Senator Jen Plumb proposes the following substitute bill:


1     
SUBSTANCE USE TREATMENT IN CORRECTIONAL

2     
FACILITIES

3     
2024 GENERAL SESSION

4     
STATE OF UTAH

5     
Chief Sponsor: Jen Plumb

6     
House Sponsor: Christine F. Watkins

7     

8     LONG TITLE
9     General Description:
10          This bill allows the Department of Corrections to cooperate with medical personnel to
11     provide medication assisted treatment to inmates who had an active medication assisted
12     treatment plan prior to incarceration.
13     Highlighted Provisions:
14          This bill:
15          ▸     defines terms;
16          ▸     allows the Department of Corrections, in collaboration with the Department of
17     Health and Human Services, to cooperate with medical personnel to continue a
18     medication assisted treatment plan for inmates who had an active medication
19     assisted treatment plan prior to incarceration;
20          ▸     provides that a correctional facility may, at the direction of the chief administrative
21     officer, store medications used for medication assisted treatment plans;
22          ▸     requires the Department of Health and Human Services to provide an annual report
23     to the Health and Human Services Interim Committee regarding the medication
24     assisted treatment plans for individuals committed to the custody of the Department
25     of Corrections;

26          ▸     provides a repeal date for the required report; and
27          ▸     makes technical and conforming changes.
28     Money Appropriated in this Bill:
29          None
30     Other Special Clauses:
31          None
32     Utah Code Sections Affected:
33     AMENDS:
34          26B-4-325, as enacted by Laws of Utah 2023, Chapter 322
35          63I-2-264, as last amended by Laws of Utah 2021, Chapter 366
36     ENACTS:
37          64-13-25.1, Utah Code Annotated 1953
38     

39     Be it enacted by the Legislature of the state of Utah:
40          Section 1. Section 26B-4-325 is amended to read:
41          26B-4-325. Medical care for inmates -- Reporting of statistics.
42          As used in this section:
43          (1) "Correctional facility" means a facility operated to house inmates in a secure or
44     nonsecure setting:
45          (a) by the Department of Corrections; or
46          (b) under a contract with the Department of Corrections.
47          (2) "Health care facility" means the same as that term is defined in Section 26B-2-201.
48          (3) "Inmate" means an individual who is:
49          (a) committed to the custody of the Department of Corrections; and
50          (b) housed at a correctional facility or at a county jail at the request of the Department
51     of Corrections.
52          (4) "Medical monitoring technology" means a device, application, or other technology
53     that can be used to improve health outcomes and the experience of care for patients, including
54     evidence-based clinically evaluated software and devices that can be used to monitor and treat
55     diseases and disorders.
56          (5) "Terminally ill" means the same as that term is defined in Section 31A-36-102.

57          (6) The department shall:
58          (a) for each health care facility owned or operated by the Department of Corrections,
59     assist the Department of Corrections in complying with Section 64-13-39;
60          (b) create policies and procedures for providing services to inmates; [and]
61          (c) in coordination with the Department of Corrections, develop standard population
62     indicators and performance measures relating to the health of inmates[.]; and
63          (d) collaborate with the Department of Corrections to comply with Section 64-13-25.1.
64          (7) Beginning July 1, 2023, and ending June 30, 2024, the department shall:
65          (a) evaluate and study the use of medical monitoring technology and create a plan for a
66     pilot program that identifies:
67          (i) the types of medical monitoring technology that will be used during the pilot
68     program; and
69          (ii) eligibility for participation in the pilot program; and
70          (b) make the indicators and performance measures described in Subsection (6)(c)
71     available to the public through the Department of Corrections and the department websites.
72          (8) Beginning July 1, 2024, and ending June 30, 2029, the department shall implement
73     the pilot program.
74          (9) The department shall submit to the Health and Human Services Interim Committee
75     and the Law Enforcement and Criminal Justice Interim Committee:
76          (a) a report on or before October 1 of each year regarding the costs and benefits of the
77     pilot program;
78          (b) a report that summarizes the indicators and performance measures described in
79     Subsection (6)(c) on or before October 1, 2024; and
80          (c) an updated report before October 1 of each year that compares the indicators and
81     population measures of the most recent year to the initial report described in Subsection (9)(b).
82          Section 2. Section 63I-2-264 is amended to read:
83          63I-2-264. Repeal dates: Title 64.
84          (1) Section 64-13e-103.2 is repealed June 30, 2024.
85          (2) Section 64-13-25.1(4), related to reporting on continuation or discontinuation of a
86     medication assisted treatment plan, is repealed July 1, 2026.
87          Section 3. Section 64-13-25.1 is enacted to read:

88          64-13-25.1. Medication assisted treatment plan.
89          (1) As used in this section, "medication assisted treatment plan" means a prescription
90     plan to use a medication, such as buprenorphine, methadone, or naltrexone, to treat substance
91     use withdrawal symptoms or an opioid use disorder.
92          (2) In collaboration with the Department of Health and Human Services the department
93     may cooperate with medical personnel to continue a medication assisted treatment plan for an
94     inmate who had an active medication assisted treatment plan within the last six months before
95     being committed to the custody of the department.
96          (3) A medication used for a medication assisted treatment plan under Subsection (2):
97          (a) shall be an oral, short-acting medication unless the chief administrative officer or
98     other medical personnel who is familiar with the inmate's medication assisted treatment plan
99     determines that a long-acting, non-oral medication will provide a greater benefit to the
100     individual receiving treatment;
101          (b) may be administered to an inmate under the direction of the chief administrative
102     officer of the correctional facility;
103          (c) may, as funding permits, be paid for by the department or the Department of Health
104     and Human Services; and
105          (d) may be left or stored at a correctional facility at the discretion of the chief
106     administrative officer of the correctional facility.
107          (4) Before November 30 each year, the Department of Health and Human Services
108     shall provide a report to the Health and Human Services Interim Committee that details, for
109     each category, the number of individuals in the custody of the department who, in the
110     preceding 12 months:
111          (a) had an active medication assisted treatment plan within the six months preceding
112     commitment to the custody of the department;
113          (b) continued a medication assisted treatment plan following commitment to the
114     custody of the department; and
115          (c) discontinued a medication assisted treatment plan prior to, at the time of, or after
116     commitment to the custody of the department and, as available, the type of medication
117     discontinued and the reason for the discontinuation.
118          Section 4. Effective date.

119          This bill takes effect on May 1, 2024.