H.B. 128 Tobacco Cessation Amendments

H.B. 128

4 26B-7-522 78B-3-406
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TOBACCO CESSATION AMENDMENTS
2024 GENERAL SESSION STATE OF UTAH Chief Sponsor: Thomas W. Peterson Senate Sponsor: Michael S. Kennedy

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LONG TITLE

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General Description:

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This bill permits a minor to consent to and participate in tobacco and nicotine cessation
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services.

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Highlighted Provisions:
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This bill:
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permits a minor to consent to and participate in tobacco and nicotine cessation services
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that are delivered or contracted for by the Department of Health and Human Services or a local
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health department.
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Money Appropriated in this Bill:

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None
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Other Special Clauses:

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None
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Utah Code Sections Affected:
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AMENDS:
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78B-3-406, as last amended by Laws of Utah 2021, Chapter 262

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ENACTS:
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26B-7-522, Utah Code Annotated 1953

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Be it enacted by the Legislature of the state of Utah:

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Section 1, Section 26B-7-522 is enacted to read:

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26B-7-522. Tobacco and nicotine cessation services for minors.

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(1) As used in this section:
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(a) "Minor" means an individual who is younger than 18 years old.

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(b) "Tobacco and nicotine cessation services" means a program that:
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(i) is specifically designed for minors who use tobacco products, electronic cigarette
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products, or nicotine products;

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(ii) is operated by the department, a local health department, or a contractor that is
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approved by the department or a local health department;

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(iii) provides general information about the services offered by the department, the
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local health department, or a contractor that is approved by the department or the
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local health department before the minor's registration and participation in the
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program;

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(iv) provides the minor with access to any of the following:
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(A) assessment;

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(B) web-based resources; or

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(C) coaching through technology-based communication tools; and

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(v) does not provide:
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(A) any form of nicotine replacement therapy; or

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(B) any other service not described in Subsection (1)(b)(iii) or (iv).

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(2) Consent to tobacco and nicotine cessation services executed by a minor who is or
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professes to be afflicted with nicotine dependence shall have the same legal effect upon
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the minor and the same legal obligations with regard to the giving of consent as consent
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given by an individual of full legal age and capacity.

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(3) A person providing tobacco and nicotine cessation services shall actively encourage a
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minor to inform the minor's parent or guardian for support.

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(4) Nothing in this section authorizes a violation of Section 53E-9-203.

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Section 2, Section 78B-3-406 is amended to read:

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78B-3-406. Failure to obtain informed consent -- Proof required of patient --
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Defenses -- Consent to health care.

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(1) (a)When a person submits to health care rendered by a health care provider, it is
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presumed that actions taken by the health care provider are either expressly or
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impliedly authorized to be done.

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(b)For a patient to recover damages from a health care provider in an action based upon
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the provider's failure to obtain informed consent, the patient must prove the following:
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(i)that a provider-patient relationship existed between the patient and health care
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provider;

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(ii)the health care provider rendered health care to the patient;

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(iii)the patient suffered personal injuries arising out of the health care rendered;

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(iv)the health care rendered carried with it a substantial and significant risk of
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causing the patient serious harm;

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(v)the patient was not informed of the substantial and significant risk;

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(vi)a reasonable, prudent person in the patient's position would not have consented to
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the health care rendered after having been fully informed as to all facts relevant to
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the decision to give consent; and

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(vii)the unauthorized part of the health care rendered was the proximate cause of
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personal injuries suffered by the patient.

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(2)In determining what a reasonable, prudent person in the patient's position would do
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under the circumstances, the finder of fact shall use the viewpoint of the patient before
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health care was provided and before the occurrence of any personal injuries alleged to
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have arisen from said health care.

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(3)It shall be a defense to any malpractice action against a health care provider based upon
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alleged failure to obtain informed consent if:
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(a)the risk of the serious harm which the patient actually suffered was relatively minor;

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(b)the risk of serious harm to the patient from the health care provider was commonly
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known to the public;

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(c)the patient stated, prior to receiving the health care complained of, that he would
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accept the health care involved regardless of the risk; or that he did not want to be
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informed of the matters to which he would be entitled to be informed;

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(d)the health care provider, after considering all of the attendant facts and
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circumstances, used reasonable discretion as to the manner and extent to which risks
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were disclosed, if the health care provider reasonably believed that additional
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disclosures could be expected to have a substantial and adverse effect on the patient's
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condition; or

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(e)the patient or the patient's representative executed a written consent which sets forth
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the nature and purpose of the intended health care and which contains a declaration
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that the patient accepts the risk of substantial and serious harm, if any, in hopes of
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obtaining desired beneficial results of health care and which acknowledges that
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health care providers involved have explained the patient's condition and the
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proposed health care in a satisfactory manner and that all questions asked about the
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health care and its attendant risks have been answered in a manner satisfactory to the
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patient or the patient's representative.

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(4)The written consent shall be a defense to an action against a health care provider based
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upon failure to obtain informed consent unless the patient proves that the person giving
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the consent lacked capacity to consent or shows by clear and convincing evidence that
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the execution of the written consent was induced by the defendant's affirmative acts of
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fraudulent misrepresentation or fraudulent omission to state material facts.

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(5)This act may not be construed to prevent any person 18 years old or over from refusing
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to consent to health care for the patient's own person upon personal or religious grounds.

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(6)Except as provided in Section 76-7-304.5, the following persons are authorized and
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empowered to consent to any health care not prohibited by law:
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(a)any parent, whether an adult or a minor, for the parent's minor child;

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(b)any married person, for a spouse;

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(c)any person temporarily standing in loco parentis, whether formally serving or not, for
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the minor under that person's care and any guardian for the guardian's ward;

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(d)any person 18 years old or over older for that person's parent who is unable by
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reason of age, physical or mental condition, to provide such consent;

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(e)any patient 18 years old or over older;

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(f)any female regardless of age or marital status, when given in connection with her
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pregnancy or childbirth;

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(g)in the absence of a parent, any adult for the adult's minor brother or sister;

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(h)in the absence of a parent, any grandparent for the grandparent's minor grandchild;

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(i)an emancipated minor as provided in Section 80-7-105;

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(j)a minor who has contracted a lawful marriage; and

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(k)an unaccompanied homeless minor, as that term is defined in the McKinney-Vento
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Homeless Assistance Act of 1987, Pub. L. 100-77, as amended, who is 15 years old
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or older . ; and

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(l) a minor receiving tobacco and nicotine cessation services under Section 26B-7-522.

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(7)A person who in good faith consents or authorizes health care treatment or procedures
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for another as provided by this act may not be subject to civil liability.

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(8)Notwithstanding any other provision of this section, if a health care provider fails to
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comply with the requirement in Section 58-1-509, the health care provider is presumed
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to have lacked informed consent with respect to the patient examination, as defined in
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Section 58-1-509.

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Section 3. Effective date.
This bill takes effect on May 1, 2024.
Bill Status / Votes
• Senate Actions • House Actions • Fiscal Actions • Other Actions
DateActionLocationVote
1/3/2024 Bill Numbered but not DistributedLegislative Research and General Counsel
1/3/2024 Numbered Bill Publicly DistributedLegislative Research and General Counsel
1/10/2024 House/ received bill from Legislative ResearchClerk of the House
1/16/2024 House/ received fiscal note from Fiscal AnalystClerk of the House
1/16/2024 House/ 1st reading (Introduced)House Rules Committee
1/22/2024 House/ to standing committeeHouse Health and Human Services Committee
1/23/2024 House Comm - Amendment Recommendation # 1House Health and Human Services Committee10 0 4
1/23/2024 House Comm - Favorable RecommendationHouse Health and Human Services Committee11 0 3
1/24/2024 (11:17:31 AM)House/ comm rpt/ amendedHouse Health and Human Services Committee
1/24/2024 (11:17:32 AM)House/ 2nd readingHouse 3rd Reading Calendar for House bills
1/26/2024 LFA/ fiscal note sent to sponsorHouse 3rd Reading Calendar for House bills
1/29/2024 House/ to Printing with fiscal noteHouse 3rd Reading Calendar for House bills
2/1/2024 (11:37:36 AM)House/ 3rd readingHouse 3rd Reading Calendar for House bills
2/1/2024 (11:39:57 AM)House/ substituted from # 0 to # 1House 3rd Reading Calendar for House billsVoice vote
2/1/2024 (11:42:24 AM)House/ passed 3rd readingSenate Secretary68 0 7
2/1/2024 (11:42:26 AM)House/ to SenateSenate Secretary
2/1/2024 Senate/ received from HouseWaiting for Introduction in the Senate
2/1/2024 Senate/ 1st reading (Introduced)Senate Rules Committee
2/2/2024 Senate/ to standing committeeSenate Health and Human Services Committee
2/8/2024 Senate Comm - HeldSenate Health and Human Services Committee5 0 2
2/13/2024 Senate Comm - Amendment Recommendation # 1Senate Health and Human Services Committee5 0 2
2/13/2024 Senate Comm - Favorable RecommendationSenate Health and Human Services Committee4 0 3
2/13/2024 (2:28:26 PM)Senate/ comm rpt/ amendedSenate Health and Human Services Committee
2/13/2024 (2:28:27 PM)Senate/ placed on 2nd Reading CalendarSenate 2nd Reading Calendar
2/22/2024 (2:33:11 PM)Senate/ 2nd & 3rd readings/ suspensionSenate 2nd Reading Calendar
2/22/2024 (2:35:50 PM)Senate/ passed 2nd readingSenate 3rd Reading Calendar24 0 5
2/22/2024 (2:36:02 PM)Senate/ 3rd readingSenate 3rd Reading Calendar
2/22/2024 (2:36:15 PM)Senate/ placed on 3rd Reading Calendar tableSenate 3rd Reading Calendar Table
2/27/2024 Senate/ 3nd Reading Calendar to RulesSenate Rules Committee
2/28/2024 Senate/ Rules to 2nd Reading CalendarSenate 2nd Reading Calendar
2/28/2024 (12:19:42 PM)Senate/ placed on 2nd Reading CalendarSenate 2nd Reading Calendar
2/28/2024 (3:17:33 PM)Senate/ passed 2nd & 3rd readings/ suspensionClerk of the House27 0 2
2/28/2024 (3:17:34 PM)Senate/ to House with amendmentsClerk of the House
2/28/2024 (4:25:52 PM)House/ received from SenateClerk of the House
2/28/2024 (4:25:53 PM)House/ placed on Concurrence CalendarHouse Concurrence Calendar
2/28/2024 (5:30:05 PM)House/ concurs with Senate amendmentSenate President71 0 4
2/28/2024 (5:30:06 PM)House/ to SenateSenate President
2/29/2024 Senate/ received from HouseSenate President
2/29/2024 Senate/ signed by President/ returned to HouseHouse Speaker
2/29/2024 Senate/ to HouseHouse Speaker
2/29/2024 House/ received from SenateHouse Speaker
2/29/2024 House/ signed by Speaker/ sent for enrollingLegislative Research and General Counsel / Enrolling
2/29/2024 Bill Received from House for EnrollingLegislative Research and General Counsel / Enrolling
2/29/2024 Draft of Enrolled Bill PreparedLegislative Research and General Counsel / Enrolling
3/7/2024 Enrolled Bill Returned to House or SenateClerk of the House
3/7/2024 House/ enrolled bill to PrintingClerk of the House
3/8/2024 House/ received enrolled bill from PrintingClerk of the House
3/8/2024 House/ to GovernorExecutive Branch - Governor
3/14/2024 Governor SignedLieutenant Governor's office for filing