Justice and Youth Services.
6824          (3) "Medical supervision" means under the direction of a licensed physician, physician
6825     assistant, or nurse practitioner.
6826          (4) "Mental health therapist" means the same as that term is defined in Section
6827     58-60-102.
6828          (5) "Prisoner" means:
6829          (a) any individual who is a pretrial detainee or who has been committed to the custody
6830     of a sheriff or the Utah Department of Corrections, and who is physically in a correctional

6831     facility; and
6832          (b) any individual who is 18 years old or older and younger than 21 years old, and who
6833     has been committed to the custody of the [Division of Juvenile Justice Services] Division of
6834     Juvenile Justice and Youth Services.
6835          Section 94. Section 77-38-3 is amended to read:
6836          77-38-3. Notification to victims -- Initial notice, election to receive subsequent
6837     notices -- Form of notice -- Protected victim information -- Pretrial criminal no contact
6838     order.
6839          (1) Within seven days after the day on which felony criminal charges are filed against a
6840     defendant, the prosecuting agency shall provide an initial notice to reasonably identifiable and
6841     locatable victims of the crime contained in the charges, except as otherwise provided in this
6842     chapter.
6843          (2) The initial notice to the victim of a crime shall provide information about electing
6844     to receive notice of subsequent important criminal justice hearings listed in Subsections
6845     77-38-2(5)(a) through (g) and rights under this chapter.
6846          (3) The prosecuting agency shall provide notice to a victim of a crime:
6847          (a) for the important criminal justice hearings, provided in Subsections 77-38-2(5)(a)
6848     through (g), which the victim has requested; and
6849          (b) for a restitution request to be submitted in accordance with Section 77-38b-202.
6850          (4) (a) The responsible prosecuting agency may provide initial and subsequent notices
6851     in any reasonable manner, including telephonically, electronically, orally, or by means of a
6852     letter or form prepared for this purpose.
6853          (b) In the event of an unforeseen important criminal justice hearing, described in
6854     Subsections 77-38-2(5)(a) through (g) for which a victim has requested notice, a good faith
6855     attempt to contact the victim by telephone shall be considered sufficient notice, provided that
6856     the prosecuting agency subsequently notifies the victim of the result of the proceeding.
6857          (5) (a) The court shall take reasonable measures to ensure that its scheduling practices
6858     for the proceedings provided in Subsections 77-38-2(5)(a) through (g) permit an opportunity
6859     for victims of crimes to be notified.
6860          (b) The court shall consider whether any notification system that the court might use to
6861     provide notice of judicial proceedings to defendants could be used to provide notice of judicial

6862     proceedings to victims of crimes.
6863          (6) A defendant or, if it is the moving party, the Division of Adult Probation and
6864     Parole, shall give notice to the responsible prosecuting agency of any motion for modification
6865     of any determination made at any of the important criminal justice hearings provided in
6866     Subsections 77-38-2(5)(a) through (g) in advance of any requested court hearing or action so
6867     that the prosecuting agency may comply with the prosecuting agency's notification obligation.
6868          (7) (a) Notice to a victim of a crime shall be provided by the Board of Pardons and
6869     Parole for the important criminal justice hearing under Subsection 77-38-2(5)(h).
6870          (b) The board may provide notice in any reasonable manner, including telephonically,
6871     electronically, orally, or by means of a letter or form prepared for this purpose.
6872          (8) Prosecuting agencies and the Board of Pardons and Parole are required to give
6873     notice to a victim of a crime for the proceedings provided in Subsections 77-38-2(5)(a) through
6874     (g) only where the victim has responded to the initial notice, requested notice of subsequent
6875     proceedings, and provided a current address and telephone number if applicable.
6876          (9) To facilitate the payment of restitution and the notice of hearings regarding
6877     restitution, a victim who seeks restitution and notice of restitution hearings shall provide the
6878     court with the victim's current address and telephone number.
6879          (10) (a) Law enforcement and criminal justice agencies shall refer any requests for
6880     notice or information about crime victim rights from victims to the responsible prosecuting
6881     agency.
6882          (b) In a case in which the Board of Pardons and Parole is involved, the responsible
6883     prosecuting agency shall forward any request for notice the prosecuting agency has received
6884     from a victim to the Board of Pardons and Parole.
6885          (11) In all cases where the number of victims exceeds 10, the responsible prosecuting
6886     agency may send any notices required under this chapter in the prosecuting agency's discretion
6887     to a representative sample of the victims.
6888          (12) (a) A victim's address, telephone number, and victim impact statement maintained
6889     by a peace officer, prosecuting agency, Youth Parole Authority, [Division of Juvenile Justice
6890     Services] Division of Juvenile Justice and Youth Services, Department of Corrections, Utah
6891     State Courts, and Board of Pardons and Parole, for purposes of providing notice under this
6892     section, are classified as protected under Subsection 63G-2-305(10).

6893          (b) The victim's address, telephone number, and victim impact statement is available
6894     only to the following persons or entities in the performance of their duties:
6895          (i) a law enforcement agency, including the prosecuting agency;
6896          (ii) a victims' right committee as provided in Section 77-37-5;
6897          (iii) a governmentally sponsored victim or witness program;
6898          (iv) the Department of Corrections;
6899          (v) the Utah Office for Victims of Crime;
6900          (vi) the Commission on Criminal and Juvenile Justice;
6901          (vii) the Utah State Courts; and
6902          (viii) the Board of Pardons and Parole.
6903          (13) The notice provisions as provided in this section do not apply to misdemeanors as
6904     provided in Section 77-38-5 and to important juvenile justice hearings as provided in Section
6905     77-38-2.
6906          (14) (a) When a defendant is charged with a felony crime under Sections 76-5-301
6907     through 76-5-310.1 regarding kidnapping, human trafficking, and human smuggling; Sections
6908     76-5-401 through 76-5-413.2 regarding sexual offenses; or Section 76-10-1306 regarding
6909     aggravated exploitation of prostitution, the court may, during any court hearing where the
6910     defendant is present, issue a pretrial criminal no contact order:
6911          (i) prohibiting the defendant from harassing, telephoning, contacting, or otherwise
6912     communicating with the victim directly or through a third party;
6913          (ii) ordering the defendant to stay away from the residence, school, place of
6914     employment of the victim, and the premises of any of these, or any specified place frequented
6915     by the victim or any designated family member of the victim directly or through a third party;
6916     and
6917          (iii) ordering any other relief that the court considers necessary to protect and provide
6918     for the safety of the victim and any designated family or household member of the victim.
6919          (b) Violation of a pretrial criminal no contact order issued pursuant to this section is a
6920     third degree felony.
6921          (c) (i) The court shall provide to the victim a certified copy of any pretrial criminal no
6922     contact order that has been issued if the victim can be located with reasonable effort.
6923          (ii) The court shall also transmit the pretrial criminal no contact order to the statewide

6924     domestic violence network in accordance with Section 78B-7-113.
6925          (15) (a) When a case involving a victim may resolve before trial with a plea deal, the
6926     prosecutor shall notify the victim of that possibility as soon as practicable.
6927          (b) Upon the request of a victim described in Subsection (15)(a), the prosecutor shall
6928     explain the available details of an anticipated plea deal.
6929          Section 95. Section 77-41-102 (Superseded 07/01/24) is amended to read:
6930          77-41-102 (Superseded 07/01/24). Definitions.
6931          As used in this chapter:
6932          (1) "Bureau" means the Bureau of Criminal Identification of the Department of Public
6933     Safety established in section 53-10-201.
6934          (2) "Business day" means a day on which state offices are open for regular business.
6935          (3) "Certificate of eligibility" means a document issued by the Bureau of Criminal
6936     Identification showing that the offender has met the requirements of Section 77-41-112.
6937          (4) (a) "Convicted" means a plea or conviction of:
6938          (i) guilty;
6939          (ii) guilty with a mental condition; or
6940          (iii) no contest.
6941          (b) "Convicted" includes, unless otherwise specified, the period a plea is held in
6942     abeyance pursuant to a plea in abeyance agreement as defined in Section 77-2a-1.
6943          (c) "Convicted" does not include:
6944          (i) a withdrawn or dismissed plea in abeyance;
6945          (ii) a diversion agreement; or
6946          (iii) an adjudication of a minor for an offense under Section 80-6-701.
6947          (5) "Department" means the Department of Corrections.
6948          (6) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
6949     Justice and Youth Services.
6950          (7) "Employed" or "carries on a vocation" includes employment that is full time or part
6951     time, whether financially compensated, volunteered, or for the purpose of government or
6952     educational benefit.
6953          (8) "Indian Country" means:
6954          (a) all land within the limits of any Indian reservation under the jurisdiction of the

6955     United States government, regardless of the issuance of any patent, and includes rights-of-way
6956     running through the reservation;
6957          (b) all dependent Indian communities within the borders of the United States whether
6958     within the original or subsequently acquired territory, and whether or not within the limits of a
6959     state; and
6960          (c) all Indian allotments, including the Indian allotments to which the Indian titles have
6961     not been extinguished, including rights-of-way running through the allotments.
6962          (9) "Jurisdiction" means any state, Indian Country, United States Territory, or any
6963     property under the jurisdiction of the United States military, Canada, the United Kingdom,
6964     Australia, or New Zealand.
6965          (10) "Kidnap offender" means any individual, other than a natural parent of the victim:
6966          (a) who has been convicted in this state of a violation of:
6967          (i) Subsection 76-5-301(2)(c) or (d), kidnapping;
6968          (ii) Section 76-5-301.1, child kidnapping;
6969          (iii) Section 76-5-302, aggravated kidnapping;
6970          (iv) Section 76-5-308, human trafficking for labor;
6971          (v) Section 76-5-308.3, human smuggling;
6972          (vi) Section 76-5-308, human smuggling, when the individual smuggled is under 18
6973     years old;
6974          (vii) Section 76-5-308.5, human trafficking of a child for labor;
6975          (viii) Section 76-5-310, aggravated human trafficking;
6976          (ix) Section 76-5-310.1, aggravated human smuggling;
6977          (x) Section 76-5-311, human trafficking of a vulnerable adult for labor; or
6978          (xi) attempting, soliciting, or conspiring to commit any felony offense listed in
6979     Subsections (10)(a)(i) through (x);
6980          (b) (i) who has been convicted of any crime, or an attempt, solicitation, or conspiracy
6981     to commit a crime in another jurisdiction, including any state, federal, or military court that is
6982     substantially equivalent to the offenses listed in Subsection (10)(a); and
6983          (ii) who is:
6984          (A) a Utah resident; or
6985          (B) not a Utah resident, but who, in any 12-month period, is in this state for a total of

6986     10 or more days, regardless of whether or not the offender intends to permanently reside in this
6987     state;
6988          (c) (i) (A) who is required to register as a kidnap offender in any other jurisdiction of
6989     original conviction;
6990          (B) who is required to register as a kidnap offender by any state, federal, or military
6991     court; or
6992          (C) who would be required to register as a kidnap offender if residing in the
6993     jurisdiction of the conviction regardless of the date of the conviction or any previous
6994     registration requirements; and
6995          (ii) in any 12-month period, who is in this state for a total of 10 or more days,
6996     regardless of whether or not the offender intends to permanently reside in this state;
6997          (d) (i) (A) who is a nonresident regularly employed or working in this state; or
6998          (B) who is a student in this state; and
6999          (ii) (A) who was convicted of one or more offenses listed in Subsection (10), or any
7000     substantially equivalent offense in another jurisdiction; or
7001          (B) as a result of the conviction, who is required to register in the individual's state of
7002     residence;
7003          (e) who is found not guilty by reason of insanity in this state or in any other jurisdiction
7004     of one or more offenses listed in Subsection (10); or
7005          (f) (i) who is adjudicated under Section 80-6-701 for one or more offenses listed in
7006     Subsection (10)(a); and
7007          (ii) who has been committed to the division for secure care, as defined in Section
7008     80-1-102, for that offense if:
7009          (A) the individual remains in the division's custody until 30 days before the individual's
7010     21st birthday;
7011          (B) the juvenile court extended the juvenile court's jurisdiction over the individual
7012     under Section 80-6-605 and the individual remains in the division's custody until 30 days
7013     before the individual's 25th birthday; or
7014          (C) the individual is moved from the division's custody to the custody of the
7015     department before expiration of the division's jurisdiction over the individual.
7016          (11) "Natural parent" means a minor's biological or adoptive parent, and includes the

7017     minor's noncustodial parent.
7018          (12) "Offender" means a kidnap offender as defined in Subsection (10) or a sex
7019     offender as defined in Subsection (18).
7020          (13) "Online identifier" or "Internet identifier":
7021          (a) means any electronic mail, chat, instant messenger, social networking, or similar
7022     name used for Internet communication; and
7023          (b) does not include date of birth, social security number, PIN number, or Internet
7024     passwords.
7025          (14) "Primary residence" means the location where the offender regularly resides, even
7026     if the offender intends to move to another location or return to another location at any future
7027     date.
7028          (15) "Register" means to comply with the requirements of this chapter and
7029     administrative rules of the department made under this chapter.
7030          (16) "Registration website" means the Sex and Kidnap Offender Notification and
7031     Registration website described in Section 77-41-110 and the information on the website.
7032          (17) "Secondary residence" means any real property that the offender owns or has a
7033     financial interest in, or any location where, in any 12-month period, the offender stays
7034     overnight a total of 10 or more nights when not staying at the offender's primary residence.
7035          (18) "Sex offender" means any individual:
7036          (a) convicted in this state of:
7037          (i) a felony or class A misdemeanor violation of Section 76-4-401, enticing a minor;
7038          (ii) Section 76-5b-202, sexual exploitation of a vulnerable adult;
7039          (iii) Section 76-5-308.1, human trafficking for sexual exploitation;
7040          (iv) Section 76-5-308.5, human trafficking of a child for sexual exploitation;
7041          (v) Section 76-5-310, aggravated human trafficking for sexual exploitation;
7042          (vi) Section 76-5-311, human trafficking of a vulnerable adult for sexual exploitation;
7043          (vii) Section 76-5-401, unlawful sexual activity with a minor, except as provided in
7044     Subsection 76-5-401(3)(b) or (c);
7045          (viii) Section 76-5-401.1, sexual abuse of a minor, except as provided in Subsection
7046     76-5-401.1(3);
7047          (ix) Section 76-5-401.2, unlawful sexual conduct with a 16 or 17 year old;

7048          (x) Section 76-5-402, rape;
7049          (xi) Section 76-5-402.1, rape of a child;
7050          (xii) Section 76-5-402.2, object rape;
7051          (xiii) Section 76-5-402.3, object rape of a child;
7052          (xiv) a felony violation of Section 76-5-403, forcible sodomy;
7053          (xv) Section 76-5-403.1, sodomy on a child;
7054          (xvi) Section 76-5-404, forcible sexual abuse;
7055          (xvii) Section 76-5-404.1, sexual abuse of a child, or Section 76-5-404.3, aggravated
7056     sexual abuse of a child;
7057          (xviii) Section 76-5-405, aggravated sexual assault;
7058          (xix) Section 76-5-412, custodial sexual relations, when the individual in custody is
7059     younger than 18 years old, if the offense is committed on or after May 10, 2011;
7060          (xx) Section 76-5b-201, sexual exploitation of a minor;
7061          (xxi) Section 76-5b-201.1, aggravated sexual exploitation of a minor;
7062          (xxii) Section 76-5b-204, sexual extortion or aggravated sexual extortion;
7063          (xxiii) Section 76-7-102, incest;
7064          (xxiv) Section 76-9-702, lewdness, if the individual has been convicted of the offense
7065     four or more times;
7066          (xxv) Section 76-9-702.1, sexual battery, if the individual has been convicted of the
7067     offense four or more times;
7068          (xxvi) any combination of convictions of Section 76-9-702, lewdness, and of Section
7069     76-9-702.1, sexual battery, that total four or more convictions;
7070          (xxvii) Section 76-9-702.5, lewdness involving a child;
7071          (xxviii) a felony or class A misdemeanor violation of Section 76-9-702.7, voyeurism;
7072          (xxix) Section 76-10-1306, aggravated exploitation of prostitution; or
7073          (xxx) attempting, soliciting, or conspiring to commit any felony offense listed in this
7074     Subsection (18)(a);
7075          (b) (i) who has been convicted of any crime, or an attempt, solicitation, or conspiracy
7076     to commit a crime in another jurisdiction, including any state, federal, or military court that is
7077     substantially equivalent to the offenses listed in Subsection (18)(a); and
7078          (ii) who is:

7079          (A) a Utah resident; or
7080          (B) not a Utah resident, but who, in any 12-month period, is in this state for a total of
7081     10 or more days, regardless of whether the offender intends to permanently reside in this state;
7082          (c) (i) (A) who is required to register as a sex offender in any other jurisdiction of
7083     original conviction;
7084          (B) who is required to register as a sex offender by any state, federal, or military court;
7085     or
7086          (C) who would be required to register as a sex offender if residing in the jurisdiction of
7087     the original conviction regardless of the date of the conviction or any previous registration
7088     requirements; and
7089          (ii) who, in any 12-month period, is in the state for a total of 10 or more days,
7090     regardless of whether or not the offender intends to permanently reside in this state;
7091          (d) (i) (A) who is a nonresident regularly employed or working in this state; or
7092          (B) who is a student in this state; and
7093          (ii) (A) who was convicted of one or more offenses listed in Subsection (18)(a), or any
7094     substantially equivalent offense in any jurisdiction; or
7095          (B) who is, as a result of the conviction, required to register in the individual's
7096     jurisdiction of residence;
7097          (e) who is found not guilty by reason of insanity in this state, or in any other
7098     jurisdiction of one or more offenses listed in Subsection (18)(a); or
7099          (f) (i) who is adjudicated under Section 80-6-701 for one or more offenses listed in
7100     Subsection (18)(a); and
7101          (ii) who has been committed to the division for secure care, as defined in Section
7102     80-1-102, for that offense if:
7103          (A) the individual remains in the division's custody until 30 days before the individual's
7104     21st birthday;
7105          (B) the juvenile court extended the juvenile court's jurisdiction over the individual
7106     under Section 80-6-605 and the individual remains in the division's custody until 30 days
7107     before the individual's 25th birthday; or
7108          (C) the individual is moved from the division's custody to the custody of the
7109     department before expiration of the division's jurisdiction over the individual.

7110          (19) "Traffic offense" does not include a violation of Title 41, Chapter 6a, Part 5,
7111     Driving Under the Influence and Reckless Driving.
7112          (20) "Vehicle" means any motor vehicle, aircraft, or watercraft subject to registration in
7113     any jurisdiction.
7114          Section 96. Section 77-41-102 (Effective 07/01/24) is amended to read:
7115          77-41-102 (Effective 07/01/24). Definitions.
7116          As used in this chapter:
7117          (1) "Bureau" means the Bureau of Criminal Identification of the Department of Public
7118     Safety established in section 53-10-201.
7119          (2) "Business day" means a day on which state offices are open for regular business.
7120          (3) "Certificate of eligibility" means a document issued by the Bureau of Criminal
7121     Identification showing that the offender has met the requirements of Section 77-41-112.
7122          (4) (a) "Convicted" means a plea or conviction of:
7123          (i) guilty;
7124          (ii) guilty with a mental illness; or
7125          (iii) no contest.
7126          (b) "Convicted" includes, unless otherwise specified, the period a plea is held in
7127     abeyance pursuant to a plea in abeyance agreement as defined in Section 77-2a-1.
7128          (c) "Convicted" does not include:
7129          (i) a withdrawn or dismissed plea in abeyance;
7130          (ii) a diversion agreement; or
7131          (iii) an adjudication of a minor for an offense under Section 80-6-701.
7132          (5) "Department" means the Department of Public Safety.
7133          (6) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
7134     Justice and Youth Services.
7135          (7) "Employed" or "carries on a vocation" includes employment that is full time or part
7136     time, whether financially compensated, volunteered, or for the purpose of government or
7137     educational benefit.
7138          (8) "Indian Country" means:
7139          (a) all land within the limits of any Indian reservation under the jurisdiction of the
7140     United States government, regardless of the issuance of any patent, and includes rights-of-way

7141     running through the reservation;
7142          (b) all dependent Indian communities within the borders of the United States whether
7143     within the original or subsequently acquired territory, and whether or not within the limits of a
7144     state; and
7145          (c) all Indian allotments, including the Indian allotments to which the Indian titles have
7146     not been extinguished, including rights-of-way running through the allotments.
7147          (9) "Jurisdiction" means any state, Indian Country, United States Territory, or any
7148     property under the jurisdiction of the United States military, Canada, the United Kingdom,
7149     Australia, or New Zealand.
7150          (10) "Kidnap offender" means any individual, other than a natural parent of the victim:
7151          (a) who has been convicted in this state of a violation of:
7152          (i) Subsection 76-5-301(2)(c) or (d), kidnapping;
7153          (ii) Section 76-5-301.1, child kidnapping;
7154          (iii) Section 76-5-302, aggravated kidnapping;
7155          (iv) Section 76-5-308, human trafficking for labor;
7156          (v) Section 76-5-308.3, human smuggling;
7157          (vi) Section 76-5-308, human smuggling, when the individual smuggled is under 18
7158     years old;
7159          (vii) Section 76-5-308.5, human trafficking of a child for labor;
7160          (viii) Section 76-5-310, aggravated human trafficking;
7161          (ix) Section 76-5-310.1, aggravated human smuggling;
7162          (x) Section 76-5-311, human trafficking of a vulnerable adult for labor; or
7163          (xi) attempting, soliciting, or conspiring to commit any felony offense listed in
7164     Subsections (10)(a)(i) through (x);
7165          (b) (i) who has been convicted of any crime, or an attempt, solicitation, or conspiracy
7166     to commit a crime in another jurisdiction, including any state, federal, or military court that is
7167     substantially equivalent to the offenses listed in Subsection (10)(a); and
7168          (ii) who is:
7169          (A) a Utah resident; or
7170          (B) not a Utah resident, but who, in any 12-month period, is in this state for a total of
7171     10 or more days, regardless of whether or not the offender intends to permanently reside in this

7172     state;
7173          (c) (i) (A) who is required to register as a kidnap offender in any other jurisdiction of
7174     original conviction;
7175          (B) who is required to register as a kidnap offender by any state, federal, or military
7176     court; or
7177          (C) who would be required to register as a kidnap offender if residing in the
7178     jurisdiction of the conviction regardless of the date of the conviction or any previous
7179     registration requirements; and
7180          (ii) in any 12-month period, who is in this state for a total of 10 or more days,
7181     regardless of whether or not the offender intends to permanently reside in this state;
7182          (d) (i) (A) who is a nonresident regularly employed or working in this state; or
7183          (B) who is a student in this state; and
7184          (ii) (A) who was convicted of one or more offenses listed in Subsection (10), or any
7185     substantially equivalent offense in another jurisdiction; or
7186          (B) as a result of the conviction, who is required to register in the individual's state of
7187     residence;
7188          (e) who is found not guilty by reason of insanity in this state or in any other jurisdiction
7189     of one or more offenses listed in Subsection (10); or
7190          (f) (i) who is adjudicated under Section 80-6-701 for one or more offenses listed in
7191     Subsection (10)(a); and
7192          (ii) who has been committed to the division for secure care, as defined in Section
7193     80-1-102, for that offense if:
7194          (A) the individual remains in the division's custody until 30 days before the individual's
7195     21st birthday;
7196          (B) the juvenile court extended the juvenile court's jurisdiction over the individual
7197     under Section 80-6-605 and the individual remains in the division's custody until 30 days
7198     before the individual's 25th birthday; or
7199          (C) the individual is moved from the division's custody to the custody of the
7200     department before expiration of the division's jurisdiction over the individual.
7201          (11) "Natural parent" means a minor's biological or adoptive parent, and includes the
7202     minor's noncustodial parent.

7203          (12) "Offender" means a kidnap offender as defined in Subsection (10) or a sex
7204     offender as defined in Subsection (18).
7205          (13) "Online identifier" or "Internet identifier":
7206          (a) means any electronic mail, chat, instant messenger, social networking, or similar
7207     name used for Internet communication; and
7208          (b) does not include date of birth, social security number, PIN number, or Internet
7209     passwords.
7210          (14) "Primary residence" means the location where the offender regularly resides, even
7211     if the offender intends to move to another location or return to another location at any future
7212     date.
7213          (15) "Register" means to comply with the requirements of this chapter and
7214     administrative rules of the department made under this chapter.
7215          (16) "Registration website" means the Sex and Kidnap Offender Notification and
7216     Registration website described in Section 77-41-110 and the information on the website.
7217          (17) "Secondary residence" means any real property that the offender owns or has a
7218     financial interest in, or any location where, in any 12-month period, the offender stays
7219     overnight a total of 10 or more nights when not staying at the offender's primary residence.
7220          (18) "Sex offender" means any individual:
7221          (a) convicted in this state of:
7222          (i) a felony or class A misdemeanor violation of Section 76-4-401, enticing a minor;
7223          (ii) Section 76-5b-202, sexual exploitation of a vulnerable adult;
7224          (iii) Section 76-5-308.1, human trafficking for sexual exploitation;
7225          (iv) Section 76-5-308.5, human trafficking of a child for sexual exploitation;
7226          (v) Section 76-5-310, aggravated human trafficking for sexual exploitation;
7227          (vi) Section 76-5-311, human trafficking of a vulnerable adult for sexual exploitation;
7228          (vii) Section 76-5-401, unlawful sexual activity with a minor, except as provided in
7229     Subsection 76-5-401(3)(b) or (c);
7230          (viii) Section 76-5-401.1, sexual abuse of a minor, except as provided in Subsection
7231     76-5-401.1(3);
7232          (ix) Section 76-5-401.2, unlawful sexual conduct with a 16 or 17 year old;
7233          (x) Section 76-5-402, rape;

7234          (xi) Section 76-5-402.1, rape of a child;
7235          (xii) Section 76-5-402.2, object rape;
7236          (xiii) Section 76-5-402.3, object rape of a child;
7237          (xiv) a felony violation of Section 76-5-403, forcible sodomy;
7238          (xv) Section 76-5-403.1, sodomy on a child;
7239          (xvi) Section 76-5-404, forcible sexual abuse;
7240          (xvii) Section 76-5-404.1, sexual abuse of a child, or Section 76-5-404.3, aggravated
7241     sexual abuse of a child;
7242          (xviii) Section 76-5-405, aggravated sexual assault;
7243          (xix) Section 76-5-412, custodial sexual relations, when the individual in custody is
7244     younger than 18 years old, if the offense is committed on or after May 10, 2011;
7245          (xx) Section 76-5b-201, sexual exploitation of a minor;
7246          (xxi) Section 76-5b-201.1, aggravated sexual exploitation of a minor;
7247          (xxii) Section 76-5b-204, sexual extortion or aggravated sexual extortion;
7248          (xxiii) Section 76-7-102, incest;
7249          (xxiv) Section 76-9-702, lewdness, if the individual has been convicted of the offense
7250     four or more times;
7251          (xxv) Section 76-9-702.1, sexual battery, if the individual has been convicted of the
7252     offense four or more times;
7253          (xxvi) any combination of convictions of Section 76-9-702, lewdness, and of Section
7254     76-9-702.1, sexual battery, that total four or more convictions;
7255          (xxvii) Section 76-9-702.5, lewdness involving a child;
7256          (xxviii) a felony or class A misdemeanor violation of Section 76-9-702.7, voyeurism;
7257          (xxix) Section 76-10-1306, aggravated exploitation of prostitution; or
7258          (xxx) attempting, soliciting, or conspiring to commit any felony offense listed in this
7259     Subsection (18)(a);
7260          (b) (i) who has been convicted of any crime, or an attempt, solicitation, or conspiracy
7261     to commit a crime in another jurisdiction, including any state, federal, or military court that is
7262     substantially equivalent to the offenses listed in Subsection (18)(a); and
7263          (ii) who is:
7264          (A) a Utah resident; or

7265          (B) not a Utah resident, but who, in any 12-month period, is in this state for a total of
7266     10 or more days, regardless of whether the offender intends to permanently reside in this state;
7267          (c) (i) (A) who is required to register as a sex offender in any other jurisdiction of
7268     original conviction;
7269          (B) who is required to register as a sex offender by any state, federal, or military court;
7270     or
7271          (C) who would be required to register as a sex offender if residing in the jurisdiction of
7272     the original conviction regardless of the date of the conviction or any previous registration
7273     requirements; and
7274          (ii) who, in any 12-month period, is in the state for a total of 10 or more days,
7275     regardless of whether or not the offender intends to permanently reside in this state;
7276          (d) (i) (A) who is a nonresident regularly employed or working in this state; or
7277          (B) who is a student in this state; and
7278          (ii) (A) who was convicted of one or more offenses listed in Subsection (18)(a), or any
7279     substantially equivalent offense in any jurisdiction; or
7280          (B) who is, as a result of the conviction, required to register in the individual's
7281     jurisdiction of residence;
7282          (e) who is found not guilty by reason of insanity in this state, or in any other
7283     jurisdiction of one or more offenses listed in Subsection (18)(a); or
7284          (f) (i) who is adjudicated under Section 80-6-701 for one or more offenses listed in
7285     Subsection (18)(a); and
7286          (ii) who has been committed to the division for secure care, as defined in Section
7287     80-1-102, for that offense if:
7288          (A) the individual remains in the division's custody until 30 days before the individual's
7289     21st birthday;
7290          (B) the juvenile court extended the juvenile court's jurisdiction over the individual
7291     under Section 80-6-605 and the individual remains in the division's custody until 30 days
7292     before the individual's 25th birthday; or
7293          (C) the individual is moved from the division's custody to the custody of the
7294     department before expiration of the division's jurisdiction over the individual.
7295          (19) "Traffic offense" does not include a violation of Title 41, Chapter 6a, Part 5,

7296     Driving Under the Influence and Reckless Driving.
7297          (20) "Vehicle" means any motor vehicle, aircraft, or watercraft subject to registration in
7298     any jurisdiction.
7299          Section 97. Section 78A-6-212 is amended to read:
7300          78A-6-212. Information supplied to the Division of Juvenile Justice and Youth
7301     Services.
7302          (1) A juvenile probation officer shall render full and complete cooperation to the
7303     [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services in
7304     supplying the [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth
7305     Services with all pertinent information relating to a juvenile offender committed to the
7306     [Division of Juvenile Justice Services] Division of Juvenile Justice and Youth Services.
7307          (2) Information under Subsection (1) includes prior criminal history, social history,
7308     psychological evaluations, and identifying information specified by the [Division of Juvenile
7309     Justice Services] Division of Juvenile Justice and Youth Services.
7310          Section 98. Section 78B-7-804 is amended to read:
7311          78B-7-804. Sentencing and continuous protective orders for a domestic violence
7312     offense -- Modification -- Expiration.
7313          (1) Before a perpetrator who has been convicted of or adjudicated for a domestic
7314     violence offense may be placed on probation, the court shall consider the safety and protection
7315     of the victim and any member of the victim's family or household.
7316          (2) The court may condition probation or a plea in abeyance on the perpetrator's
7317     compliance with a sentencing protective order that includes:
7318          (a) an order enjoining the perpetrator from threatening to commit or committing acts of
7319     domestic violence against the victim or other family or household member;
7320          (b) an order prohibiting the perpetrator from harassing, telephoning, contacting, or
7321     otherwise communicating with the victim, directly or indirectly;
7322          (c) an order requiring the perpetrator to stay away from the victim's residence, school,
7323     place of employment, and the premises of any of these, or a specified place frequented
7324     regularly by the victim or any designated family or household member;
7325          (d) an order prohibiting the perpetrator from purchasing, using, or possessing a firearm
7326     or other specified weapon;

7327          (e) an order directing the perpetrator to surrender any weapons the perpetrator owns or
7328     possesses; and
7329          (f) an order imposing any other condition necessary to protect the victim and any other
7330     designated family or household member or to rehabilitate the perpetrator.
7331          (3) (a) Because of the serious, unique, and highly traumatic nature of domestic violence
7332     crimes, the high recidivism rate of violent offenders, and the demonstrated increased risk of
7333     continued acts of violence subsequent to the release of a perpetrator who is convicted of or
7334     adjudicated for domestic violence, it is the finding of the Legislature that domestic violence
7335     crimes warrant the issuance of continuous protective orders under this Subsection (3) because
7336     of the need to provide ongoing protection for the victim and to be consistent with the purposes
7337     of protecting victims' rights under Title 77, Chapter 38, Crime Victims, and Article I, Section
7338     28 of the Utah Constitution.
7339          (b) Except as provided in Subsection (6), if a perpetrator is convicted of a domestic
7340     violence offense resulting in a sentence of imprisonment, including jail, that is to be served
7341     after conviction, the court shall issue a continuous protective order at the time of the conviction
7342     or sentencing limiting the contact between the perpetrator and the victim unless:
7343          (i) the court determines by clear and convincing evidence that the victim does not a
7344     have a reasonable fear of future harm or abuse; and
7345          (ii) the court conducts a hearing.
7346          (c) (i) The court shall notify the perpetrator of the right to request a hearing.
7347          (ii) A victim has a right to request a hearing.
7348          (iii) If the perpetrator or the victim requests a hearing under this Subsection (3)(c), the
7349     court shall hold the hearing at the time determined by the court.
7350          (iv) The continuous protective order shall be in effect while the hearing is being
7351     scheduled and while the hearing is pending.
7352          (v) A prosecutor shall use reasonable efforts to notify a victim of a hearing described in
7353     Subsection (3)(b)(ii).
7354          (d) A continuous protective order is permanent in accordance with this Subsection (3)
7355     and may include:
7356          (i) an order enjoining the perpetrator from threatening to commit or committing acts of
7357     domestic violence against the victim or other family or household member;

7358          (ii) an order prohibiting the perpetrator from harassing, telephoning, contacting, or
7359     otherwise communicating with the victim, directly or indirectly;
7360          (iii) an order prohibiting the perpetrator from going to the victim's residence, school,
7361     place of employment, and the premises of any of these, or a specified place frequented
7362     regularly by the victim or any designated family or other household member;
7363          (iv) an order directing the perpetrator to pay restitution to the victim as may apply, and
7364     shall be enforced in accordance with Title 77, Chapter 38b, Crime Victims Restitution Act; and
7365          (v) any other order the court considers necessary to fully protect the victim and
7366     members of the victim's family or other household member.
7367          (4) A continuous protective order may be modified or dismissed only if the court
7368     determines by clear and convincing evidence that all requirements of Subsection (3) have been
7369     met and the victim does not have a reasonable fear of future harm or abuse.
7370          (5) Except as provided in Subsection (6), in addition to the process of issuing a
7371     continuous protective order described in Subsection (3), a district court may issue a continuous
7372     protective order at any time if the victim files a petition with the court, and after notice and
7373     hearing the court finds that a continuous protective order is necessary to protect the victim.
7374          (6) (a) Unless the juvenile court transfers jurisdiction of the offense to the district court
7375     under Section 80-6-504, a continuous protective order may not be issued under this section
7376     against a perpetrator who is a minor.
7377          (b) Unless the court sets an earlier date for expiration, a sentencing protective order
7378     issued under this section against a perpetrator who is a minor expires on the earlier of:
7379          (i) the day on which the juvenile court terminates jurisdiction; or
7380          (ii) in accordance with Section 80-6-807, the day on which the [Division of Juvenile
7381     Justice Services] Division of Juvenile Justice and Youth Services discharges the perpetrator.
7382          Section 99. Section 78B-7-805 is amended to read:
7383          78B-7-805. Sentencing protective orders and continuous protective orders for an
7384     offense that is not domestic violence -- Modification -- Expiration.
7385          (1) Before a perpetrator has been convicted of or adjudicated for an offense that is not
7386     domestic violence is placed on probation, the court may consider the safety and protection of
7387     the victim and any member of the victim's family or household.
7388          (2) The court may condition probation or a plea in abeyance on the perpetrator's

7389     compliance with a sentencing protective order that includes:
7390          (a) an order enjoining the perpetrator from threatening to commit or committing acts of
7391     domestic violence against the victim or other family or household member;
7392          (b) an order prohibiting the perpetrator from harassing, telephoning, contacting, or
7393     otherwise communicating with the victim, directly or indirectly;
7394          (c) an order requiring the perpetrator to stay away from the victim's residence, school,
7395     place of employment, and the premises of any of these, or a specified place frequented
7396     regularly by the victim or any designated family or household member;
7397          (d) an order prohibiting the perpetrator from purchasing, using, or possessing a firearm
7398     or other specified weapon;
7399          (e) an order directing the perpetrator to surrender any weapons the perpetrator owns or
7400     possesses; and
7401          (f) an order imposing any other condition necessary to protect the victim and any other
7402     designated family or household member or to rehabilitate the perpetrator.
7403          (3) (a) If a perpetrator is convicted of an offense that is not domestic violence resulting
7404     in a sentence of imprisonment that is to be served after conviction, the court may issue a
7405     continuous protective order at the time of the conviction or sentencing limiting the contact
7406     between the perpetrator and the victim if the court determines by clear and convincing evidence
7407     that the victim has a reasonable fear of future harm or abuse.
7408          (b) (i) The court shall notify the perpetrator of the right to request a hearing.
7409          (ii) If the perpetrator requests a hearing under this Subsection (3), the court shall hold
7410     the hearing at the time determined by the court and the continuous protective order shall be in
7411     effect while the hearing is being scheduled and while the hearing is pending.
7412          (c) Except as provided in Subsection (6), a continuous protective order is permanent in
7413     accordance with this Subsection (3)(c) and may include any order described in Subsection
7414     78B-7-804(3)(c).
7415          (4) A continuous protective order issued under this section may be modified or
7416     dismissed only in accordance with Subsection 78B-7-804(4).
7417          (5) Except as provided in Subsection (6), in addition to the process of issuing a
7418     continuous protective order described in Subsection (3)(a), a district court may issue a
7419     continuous protective order at any time in accordance with Subsection 78B-7-804(5).

7420          (6) (a) Unless the juvenile court transfers jurisdiction of the offense to the district court
7421     under Section 80-6-504, a continuous protective order may not be issued under this section
7422     against a perpetrator who is a minor.
7423          (b) Unless the court sets an earlier date for expiration, a sentencing protective order
7424     issued under this section against a perpetrator who is a minor expires on the earlier of:
7425          (i) the day on which the juvenile court terminates jurisdiction; or
7426          (ii) in accordance with Section 80-6-807, the day on which the [Division of Juvenile
7427     Justice Services] Division of Juvenile Justice and Youth Services discharges the perpetrator.
7428          Section 100. Section 78B-24-307 is amended to read:
7429          78B-24-307. Child-placing agency compliance.
7430          (1) [The Office of Licensing] The Division of Licensing and Background Checks,
7431     created in Section 26B-2-103, may investigate an allegation that a child-placing agency has
7432     failed to comply with this part and commence an action for injunctive or other relief or initiate
7433     administrative proceedings against the child-placing agency to enforce this part.
7434          (2) (a) The Office of Licensing may initiate a proceeding to determine whether a
7435     child-placing agency has failed to comply with this part.
7436          (b) If the Office of Licensing finds that the child-placing agency has failed to comply,
7437     the Office of Licensing may suspend or revoke the child-placing agency's license or take other
7438     action permitted by law of the state.
7439          Section 101. Section 78B-24-308 is amended to read:
7440          78B-24-308. Rulemaking authority.
7441          [The Office of Licensing] The Division of Licensing and Background Checks, created
7442     in Section 26B-2-103, may adopt rules under Title 63G, Chapter 3, Utah Administrative
7443     Rulemaking Act, to implement Sections 78B-24-303, 78B-24-304, 78B-24-305, and
7444     78B-24-306.
7445          Section 102. Section 80-2-301 is amended to read:
7446          80-2-301. Division responsibilities.
7447          (1) The division is the child, youth, and family services authority of the state.
7448          (2) The division shall:
7449          (a) administer services to minors and families, including:
7450          (i) child welfare services;

7451          (ii) domestic violence services; and
7452          (iii) all other responsibilities that the Legislature or the executive director of the
7453     department may assign to the division;
7454          (b) provide the following services:
7455          (i) financial and other assistance to an individual adopting a child with special needs
7456     under Sections 80-2-806 through 80-2-809, not to exceed the amount the division would
7457     provide for the child as a legal ward of the state;
7458          (ii) non-custodial and in-home services in accordance with Section 80-2-306,
7459     including:
7460          (A) services designed to prevent family break-up; and
7461          (B) family preservation services;
7462          (iii) reunification services to families whose children are in substitute care in
7463     accordance with this chapter, Chapter 2a, Removal and Protective Custody of a Child, and
7464     Chapter 3, Abuse, Neglect, and Dependency Proceedings;
7465          (iv) protective supervision of a family, upon court order, in an effort to eliminate abuse
7466     or neglect of a child in that family;
7467          (v) shelter care in accordance with this chapter, Chapter 2a, Removal and Protective
7468     Custody of a Child, and Chapter 3, Abuse, Neglect, and Dependency Proceedings;
7469          (vi) domestic violence services, in accordance with the requirements of federal law;
7470          (vii) protective services to victims of domestic violence and the victims' children, in
7471     accordance with this chapter, Chapter 2a, Removal and Protective Custody of a Child, and
7472     Chapter 3, Abuse, Neglect, and Dependency Proceedings;
7473          (viii) substitute care for dependent, abused, and neglected children;
7474          (ix) services for minors who are victims of human trafficking or human smuggling, as
7475     described in Sections 76-5-308 through 76-5-310.1, or who have engaged in prostitution or
7476     sexual solicitation, as defined in Sections 76-10-1302 and 76-10-1313; and
7477          (x) training for staff and providers involved in the administration and delivery of
7478     services offered by the division in accordance with this chapter and Chapter 2a, Removal and
7479     Protective Custody of a Child;
7480          (c) establish standards for all:
7481          (i) contract providers of out-of-home care for minors and families;

7482          (ii) facilities that provide substitute care for dependent, abused, or neglected children
7483     placed in the custody of the division; and
7484          (iii) direct or contract providers of domestic violence services described in Subsection
7485     (2)(b)(vi);
7486          (d) have authority to:
7487          (i) contract with a private, nonprofit organization to recruit and train foster care
7488     families and child welfare volunteers in accordance with Section 80-2-405; and
7489          (ii) approve facilities that meet the standards established under Subsection (2)(c) to
7490     provide substitute care for dependent, abused, or neglected children placed in the custody of the
7491     division;
7492          (e) cooperate with the federal government in the administration of child welfare and
7493     domestic violence programs and other human service activities assigned by the department;
7494          (f) in accordance with Subsection (5)(a), promote and enforce state and federal laws
7495     enacted for the protection of abused, neglected, or dependent children, in accordance with this
7496     chapter and Chapter 2a, Removal and Protective Custody of a Child, unless administration is
7497     expressly vested in another division or department of the state;
7498          (g) cooperate with the Workforce Development Division within the Department of
7499     Workforce Services in meeting the social and economic needs of an individual who is eligible
7500     for public assistance;
7501          (h) compile relevant information, statistics, and reports on child and family service
7502     matters in the state;
7503          (i) prepare and submit to the department, the governor, and the Legislature reports of
7504     the operation and administration of the division in accordance with the requirements of
7505     Sections 80-2-1102 and 80-2-1103;
7506          (j) within appropriations from the Legislature, provide or contract for a variety of
7507     domestic violence services and treatment methods;
7508          (k) enter into contracts for programs designed to reduce the occurrence or recurrence of
7509     abuse and neglect in accordance with Section 80-2-503;
7510          (l) seek reimbursement of funds the division expends on behalf of a child in the
7511     protective custody, temporary custody, or custody of the division, from the child's parent or
7512     guardian in accordance with an order for child support under Section 78A-6-356;

7513          (m) ensure regular, periodic publication, including electronic publication, regarding the
7514     number of children in the custody of the division who:
7515          (i) have a permanency goal of adoption; or
7516          (ii) have a final plan of termination of parental rights, under Section 80-3-409, and
7517     promote adoption of the children;
7518          (n) subject to Subsections (5) and (7), refer an individual receiving services from the
7519     division to the local substance abuse authority or other private or public resource for a
7520     court-ordered drug screening test;
7521          (o) report before November 30, 2020, and every third year thereafter, to the Social
7522     Services Appropriations Subcommittee regarding:
7523          (i) the daily reimbursement rate that is provided to licensed foster parents based on
7524     level of care;
7525          (ii) the amount of money spent on daily reimbursements for licensed foster parents
7526     during the previous fiscal year; and
7527          (iii) any recommended changes to the division's budget to support the daily
7528     reimbursement rates described in Subsection (2)(o)(i); and
7529          (p) perform other duties and functions required by law.
7530          (3) (a) The division may provide, directly or through contract, services that include the
7531     following:
7532          (i) adoptions;
7533          (ii) day-care services;
7534          (iii) out-of-home placements for minors;
7535          (iv) health-related services;
7536          (v) homemaking services;
7537          (vi) home management services;
7538          (vii) protective services for minors;
7539          (viii) transportation services; or
7540          (ix) domestic violence services.
7541          (b) The division shall monitor services provided directly by the division or through
7542     contract to ensure compliance with applicable law and rules made in accordance with Title
7543     63G, Chapter 3, Utah Administrative Rulemaking Act.

7544          (c) (i) Except as provided in Subsection (3)(c)(ii), if the division provides a service
7545     through a private contract, the division shall post the name of the service provider on the
7546     division's website.
7547          (ii) Subsection (3)(c)(i) does not apply to a foster parent placement.
7548          (4) (a) The division may:
7549          (i) receive gifts, grants, devises, and donations;
7550          (ii) encourage merchants and service providers to:
7551          (A) donate goods or services; or
7552          (B) provide goods or services at a nominal price or below cost;
7553          (iii) distribute goods to applicants or consumers of division services free or for a
7554     nominal charge and tax free; and
7555          (iv) appeal to the public for funds to meet needs of applicants or consumers of division
7556     services that are not otherwise provided by law, including Sub-for-Santa programs, recreational
7557     programs for minors, and requests for household appliances and home repairs.
7558          (b) If requested by the donor and subject to state and federal law, the division shall use
7559     a gift, grant, devise, donation, or proceeds from the gift, grant, devise, or donation for the
7560     purpose requested by the donor.
7561          (5) (a) In carrying out the requirements of Subsection (2)(f), the division shall:
7562          (i) cooperate with the juvenile courts, the [Division of Juvenile Justice Services]
7563     Division of Juvenile Justice and Youth Services, and with all public and private licensed child
7564     welfare agencies and institutions to develop and administer a broad range of services and
7565     support;
7566          (ii) take the initiative in all matters involving the protection of abused or neglected
7567     children, if adequate provisions have not been made or are not likely to be made; and
7568          (iii) make expenditures necessary for the care and protection of the children described
7569     in Subsection (5)(a)(ii), within the division's budget.
7570          (b) If an individual is referred to a local substance abuse authority or other private or
7571     public resource for court-ordered drug screening under Subsection (2)(n), the court shall order
7572     the individual to pay all costs of the tests unless:
7573          (i) the cost of the drug screening is specifically funded or provided for by other federal
7574     or state programs;

7575          (ii) the individual is a participant in a drug court; or
7576          (iii) the court finds that the individual is an indigent individual.
7577          (6) Except to the extent provided by rules made in accordance with Title 63G, Chapter
7578     3, Utah Administrative Rulemaking Act, the division is not required to investigate domestic
7579     violence in the presence of a child, as described in Section 76-5-114.
7580          (7) (a) Except as provided in Subsection (7)(b), the division may not:
7581          (i) require a parent who has a child in the custody of the division to pay for some or all
7582     of the cost of any drug testing the parent is required to undergo; or
7583          (ii) refer an individual who is receiving services from the division for drug testing by
7584     means of a hair, fingernail, or saliva test that is administered to detect the presence of drugs.
7585          (b) Notwithstanding Subsection (7)(a)(ii), the division may refer an individual who is
7586     receiving services from the division for drug testing by means of a saliva test if:
7587          (i) the individual consents to drug testing by means of a saliva test; or
7588          (ii) the court, based on a finding that a saliva test is necessary in the circumstances,
7589     orders the individual to complete drug testing by means of a saliva test.
7590          Section 103. Section 80-2-703 is amended to read:
7591          80-2-703. Conflict child protective services investigations -- Authority of
7592     investigators.
7593          (1) (a) The department, through the [Office of Quality and Design created in Section
7594     62A-18-103] Division of Continuous Quality and Improvement, shall conduct an independent
7595     child protective service investigation to investigate reports of abuse or neglect if:
7596          (i) the report occurs while the child is in the custody of the division; or
7597          (ii) the executive director of the department determines that, if the division conducts
7598     the investigation, the division would have an actual or potential conflict of interest in the
7599     results of the investigation.
7600          (b) If a report is made while a child is in the custody of the division that indicates the
7601     child is abused or neglected:
7602          (i) the attorney general may, in accordance with Section 67-5-16, and with the consent
7603     of the department, employ a child protective services investigator to conduct a conflict
7604     investigation of the report; or
7605          (ii) a law enforcement officer, as defined in Section 53-13-103, may, with the consent

7606     of the department, conduct a conflict investigation of the report.
7607          (c) Subsection (1)(b)(ii) does not prevent a law enforcement officer from, without the
7608     consent of the department, conducting a criminal investigation of abuse or neglect under Title
7609     53, Public Safety Code.
7610          (2) An investigator described in Subsection (1) may also investigate allegations of
7611     abuse or neglect of a child by a department employee or a licensed substitute care provider.
7612          (3) An investigator described in Subsection (1), if not a law enforcement officer, shall
7613     have the same rights, duties, and authority of a child welfare caseworker to:
7614          (a) make a thorough investigation under Section 80-2-701 upon receiving a report of
7615     alleged abuse or neglect of a child, with the primary purpose of the investigation being the
7616     protection of the child;
7617          (b) make an inquiry into the child's home environment, emotional, or mental health, the
7618     nature and extent of the child's injuries, and the child's physical safety;
7619          (c) make a written report of the investigator's investigation, including determination
7620     regarding whether the alleged abuse or neglect is supported, unsupported, or without merit, and
7621     forward a copy of the report to the division within the time mandates for investigations
7622     established by the division; and
7623          (d) immediately consult with school authorities to verify the child's status in
7624     accordance with Sections 53G-6-201 through 53G-6-206 if a report is based on or includes an
7625     allegation of educational neglect.
7626          Section 104. Section 80-2-1001 is amended to read:
7627          80-2-1001. Management Information System -- Contents -- Classification of
7628     records -- Access.
7629          (1) The division shall develop and implement a Management Information System that
7630     meets the requirements of this section and the requirements of federal law and regulation.
7631          (2) The Management Information System shall:
7632          (a) contain all key elements of each family's current child and family plan, including:
7633          (i) the dates and number of times the plan has been administratively or judicially
7634     reviewed;
7635          (ii) the number of times the parent failed the child and family plan; and
7636          (iii) the exact length of time the child and family plan has been in effect; and

7637          (b) alert child welfare caseworkers regarding deadlines for completion of and
7638     compliance with policy, including child and family plans.
7639          (3) For a child welfare case, the Management Information System shall provide each
7640     child welfare caseworker and the [Office of Licensing] Division of Licensing and Background
7641     Checks created in Section 26B-2-103, exclusively for the purposes of foster parent licensure
7642     and monitoring, with a complete history of each child in the child welfare caseworker's
7643     caseload, including:
7644          (a) a record of all past action taken by the division with regard to the child and the
7645     child's siblings;
7646          (b) the complete case history and all reports and information in the control or keeping
7647     of the division regarding the child and the child's siblings;
7648          (c) the number of times the child has been in the protective custody, temporary
7649     custody, and custody of the division;
7650          (d) the cumulative period of time the child has been in the custody of the division;
7651          (e) a record of all reports of abuse or neglect received by the division with regard to the
7652     child's parent or guardian including:
7653          (i) for each report, documentation of the:
7654          (A) latest status; or
7655          (B) final outcome or determination; and
7656          (ii) information that indicates whether each report was found to be:
7657          (A) supported;
7658          (B) unsupported;
7659          (C) substantiated;
7660          (D) unsubstantiated; or
7661          (E) without merit;
7662          (f) the number of times the child's parent failed any child and family plan; and
7663          (g) the number of different child welfare caseworkers who have been assigned to the
7664     child in the past.
7665          (4) For child protective services cases, the Management Information System shall:
7666          (a) monitor the compliance of each case with:
7667          (i) division rule;

7668          (ii) state law; and
7669          (iii) federal law and regulation; and
7670          (b) include the age and date of birth of the alleged perpetrator at the time the abuse or
7671     neglect is alleged to have occurred, in order to ensure accuracy regarding the identification of
7672     the alleged perpetrator.
7673          (5) Information or a record contained in the Management Information System is:
7674          (a) a private, controlled, or protected record under Title 63G, Chapter 2, Government
7675     Records Access and Management Act; and
7676          (b) available only:
7677          (i) to a person or government entity with statutory authorization under Title 63G,
7678     Chapter 2, Government Records Access and Management Act, to review the information or
7679     record;
7680          (ii) to a person who has specific statutory authorization to access the information or
7681     record for the purpose of assisting the state with state or federal requirements to maintain
7682     information solely for the purpose of protecting minors and providing services to families in
7683     need;
7684          (iii) to the extent required by Title IV(b) or IV(e) of the Social Security Act:
7685          (A) to comply with abuse and neglect registry checks requested by other states; or
7686          (B) to the United States Department of Health and Human Services for purposes of
7687     maintaining an electronic national registry of supported or substantiated cases of abuse and
7688     neglect;
7689          (iv) to the department, upon the approval of the executive director of the department,
7690     on a need-to-know basis;
7691          (v) as provided in Subsection (6) or Section 80-2-1002; or
7692          (vi) to a citizen review panel for the purpose of fulfilling the panel's duties as described
7693     in Section 80-2-1101.
7694          (6) (a) The division may allow a division contract provider, court clerk designated by
7695     the Administrative Office of the Courts, the Office of Guardian Ad Litem, or Indian tribe to
7696     have limited access to the Management Information System.
7697          (b) A division contract provider or Indian tribe has access only to information about a
7698     person who is currently receiving services from the specific contract provider or Indian tribe.

7699          (c) A court clerk may only have access to information necessary to comply with
7700     Subsection 78B-7-202(2).
7701          (d) (i) The Office of Guardian Ad Litem may only access:
7702          (A) the information that is entered into the Management Information System on or after
7703     July 1, 2004, and relates to a child or family where the Office of Guardian Ad Litem is
7704     appointed by a court to represent the interests of the child; or
7705          (B) any abuse or neglect referral about a child or family where the office has been
7706     appointed by a court to represent the interests of the child, regardless of the date that the
7707     information is entered into the Management Information System.
7708          (ii) The division may use the information in the Management Information System to
7709     screen an individual as described in Subsection 80-2-1002(4)(b)(ii)(A) at the request of the
7710     Office of Guardian Ad Litem.
7711          (e) A contract provider or designated representative of the Office of Guardian Ad
7712     Litem or an Indian tribe who requests access to information contained in the Management
7713     Information System shall:
7714          (i) take all necessary precautions to safeguard the security of the information contained
7715     in the Management Information System;
7716          (ii) train its employees regarding:
7717          (A) requirements for protecting the information contained in the Management
7718     Information System under this chapter and under Title 63G, Chapter 2, Government Records
7719     Access and Management Act; and
7720          (B) the criminal penalties under Sections 63G-2-801 and 80-2-1005 for improper
7721     release of information; and
7722          (iii) monitor its employees to ensure that the employees protect the information
7723     contained in the Management Information System as required by law.
7724          (7) The division shall take:
7725          (a) all necessary precautions, including password protection and other appropriate and
7726     available technological techniques, to prevent unauthorized access to or release of information
7727     contained in the Management Information System; and
7728          (b) reasonable precautions to ensure that the division's contract providers comply with
7729     Subsection (6).

7730          Section 105. Section 80-2-1002 is amended to read:
7731          80-2-1002. Licensing Information System -- Contents -- Classification of records
7732     -- Access -- Unlawful release -- Penalty.
7733          (1) (a) The division shall maintain a sub-part of the Management Information System
7734     as the Licensing Information System to be used:
7735          (i) for licensing purposes; or
7736          (ii) as otherwise provided by law.
7737          (b) Notwithstanding Subsection (1)(a), the department's access to information in the
7738     Management Information System for the licensure and monitoring of a foster parent is
7739     governed by Sections 80-2-1001 and 26B-2-121.
7740          (2) The Licensing Information System shall include only the following information:
7741          (a) the name and other identifying information of the alleged perpetrator in a supported
7742     finding, without identifying the alleged perpetrator as a perpetrator or alleged perpetrator;
7743          (b) a notation to the effect that an investigation regarding the alleged perpetrator
7744     described in Subsection (2)(a) is pending;
7745          (c) the information described in Subsection (3);
7746          (d) consented-to supported findings by an alleged perpetrator under Subsection
7747     80-2-708(3)(a)(iii);
7748          (e) a finding from the juvenile court under Section 80-3-404; and
7749          (f) the information in the licensing part of the division's Management Information
7750     System as of May 6, 2002.
7751          (3) Subject to Section 80-2-1003, upon receipt of a finding from the juvenile court
7752     under Section 80-3-404, the division shall:
7753          (a) promptly amend the Licensing Information System to include the finding; and
7754          (b) enter the finding in the Management Information System.
7755          (4) Information or a record contained in the Licensing Information System is:
7756          (a) a protected record under Title 63G, Chapter 2, Government Records Access and
7757     Management Act; and
7758          (b) notwithstanding Title 63G, Chapter 2, Government Records Access and
7759     Management Act, accessible only:
7760          (i) to the [Office of Licensing] Division of Licensing and Background Checks created

7761     in Section 26B-2-103:
7762          (A) for licensing purposes; or
7763          (B) as otherwise specifically provided for by law;
7764          (ii) to the division to:
7765          (A) screen an individual at the request of the Office of Guardian Ad Litem at the time
7766     the individual seeks a paid or voluntary position with the Office of Guardian Ad Litem and
7767     annually throughout the time that the individual remains with the Office of Guardian Ad Litem;
7768     and
7769          (B) respond to a request for information from an individual whose name is listed in the
7770     Licensing Information System;
7771          (iii) to a person designated by the Department of Health and Human Services, only for
7772     the following purposes:
7773          (A) licensing a child care program or provider;
7774          (B) determining whether an individual associated with a child care facility, program, or
7775     provider, who is exempt from being licensed or certified by the Department of Health and
7776     Human Services under Title 26B, Chapter 2, Part 4, Child Care Licensing, has a supported
7777     finding of a severe type of child abuse or neglect; or
7778          (C) determining whether an individual who is seeking an emergency medical services
7779     license has a supported finding of a severe type of child abuse or neglect;
7780          (iv) to a person designated by the Department of Workforce Services and approved by
7781     the Department of Health and Human Services for the purpose of qualifying a child care
7782     provider under Section 35A-3-310.5;
7783          (v) as provided in Section 26B-2-121; or
7784          (vi) to the department or another person, as provided in this chapter.
7785          (5) A person designated by the Department of Health and Human Services or the
7786     Department of Workforce Services under Subsection (4) shall adopt measures to:
7787          (a) protect the security of the Licensing Information System; and
7788          (b) strictly limit access to the Licensing Information System to persons allowed access
7789     by statute.
7790          (6) The department shall approve a person allowed access by statute to information or a
7791     record contained in the Licensing Information System and provide training to the person with

7792     respect to:
7793          (a) accessing the Licensing Information System;
7794          (b) maintaining strict security; and
7795          (c) the criminal provisions of Sections 63G-2-801 and 80-2-1005 pertaining to the
7796     improper release of information.
7797          (7) (a) Except as authorized by this chapter, a person may not request another person to
7798     obtain or release any other information in the Licensing Information System to screen for
7799     potential perpetrators of abuse or neglect.
7800          (b) A person who requests information knowing that the request is a violation of this
7801     Subsection (7) is subject to the criminal penalties described in Sections 63G-2-801 and
7802     80-2-1005.
7803          Section 106. Section 80-3-409 is amended to read:
7804          80-3-409. Permanency hearing -- Final plan -- Petition for termination of
7805     parental rights filed -- Hearing on termination of parental rights.
7806          (1) (a) If reunification services are ordered under Section 80-3-406, with regard to a
7807     minor who is in the custody of the division, the juvenile court shall hold a permanency hearing
7808     no later than 12 months after the day on which the minor is initially removed from the minor's
7809     home.
7810          (b) If reunification services are not ordered at the dispositional hearing, the juvenile
7811     court shall hold a permanency hearing within 30 days after the day on which the dispositional
7812     hearing ends.
7813          (2) (a) If reunification services are ordered in accordance with Section 80-3-406, the
7814     juvenile court shall, at the permanency hearing, determine, consistent with Subsection (3),
7815     whether the minor may safely be returned to the custody of the minor's parent.
7816          (b) If the juvenile court finds, by a preponderance of the evidence, that return of the
7817     minor to the minor's parent would create a substantial risk of detriment to the minor's physical
7818     or emotional well-being, the minor may not be returned to the custody of the minor's parent.
7819          (c) Prima facie evidence that return of the minor to a parent or guardian would create a
7820     substantial risk of detriment to the minor is established if:
7821          (i) the parent or guardian fails to:
7822          (A) participate in a court approved child and family plan;

7823          (B) comply with a court approved child and family plan in whole or in part; or
7824          (C) meet the goals of a court approved child and family plan; or
7825          (ii) the minor's natural parent:
7826          (A) intentionally, knowingly, or recklessly causes the death of another parent of the
7827     minor;
7828          (B) is identified by a law enforcement agency as the primary suspect in an investigation
7829     for intentionally, knowingly, or recklessly causing the death of another parent of the minor; or
7830          (C) is being prosecuted for or has been convicted of intentionally, knowingly, or
7831     recklessly causing the death of another parent of the minor.
7832          (3) In making a determination under Subsection (2)(a), the juvenile court shall:
7833          (a) review and consider:
7834          (i) the report prepared by the division;
7835          (ii) in accordance with the Utah Rules of Evidence, any admissible evidence offered by
7836     the minor's attorney guardian ad litem;
7837          (iii) any report submitted by the division under Subsection 80-3-408(3)(a)(i);
7838          (iv) any evidence regarding the efforts or progress demonstrated by the parent; and
7839          (v) the extent to which the parent cooperated and used the services provided; and
7840          (b) attempt to keep the minor's sibling group together if keeping the sibling group
7841     together is:
7842          (i) practicable; and
7843          (ii) in accordance with the best interest of the minor.
7844          (4) With regard to a case where reunification services are ordered by the juvenile court,
7845     if a minor is not returned to the minor's parent or guardian at the permanency hearing, the
7846     juvenile court shall, unless the time for the provision of reunification services is extended
7847     under Subsection (7):
7848          (a) order termination of reunification services to the parent;
7849          (b) make a final determination regarding whether termination of parental rights,
7850     adoption, or permanent custody and guardianship is the most appropriate final plan for the
7851     minor, taking into account the minor's primary permanency plan established by the juvenile
7852     court under Section 80-3-406; and
7853          (c) in accordance with Subsection 80-3-406(2), establish a concurrent permanency plan

7854     that identifies the second most appropriate final plan for the minor, if appropriate.
7855          (5) The juvenile court may order another planned permanent living arrangement other
7856     than reunification for a minor who is 16 years old or older upon entering the following
7857     findings:
7858          (a) the division has documented intensive, ongoing, and unsuccessful efforts to reunify
7859     the minor with the minor's parent or parents, or to secure a placement for the minor with a
7860     guardian, an adoptive parent, or an individual described in Subsection 80-3-301(6)(e);
7861          (b) the division has demonstrated that the division has made efforts to normalize the
7862     life of the minor while in the division's custody, in accordance with Section 80-2-308;
7863          (c) the minor prefers another planned permanent living arrangement; and
7864          (d) there is a compelling reason why reunification or a placement described in
7865     Subsection (5)(a) is not in the minor's best interest.
7866          (6) Except as provided in Subsection (7), the juvenile court may not extend
7867     reunification services beyond 12 months after the day on which the minor is initially removed
7868     from the minor's home, in accordance with the provisions of Section 80-3-406.
7869          (7) (a) Subject to Subsection (7)(b), the juvenile court may extend reunification
7870     services for no more than 90 days if the juvenile court finds, [beyond] by a preponderance of
7871     the evidence, that:
7872          (i) there has been substantial compliance with the child and family plan;
7873          (ii) reunification is probable within that 90-day period; and
7874          (iii) the extension is in the best interest of the minor.
7875          (b) (i) Except as provided in Subsection (7)(c), the juvenile court may not extend any
7876     reunification services beyond 15 months after the day on which the minor is initially removed
7877     from the minor's home.
7878          (ii) Delay or failure of a parent to establish paternity or seek custody does not provide a
7879     basis for the juvenile court to extend services for the parent beyond the 12-month period
7880     described in Subsection (6).
7881          (c) In accordance with Subsection (7)(d), the juvenile court may extend reunification
7882     services for one additional 90-day period, beyond the 90-day period described in Subsection
7883     (7)(a), if:
7884          (i) the juvenile court finds, by clear and convincing evidence, that:

7885          (A) the parent has substantially complied with the child and family plan;
7886          (B) it is likely that reunification will occur within the additional 90-day period; and
7887          (C) the extension is in the best interest of the minor;
7888          (ii) the juvenile court specifies the facts upon which the findings described in
7889     Subsection (7)(c)(i) are based; and
7890          (iii) the juvenile court specifies the time period in which it is likely that reunification
7891     will occur.
7892          (d) A juvenile court may not extend the time period for reunification services without
7893     complying with the requirements of this Subsection (7) before the extension.
7894          (e) In determining whether to extend reunification services for a minor, a juvenile court
7895     shall take into consideration the status of the minor siblings of the minor.
7896          (8) (a) At the permanency hearing, if a child remains in an out-of-home placement, the
7897     juvenile court shall:
7898          (i) make specific findings regarding the conditions of parent-time that are in the child's
7899     best interest; and
7900          (ii) if parent-time is denied, state the facts that justify the denial.
7901          (b) Parent-time shall be under the least restrictive conditions necessary to:
7902          (i) protect the physical safety of the child; or
7903          (ii) prevent the child from being traumatized by contact with the parent due to the
7904     child's fear of the parent in light of the nature of the alleged abuse or neglect.
7905          (c) (i) The division or the person designated by the division or a court to supervise a
7906     parent-time session may deny parent-time for the session if the division or the supervising
7907     person determines that, based on the parent's condition, it is necessary to deny parent-time to:
7908          (A) protect the physical safety of the child;
7909          (B) protect the life of the child; or
7910          (C) consistent with Subsection (8)(c)(ii), prevent the child from being traumatized by
7911     contact with the parent.
7912          (ii) In determining whether the condition of the parent described in Subsection (8)(c)(i)
7913     will traumatize a child, the division or the person supervising the parent-time session shall
7914     consider the impact that the parent's condition will have on the child in light of:
7915          (A) the child's fear of the parent; and

7916          (B) the nature of the alleged abuse or neglect.
7917          (9) The juvenile court may, in the juvenile court's discretion:
7918          (a) enter any additional order that the juvenile court determines to be in the best
7919     interest of the minor, so long as that order does not conflict with the requirements and
7920     provisions of Subsections (4) through (8); or
7921          (b) order the division to provide protective supervision or other services to a minor and
7922     the minor's family after the division's custody of a minor is terminated.
7923          (10) (a) If the final plan for the minor is to proceed toward termination of parental
7924     rights, the petition for termination of parental rights shall be filed, and a pretrial held, within 45
7925     calendar days after the day on which the permanency hearing is held.
7926          (b) If the division opposes the plan to terminate parental rights, the juvenile court may
7927     not require the division to file a petition for the termination of parental rights, except as
7928     required under Subsection 80-4-203(2).
7929          (11) (a) Any party to an action may, at any time, petition the juvenile court for an
7930     expedited permanency hearing on the basis that continuation of reunification efforts are
7931     inconsistent with the permanency needs of the minor.
7932          (b) If the juvenile court so determines, the juvenile court shall order, in accordance
7933     with federal law, that:
7934          (i) the minor be placed in accordance with the permanency plan; and
7935          (ii) whatever steps are necessary to finalize the permanent placement of the minor be
7936     completed as quickly as possible.
7937          (12) Nothing in this section may be construed to:
7938          (a) entitle any parent to reunification services for any specified period of time;
7939          (b) limit a juvenile court's ability to terminate reunification services at any time before
7940     a permanency hearing; or
7941          (c) limit or prohibit the filing of a petition for termination of parental rights by any
7942     party, or a hearing on termination of parental rights, at any time before a permanency hearing
7943     provided that relative placement and custody options have been fairly considered in accordance
7944     with Sections 80-2a-201 and 80-4-104.
7945          (13) (a) Subject to Subsection (13)(b), if a petition for termination of parental rights is
7946     filed before the date scheduled for a permanency hearing, the juvenile court may consolidate

7947     the hearing on termination of parental rights with the permanency hearing.
7948          (b) For purposes of Subsection (13)(a), if the juvenile court consolidates the hearing on
7949     termination of parental rights with the permanency hearing:
7950          (i) the juvenile court shall first make a finding regarding whether reasonable efforts
7951     have been made by the division to finalize the permanency plan for the minor; and
7952          (ii) any reunification services shall be terminated in accordance with the time lines
7953     described in Section 80-3-406.
7954          (c) The juvenile court shall make a decision on a petition for termination of parental
7955     rights within 18 months after the day on which the minor is initially removed from the minor's
7956     home.
7957          (14) (a) If a juvenile court determines that a minor will not be returned to a parent of
7958     the minor, the juvenile court shall consider appropriate placement options inside and outside of
7959     the state.
7960          (b) In considering appropriate placement options under Subsection (14)(a), the juvenile
7961     court shall provide preferential consideration to a relative's request for placement of the minor.
7962          (15) (a) In accordance with Section 80-3-108, if a minor 14 years old or older desires
7963     an opportunity to address the juvenile court or testify regarding permanency or placement, the
7964     juvenile court shall give the minor's wishes added weight, but may not treat the minor's wishes
7965     as the single controlling factor under this section.
7966          (b) If the juvenile court's decision under this section differs from a minor's express
7967     wishes if the minor is of sufficient maturity to articulate the wishes in relation to permanency
7968     or the minor's placement, the juvenile court shall make findings explaining why the juvenile
7969     court's decision differs from the minor's wishes.
7970          (16) (a) If, for a relative placement, an interstate placement requested under the
7971     Interstate Compact on the Placement of Children has been initiated by the division or is ordered
7972     by or pending before the juvenile court, the court may not finalize a non-relative placement
7973     unless the court gives due weight to:
7974          (i) the preferential consideration granted to a relative in Section 80-3-302;
7975          (ii) the rebuttable presumption in Section 80-3-302; and
7976          (iii) the division's placement authority under Subsections 80-1-102(50) and
7977     80-3-303(1).

7978          (b) Nothing in this section affects the ability of a foster parent to petition the juvenile
7979     court under Subsection 80-3-502(3).
7980          Section 107. Section 80-5-102 is amended to read:
7981          80-5-102. Definitions.
7982          As used in this chapter:
7983          (1) "Account" means the Juvenile Justice Reinvestment Restricted Account created in
7984     Section 80-5-302.
7985          (2) (a) "Adult" means an individual who is 18 years old or older.
7986          (b) "Adult" does not include a juvenile offender.
7987          (3) "Aftercare services" means the same as the term "aftercare" is defined in 45 C.F.R.
7988     1351.1.
7989          (4) "Authority" means the Youth Parole Authority created in Section 80-5-701.
7990          (5) "Control" means the authority to detain, restrict, and supervise a juvenile offender
7991     in a manner consistent with public safety and the well-being of the juvenile offender and
7992     division employees.
7993          (6) "Director" means the director of the [Division of Juvenile Justice Services]
7994     Division of Juvenile Justice and Youth Services.
7995          (7) "Discharge" means the same as that term is defined in Section 80-6-102.
7996          (8) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
7997     Justice and Youth Services created in Section 80-5-103.
7998          (9) "Homeless youth" means a child, other than an emancipated minor:
7999          (a) who is a runaway; or
8000          (b) who is:
8001          (i) not accompanied by the child's parent or guardian; and
8002          (ii) without care, as defined in Section 80-5-602.
8003          (10) "Observation and assessment program" means a nonresidential service program
8004     operated or purchased by the division that is responsible only for diagnostic assessment of
8005     minors, including for substance use disorder, mental health, psychological, and sexual behavior
8006     risk assessments.
8007          (11) "Performance based contracting" means a system of contracting with service
8008     providers for the provision of residential or nonresidential services that:

8009          (a) provides incentives for the implementation of evidence-based juvenile justice
8010     programs or programs rated as effective for reducing recidivism by a standardized tool in
8011     accordance with Section 63M-7-208; and
8012          (b) provides a premium rate allocation for a minor who receives the evidence-based
8013     dosage of treatment and successfully completes the program within three months.
8014          (12) "Rescission" means the same as that term is defined in Section 80-6-102.
8015          (13) "Restitution" means the same as that term is defined in Section 80-6-102.
8016          (14) "Revocation" means the same as that term is defined in Section 80-6-102.
8017          (15) "Temporary custody" means the same as that term is defined in Section 80-6-102.
8018          (16) "Temporary homeless youth shelter" means a facility that:
8019          (a) provides temporary shelter to homeless youth; and
8020          (b) is licensed by the Department of Health and Human Services, created in Section
8021     26B-1-201, as a residential support program.
8022          (17) "Termination" means the same as that term is defined in Section 80-6-102.
8023          (18) "Victim" means the same as that term is defined in Section 80-6-102.
8024          (19) "Work program" means a nonresidential public or private service work project
8025     established and administered by the division for juvenile offenders for the purpose of
8026     rehabilitation, education, and restitution to victims.
8027          (20) (a) "Youth services" means services provided in an effort to resolve family
8028     conflict:
8029          (i) for families in crisis when a minor is ungovernable or a runaway; or
8030          (ii) involving a minor and the minor's parent or guardian.
8031          (b) "Youth services" include efforts to:
8032          (i) resolve family conflict;
8033          (ii) maintain or reunite minors with the minors' families; and
8034          (iii) divert minors from entering or escalating in the juvenile justice system.
8035          (c) "Youth services" may provide:
8036          (i) crisis intervention;
8037          (ii) short-term shelter;
8038          (iii) time-out placement; and
8039          (iv) family counseling.

8040          (21) "Youth services center" means a center established by, or under contract with, the
8041     division to provide youth services.
8042          Section 108. Section 80-5-103 is amended to read:
8043          80-5-103. Creation of division -- Jurisdiction.
8044          (1) There is created the [Division of Juvenile Justice Services] Division of Juvenile
8045     Justice and Youth Services within the department.
8046          (2) The division shall be under the administration and supervision of the executive
8047     director of the department.
8048          (3) The division has jurisdiction over all minors committed to the division under
8049     Sections 80-6-703 and 80-6-705.
8050          Section 109. Section 80-5-401 is amended to read:
8051          80-5-401. Youth services for prevention and early intervention -- Program
8052     standards -- Program services.
8053          (1) The division shall establish and operate prevention and early intervention youth
8054     services programs which shall include evidence-informed and research-informed interventions
8055     to:
8056          (a) help youth and families avoid entry into the juvenile justice system; and
8057          (b) improve attendance and academic achievement.
8058          (2) The division shall adopt statewide policies and procedures, including minimum
8059     standards for the organization and operation of youth services programs.
8060          (3) The division shall establish housing, programs, and procedures to ensure that
8061     minors who are receiving services under this section and who are not committed to the division
8062     are served separately from minors who are committed to the division.
8063          (4) The division may enter into contracts with state and local governmental entities and
8064     private providers to provide the youth services.
8065          (5) The division shall establish and administer juvenile receiving centers and other
8066     programs to provide temporary custody, care, risk-needs assessments, evaluations, and control
8067     for nonadjudicated and adjudicated minors placed with the division.
8068          (6) The division shall prioritize use of evidence-based juvenile justice programs and
8069     practices.
8070          (7) Youth receiving services under this section or from the division may not be placed

8071     into the legal custody of the division unless the youth qualifies for such disposition under
8072     Section 80-6-703.
8073          Section 110. Section 80-6-102 is amended to read:
8074          80-6-102. Definitions.
8075          As used in this chapter:
8076          (1) "Aftercare services" means the same as the term "aftercare" is defined in 45 C.F.R.
8077     1351.1.
8078          (2) "Authority" means the Youth Parole Authority created in Section 80-5-701.
8079          (3) "Commission" means the State Commission on Criminal and Juvenile Justice
8080     created in Section 63M-7-201.
8081          (4) "Compensatory service" means service or unpaid work performed by a minor in
8082     lieu of the payment of a fine, fee, or restitution.
8083          (5) "Control" means the same as that term is defined in Section 80-5-102.
8084          (6) "Detention hearing" means a proceeding under Section 80-6-207 to determine
8085     whether a minor should remain in detention.
8086          (7) "Detention guidelines" means standards, established by the division in accordance
8087     with Subsection 80-5-202(1)(a), for the admission of a minor to detention.
8088          (8) "Discharge" means a written order of the authority that removes a juvenile offender
8089     from the authority's jurisdiction.
8090          (9) "Division" means the [Division of Juvenile Justice Services] Division of Juvenile
8091     Justice and Youth Services created in Section 80-5-103.
8092          (10) "Family-based setting" means a home that is licensed to allow a minor to reside at
8093     the home, including a foster home, proctor care, or residential care by a professional parent.
8094          (11) "Formal referral" means a written report from a peace officer, or other person,
8095     informing the juvenile court that:
8096          (a) an offense committed by a minor is, or appears to be, within the juvenile court's
8097     jurisdiction; and
8098          (b) the minor's case must be reviewed by a juvenile probation officer or a prosecuting
8099     attorney.
8100          (12) "Material loss" means an uninsured:
8101          (a) property loss;

8102          (b) out-of-pocket monetary loss for property that is stolen, damaged, or destroyed;
8103          (c) lost wages because of an injury, time spent as a witness, or time spent assisting the
8104     police or prosecution; or
8105          (d) medical expense.
8106          (13) "Referral" means a formal referral, a referral to the juvenile court under Section
8107     53G-8-211, or a citation issued to a minor for which the juvenile court receives notice under
8108     Section 80-6-302.
8109          (14) "Rescission" means a written order of the authority that rescinds a date for parole.
8110          (15) "Restitution" means money or services that the juvenile court, or a juvenile
8111     probation officer if the minor agrees to a nonjudicial adjustment, orders a minor to pay or
8112     render to a victim for the minor's wrongful act or conduct.
8113          (16) "Revocation" means a written order of the authority that, after a hearing and
8114     determination under Section 80-6-806:
8115          (a) terminates supervision of a juvenile offender's parole; and
8116          (b) directs a juvenile offender to return to secure care.
8117          (17) "Temporary custody" means the control and responsibility of a minor, before an
8118     adjudication under Section 80-6-701, until the minor is released to a parent, guardian,
8119     responsible adult, or to an appropriate agency.
8120          (18) "Termination" means a written order of the authority that terminates a juvenile
8121     offender from parole.
8122          (19) (a) "Victim" means a person that the juvenile court determines suffered a material
8123     loss as a result of a minor's wrongful act or conduct.
8124          (b) "Victim" includes:
8125          (i) any person directly harmed by the minor's wrongful act or conduct in the course of
8126     the scheme, conspiracy, or pattern if the minor's wrongful act or conduct is an offense that
8127     involves an element of a scheme, a conspiracy, or a pattern of criminal activity; and
8128          (ii) the Utah Office for Victims of Crime.
8129          (20) "Violent felony" means the same as that term is defined in Section 76-3-203.5.
8130          (21) "Work program" means the same as that term is defined in Section 80-5-102.
8131          (22) "Youth services" means the same as that term is defined in Section 80-5-102.
8132          Section 111. Effective date.

8133          (1) Except as provided in Subsection (2), this bill takes effect on May 1, 2024.
8134          (2) The actions affecting the following sections take effect on July 1, 2024:
8135          (a) Section 26B-1-204 (Effective 07/01/24);
8136          (b) Section 26B-2-241 (Effective 07/01/24);
8137          (c) Section 53-2d-404 (Effective 07/01/24);
8138          (d) Section 53-2d-503 (Effective 07/01/24);
8139          (e) Section 53-2d-703 (Effective 07/01/24); and
8140          (f) Section 77-41-102 (Effective 07/01/24).