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<leg xml:space="preserve" filenumber="2024FL0178" billnumber="SB0212" billnum="SB0212" designation="SB" otherSponsor="Christine F. Watkins" otherHouse="House" sess="2024GS" fileno="2024FL0178" date="03-01-24" printDate="06-19 07:32" subVer="-2" minVer="0" office="LEGISLATIVE GENERAL COUNSEL" actionDate="" impact="code" track=" " sponsor="Jen Plumb">
  <info>
    <nextbuid>5</nextbuid>
    <aminfo anum="0" effdate="5/1/2024" datetype="most">
      <seclist>
        <sect uid="C26B-4-S325_2024050120240501" fromuid="C26B-4-S325_2023050320230503" buid="1" src="code" mtype="section" action="A" sort="26B04 03250020240501" effdate="5/1/2024">26B-4-325</sect>
        <sect uid="C63I-2-S264_2024050120240501" fromuid="C63I-2-S264_2021050520210505" buid="2" src="code" mtype="section" action="A" sort="63I02 02640020240501" effdate="5/1/2024">63I-2-264</sect>
        <sect uid="C64-13-S25.1_2024050120240501" buid="3" src="code" mtype="section" action="E" sort="64 13 00250120240501" effdate="5/1/2024">64-13-25.1</sect>
        <sect uid="EF0000" buid="4" src="uncod" untype="effdate" mtype="section" sort="UZEFF" effdate="5/1/2024"/>
      </seclist>
    </aminfo>
  </info>
  <tbox>
    <sinfo/>
    <st numlevel="1" lineno="1" slineno="0-1">SUBSTANCE USE TREATMENT IN CORRECTIONAL FACILITIES</st>
    <sessionhead>2024 GENERAL SESSION</sessionhead>
    <statehead>STATE OF UTAH</statehead>
    <sponsorhead>Chief Sponsor: Jen Plumb</sponsorhead>
    <otherSponsorhead>House Sponsor: Christine F. Watkins</otherSponsorhead>
  </tbox>
  <lt numlevel="1" lineno="2" slineno="0-2">
    <lthead lineno="3">LONG TITLE</lthead>
    <gdhead lineno="4">General Description:</gdhead>
    <gd numlevel="1" lineno="5" slineno="0-5">This bill allows the Department of Corrections to cooperate with medical personnel to  
      <ln numlevel="1" lineno="6" slineno="0-6"/>provide medication assisted treatment to inmates who had an active medication assisted  
      <ln numlevel="1" lineno="7" slineno="0-7"/>treatment plan prior to incarceration.
    </gd>
    <hphead lineno="8">Highlighted Provisions:</hphead>
    <hp numlevel="1" lineno="9" slineno="0-9">This bill:
      <hl numlevel="1" lineno="10" slineno="0-10" level="1">defines terms;</hl>
      <hl numlevel="1" lineno="11" slineno="0-11" level="1">allows the Department of Corrections, in collaboration with the Department of Health  
        <ln numlevel="1" lineno="12" slineno="0-12"/>and Human Services, to cooperate with medical personnel to continue a medication assisted  
        <ln numlevel="1" lineno="13" slineno="0-13"/>treatment plan for inmates who had an active medication assisted treatment plan prior to  
        <ln numlevel="1" lineno="14" slineno="0-14"/>incarceration;
      </hl>
      <hl numlevel="1" lineno="15" slineno="0-15" level="1">provides that a correctional facility may, at the direction of the chief administrative  
        <ln numlevel="1" lineno="16" slineno="0-16"/>officer, store medications used for medication assisted treatment plans;
      </hl>
      <hl numlevel="1" lineno="17" slineno="0-17" level="1">requires the Department of Health and Human Services to provide an annual report to  
        <ln numlevel="1" lineno="18" slineno="0-18"/>the Health and Human Services Interim Committee regarding the medication assisted  
        <ln numlevel="1" lineno="19" slineno="0-19"/>treatment plans for individuals committed to the custody of the Department of Corrections;
      </hl>
      <hl numlevel="1" lineno="20" slineno="0-20" level="1">provides a repeal date for the required report; and</hl>
      <hl numlevel="1" lineno="21" slineno="0-21" level="1">makes technical and conforming changes.</hl>
    </hp>
    <moni numlevel="1" lineno="22" slineno="0-22" display="none">Money Appropriated in this Bill:</moni>
    <moniNone lineno="23">None</moniNone>
    <oc numlevel="1" lineno="24" slineno="0-24">Other Special Clauses:</oc>
    <ocNone lineno="25">None</ocNone>
    <sa numlevel="1" lineno="26" slineno="0-26">Utah Code Sections Affected:
      <saamd numlevel="1" lineno="27" slineno="0-27">
        <snhead>AMENDS:</snhead>
        <sn num="26B-4-325" src="code" uid="C26B-4-S325_2024050120240501" buid="1" sort="26B04 03250020240501" numlevel="1" lineno="28" slineno="0-28">
          <bold>26B-4-325</bold>, as enacted by Laws of Utah 2023, Chapter 322
        </sn>
        <sn num="63I-2-264" src="code" uid="C63I-2-S264_2024050120240501" buid="2" sort="63I02 02640020240501" numlevel="1" lineno="29" slineno="0-29">
          <bold>63I-2-264</bold>, as last amended by Laws of Utah 2021, Chapter 366
        </sn>
      </saamd>
      <saent numlevel="1" lineno="30" slineno="0-30">
        <snhead>ENACTS:</snhead>
        <sn num="64-13-25.1" src="code" uid="C64-13-S25.1_2024050120240501" buid="3" sort="64 13 00250120240501" numlevel="1" lineno="31" slineno="0-31">
          <bold>64-13-25.1</bold>, Utah Code Annotated 1953
        </sn>
      </saent>
    </sa>
  </lt>
  <enacthead lineno="32"/>
  <enact numlevel="1" lineno="33" slineno="0-33">Be it enacted by the Legislature of the state of Utah:</enact>
  <bdy>
    <bsec buid="1" type="amend" src="code" num="26B-4-325" uid="C26B-4-S325_2024050120240501" sort="26B04 03250020240501" fromUID="C26B-4-S325_2023050320230503" numlevel="1" lineno="34" slineno="1-1" sn="1">
      <section number="26B-4-325" numlevel="1" lineno="35" slineno="1-2" type="amend">
        <secline lineno="34">Section 1, Section  
          <bold>26B-4-325</bold> is amended to read:
        </secline>
        <catline lineno="35">
          <bold>26B-4-325. Medical care for inmates -- Reporting of statistics.</bold>
        </catline>
        <sectionText lineno="36">
          <tab/>As used in this section:
        </sectionText>
        <subsection ssid="1-1" numlevel="1" lineno="37" slineno="1-4" dnum="1-o">
          <display>(1)</display>"Correctional facility" means a facility operated to house inmates in a secure or  
          <ln numlevel="1" lineno="38" slineno="1-5"/>nonsecure setting:
          <subsection ssid="1-2" numlevel="1" lineno="39" slineno="1-6" dnum="a-o">
            <display>(a)</display>by the Department of Corrections; or
          </subsection>
          <subsection ssid="1-3" numlevel="1" lineno="40" slineno="1-7" dnum="b-o">
            <display>(b)</display>under a contract with the Department of Corrections.
          </subsection>
        </subsection>
        <subsection ssid="1-4" numlevel="1" lineno="41" slineno="1-8" dnum="2-o">
          <display>(2)</display>"Health care facility" means the same as that term is defined in Section  
          <xref depth="3" refnumber="26B-2-201">26B-2-201</xref>.
        </subsection>
        <subsection ssid="1-5" numlevel="1" lineno="42" slineno="1-9" dnum="3-o">
          <display>(3)</display>"Inmate" means an individual who is:
          <subsection ssid="1-6" numlevel="1" lineno="43" slineno="1-10" dnum="a-o">
            <display>(a)</display>committed to the custody of the Department of Corrections; and
          </subsection>
          <subsection ssid="1-7" numlevel="1" lineno="44" slineno="1-11" dnum="b-o">
            <display>(b)</display>housed at a correctional facility or at a county jail at the request of the Department of  
            <ln numlevel="1" lineno="45" slineno="1-12"/>Corrections.
          </subsection>
        </subsection>
        <subsection ssid="1-8" numlevel="1" lineno="46" slineno="1-13" dnum="4-o">
          <display>(4)</display>"Medical monitoring technology" means a device, application, or other technology that  
          <ln numlevel="1" lineno="47" slineno="1-14"/>can be used to improve health outcomes and the experience of care for patients,  
          <ln numlevel="1" lineno="48" slineno="1-15"/>including evidence-based clinically evaluated software and devices that can be used to  
          <ln numlevel="1" lineno="49" slineno="1-16"/>monitor and treat diseases and disorders.
        </subsection>
        <subsection ssid="1-9" numlevel="1" lineno="50" slineno="1-17" dnum="5-o">
          <display>(5)</display>"Terminally ill" means the same as that term is defined in Section  
          <xref depth="3" refnumber="31A-36-102">31A-36-102</xref>.
        </subsection>
        <subsection ssid="1-10" numlevel="1" lineno="51" slineno="1-18" dnum="6-o">
          <display>(6)</display>The department shall:
          <subsection ssid="1-11" numlevel="1" lineno="52" slineno="1-19" dnum="a-o">
            <display>(a)</display>for each health care facility owned or operated by the Department of Corrections,  
            <ln numlevel="1" lineno="53" slineno="1-20"/>assist the Department of Corrections in complying with Section  
            <xref depth="3" refnumber="64-13-39">64-13-39</xref>;
          </subsection>
          <subsection ssid="1-12" numlevel="1" lineno="54" slineno="1-21" dnum="b-o">
            <display>(b)</display>create policies and procedures for providing services to inmates;  
            <amendoutstart style="5"/>
            <amend anum="0" ea="erase" pairid="1" style="2" owner="admin" level="1" deltag="both">and</amend>
            <amendoutend style="5"/>
          </subsection>
          <subsection ssid="1-13" numlevel="1" lineno="55" slineno="1-22" dnum="c-o">
            <display>(c)</display>in coordination with the Department of Corrections, develop standard population  
            <ln numlevel="1" lineno="56" slineno="1-23"/>indicators and performance measures relating to the health of inmates
            <amendoutstart style="5"/>
            <amend anum="0" ea="erase" pairid="2" style="2" owner="admin" level="1" deltag="both">.</amend>
            <amendoutend style="5"/>
            <amend anum="0" ea="amend" pairid="3" style="1" owner="admin" level="1" amendtag="both" space="true">; and</amend>
          </subsection>
          <subsection ssid="1-14" ea="amend" anum="0" owner="admin" style="1" numlevel="1" lineno="57" slineno="1-24" dnum="_-e:d-e">
            <display>
              <amend anum="0" ea="amend" pairid="18" style="1" owner="e" level="1" amendtag="start">(d)</amend>
            </display>
            <amend anum="0" ea="amend" pairid="5" style="1" owner="admin" level="1" amendtag="end">collaborate with the Department of Corrections to comply with Section  
              <xref depth="3" refnumber="64-13-25.1">64-13-25.1</xref>.
            </amend>
          </subsection>
        </subsection>
        <subsection ssid="1-15" numlevel="1" lineno="58" slineno="1-25" dnum="7-o">
          <display>(7)</display>Beginning July 1, 2023, and ending June 30, 2024, the department shall:
          <subsection ssid="1-16" numlevel="1" lineno="59" slineno="1-26" dnum="a-o">
            <display>(a)</display>evaluate and study the use of medical monitoring technology and create a plan for a  
            <ln numlevel="1" lineno="60" slineno="1-27"/>pilot program that identifies:
            <subsection ssid="1-17" numlevel="1" lineno="61" slineno="1-28" dnum="i-o">
              <display>(i)</display>the types of medical monitoring technology that will be used during the pilot  
              <ln numlevel="1" lineno="62" slineno="1-29"/>program; and
            </subsection>
            <subsection ssid="1-18" numlevel="1" lineno="63" slineno="1-30" dnum="ii-o">
              <display>(ii)</display>eligibility for participation in the pilot program; and
            </subsection>
          </subsection>
          <subsection ssid="1-19" numlevel="1" lineno="64" slineno="1-31" dnum="b-o">
            <display>(b)</display>make the indicators and performance measures described in Subsection (6)(c)  
            <ln numlevel="1" lineno="65" slineno="1-32"/>available to the public through the Department of Corrections and the department  
            <ln numlevel="1" lineno="66" slineno="1-33"/>websites.
          </subsection>
        </subsection>
        <subsection ssid="1-20" numlevel="1" lineno="67" slineno="1-34" dnum="8-o">
          <display>(8)</display>Beginning July 1, 2024, and ending June 30, 2029, the department shall implement the  
          <ln numlevel="1" lineno="68" slineno="1-35"/>pilot program.
        </subsection>
        <subsection ssid="1-21" numlevel="1" lineno="69" slineno="1-36" dnum="9-o">
          <display>(9)</display>The department shall submit to the Health and Human Services Interim Committee and  
          <ln numlevel="1" lineno="70" slineno="1-37"/>the Law Enforcement and Criminal Justice Interim Committee:
          <subsection ssid="1-22" numlevel="1" lineno="71" slineno="1-38" dnum="a-o">
            <display>(a)</display>a report on or before October 1 of each year regarding the costs and benefits of the  
            <ln numlevel="1" lineno="72" slineno="1-39"/>pilot program;
          </subsection>
          <subsection ssid="1-23" numlevel="1" lineno="73" slineno="1-40" dnum="b-o">
            <display>(b)</display>a report that summarizes the indicators and performance measures described in  
            <ln numlevel="1" lineno="74" slineno="1-41"/>Subsection (6)(c) on or before October 1, 2024; and
          </subsection>
          <subsection ssid="1-24" numlevel="1" lineno="75" slineno="1-42" dnum="c-o">
            <display>(c)</display>an updated report before October 1 of each year that compares the indicators and  
            <ln numlevel="1" lineno="76" slineno="1-43"/>population measures of the most recent year to the initial report described in  
            <ln numlevel="1" lineno="77" slineno="1-44"/>Subsection (9)(b).
          </subsection>
        </subsection>
      </section>
    </bsec>
    <bsec buid="2" type="amend" src="code" num="63I-2-264" uid="C63I-2-S264_2024050120240501" sort="63I02 02640020240501" fromUID="C63I-2-S264_2021050520210505" numlevel="1" lineno="78" slineno="2-1" sn="2">
      <section number="63I-2-264" numlevel="1" lineno="79" slineno="2-2" type="amend">
        <secline lineno="78">Section 2, Section  
          <bold>63I-2-264</bold> is amended to read:
        </secline>
        <catline lineno="79">
          <bold>63I-2-264. Repeal dates: Title 64.</bold>
        </catline>
        <subsection ssid="2-1" numlevel="1" lineno="80" slineno="2-3" dnum="1-o" placement="noreturn">
          <display>(1)</display>Section  
          <xref depth="3" refnumber="64-13e-103.2">64-13e-103.2</xref> is repealed June 30, 2024.
        </subsection>
        <subsection ssid="2-2" ea="amend" anum="0" owner="admin" style="1" numlevel="1" lineno="81" slineno="2-4" dnum="_-e:2-e">
          <display>
            <amend anum="0" ea="amend" pairid="3" style="1" owner="e" level="1" amendtag="start">(2)</amend>
          </display>
          <amend anum="0" ea="amend" pairid="2" style="1" owner="admin" level="1" amendtag="end">Section  
            <xref depth="3" refnumber="64-13-25.1">64-13-25.1</xref>(4), related to reporting on continuation or discontinuation of a  
            <ln numlevel="1" lineno="82" slineno="2-5"/>medication assisted treatment plan, is repealed July 1, 2026.
          </amend>
        </subsection>
      </section>
    </bsec>
    <bsec buid="3" type="enact" src="code" num="64-13-25.1" uid="C64-13-S25.1_2024050120240501" sort="64 13 00250120240501" numlevel="1" lineno="83" slineno="3-1" sn="3">
      <section number="64-13-25.1" numlevel="1" lineno="84" slineno="3-2" type="enact">
        <secline lineno="83">Section 3, Section  
          <bold>64-13-25.1</bold> is enacted to read:
        </secline>
        <catline lineno="84">
          <bold>64-13-25.1. Medication assisted treatment plan.</bold>
        </catline>
        <subsection ssid="3-1" ea="amend" anum="0" owner="admin" style="1" numlevel="1" lineno="85" slineno="3-3" dnum="_-e:1-e" placement="noreturn">
          <display>
            <amend anum="0" ea="amend" pairid="31" style="1" owner="e" level="1" amendtag="start">(1)</amend>
          </display>
          <amend anum="0" ea="amend" pairid="2" style="1" owner="admin" level="1" amendtag="end">As used in this section, "medication assisted treatment plan" means a prescription plan  
            <ln numlevel="1" lineno="86" slineno="3-4"/>to use a medication, such as buprenorphine, methadone, or naltrexone, to treat substance  
            <ln numlevel="1" lineno="87" slineno="3-5"/>use withdrawal symptoms or an opioid use disorder.
          </amend>
        </subsection>
        <subsection ssid="3-2" ea="amend" anum="0" owner="admin" style="1" numlevel="1" lineno="88" slineno="3-6" dnum="_-e:2-e">
          <display>
            <amend anum="0" ea="amend" pairid="32" style="1" owner="e" level="1" amendtag="start">(2)</amend>
          </display>
          <amend anum="0" ea="amend" pairid="5" style="1" owner="admin" level="1" amendtag="end">In collaboration with the Department of Health and Human Services the department  
            <ln numlevel="1" lineno="89" slineno="3-7"/>may cooperate with medical personnel to continue a medication assisted treatment plan  
            <ln numlevel="1" lineno="90" slineno="3-8"/>for an inmate who had an active medication assisted treatment plan within the last six  
            <ln numlevel="1" lineno="91" slineno="3-9"/>months before being committed to the custody of the department.
          </amend>
        </subsection>
        <subsection ssid="3-3" ea="amend" anum="0" owner="admin" style="1" numlevel="1" lineno="92" slineno="3-10" dnum="_-e:3-e">
          <display>
            <amend anum="0" ea="amend" pairid="33" style="1" owner="e" level="1" amendtag="start">(3)</amend>
          </display>
          <amend anum="0" ea="amend" pairid="8" style="1" owner="admin" level="1" amendtag="end">A medication used for a medication assisted treatment plan under Subsection (2):</amend>
          <subsection ssid="3-4" ea="amend" anum="0" owner="admin" style="1" numlevel="1" lineno="93" slineno="3-11" dnum="_-e:a-e">
            <display>
              <amend anum="0" ea="amend" pairid="34" style="1" owner="e" level="1" amendtag="start">(a)</amend>
            </display>
            <amend anum="0" ea="amend" pairid="10" style="1" owner="admin" level="1" amendtag="end">shall be an oral, short-acting medication unless the chief administrative officer or  
              <ln numlevel="1" lineno="94" slineno="3-12"/>other medical personnel who is familiar with the inmate's medication assisted  
              <ln numlevel="1" lineno="95" slineno="3-13"/>treatment plan determines that a long-acting, non-oral medication will provide a  
              <ln numlevel="1" lineno="96" slineno="3-14"/>greater benefit to the individual receiving treatment;
            </amend>
          </subsection>
          <subsection ssid="3-5" ea="amend" anum="0" owner="admin" style="1" numlevel="1" lineno="97" slineno="3-15" dnum="_-e:b-e">
            <display>
              <amend anum="0" ea="amend" pairid="35" style="1" owner="e" level="1" amendtag="start">(b)</amend>
            </display>
            <amend anum="0" ea="amend" pairid="13" style="1" owner="admin" level="1" amendtag="end">may be administered to an inmate under the direction of the chief administrative  
              <ln numlevel="1" lineno="98" slineno="3-16"/>officer of the correctional facility;
            </amend>
          </subsection>
          <subsection ssid="3-6" ea="amend" anum="0" owner="admin" style="1" numlevel="1" lineno="99" slineno="3-17" dnum="_-e:c-e">
            <display>
              <amend anum="0" ea="amend" pairid="36" style="1" owner="e" level="1" amendtag="start">(c)</amend>
            </display>
            <amend anum="0" ea="amend" pairid="16" style="1" owner="admin" level="1" amendtag="end">may, as funding permits, be paid for by the department or the Department of Health  
              <ln numlevel="1" lineno="100" slineno="3-18"/>and Human Services; and
            </amend>
          </subsection>
          <subsection ssid="3-7" ea="amend" anum="0" owner="admin" style="1" numlevel="1" lineno="101" slineno="3-19" dnum="_-e:d-e">
            <display>
              <amend anum="0" ea="amend" pairid="37" style="1" owner="e" level="1" amendtag="start">(d)</amend>
            </display>
            <amend anum="0" ea="amend" pairid="19" style="1" owner="admin" level="1" amendtag="end">may be left or stored at a correctional facility at the discretion of the chief  
              <ln numlevel="1" lineno="102" slineno="3-20"/>administrative officer of the correctional facility.
            </amend>
          </subsection>
        </subsection>
        <subsection ssid="3-8" ea="amend" anum="0" owner="admin" style="1" numlevel="1" lineno="103" slineno="3-21" dnum="_-e:4-e">
          <display>
            <amend anum="0" ea="amend" pairid="38" style="1" owner="e" level="1" amendtag="start">(4)</amend>
          </display>
          <amend anum="0" ea="amend" pairid="23" style="1" owner="admin" level="1" amendtag="end">Before November 30 each year, the Department of Health and Human Services shall  
            <ln numlevel="1" lineno="104" slineno="3-22"/>provide a report to the Health and Human Services Interim Committee that details, for  
            <ln numlevel="1" lineno="105" slineno="3-23"/>each category, the number of individuals in the custody of the department who, in the  
            <ln numlevel="1" lineno="106" slineno="3-24"/>preceding 12 months:
          </amend>
          <subsection ssid="3-9" ea="amend" anum="0" owner="admin" style="1" numlevel="1" lineno="107" slineno="3-25" dnum="_-e:a-e">
            <display>
              <amend anum="0" ea="amend" pairid="39" style="1" owner="e" level="1" amendtag="start">(a)</amend>
            </display>
            <amend anum="0" ea="amend" pairid="25" style="1" owner="admin" level="1" amendtag="end">had an active medication assisted treatment plan within the six months preceding  
              <ln numlevel="1" lineno="108" slineno="3-26"/>commitment to the custody of the department;
            </amend>
          </subsection>
          <subsection ssid="3-10" ea="amend" anum="0" owner="admin" style="1" numlevel="1" lineno="109" slineno="3-27" dnum="_-e:b-e">
            <display>
              <amend anum="0" ea="amend" pairid="40" style="1" owner="e" level="1" amendtag="start">(b)</amend>
            </display>
            <amend anum="0" ea="amend" pairid="28" style="1" owner="admin" level="1" amendtag="end">continued a medication assisted treatment plan following commitment to the custody  
              <ln numlevel="1" lineno="110" slineno="3-28"/>of the department; and
            </amend>
          </subsection>
          <subsection ssid="3-11" ea="amend" anum="0" owner="admin" style="1" numlevel="1" lineno="111" slineno="3-29" dnum="_-e:c-e">
            <display>
              <amend anum="0" ea="amend" pairid="41" style="1" owner="e" level="1" amendtag="start">(c)</amend>
            </display>
            <amend anum="0" ea="amend" pairid="31" style="1" owner="admin" level="1" amendtag="end">discontinued a medication assisted treatment plan prior to, at the time of, or after  
              <ln numlevel="1" lineno="112" slineno="3-30"/>commitment to the custody of the department and, as available, the type of  
              <ln numlevel="1" lineno="113" slineno="3-31"/>medication discontinued and the reason for the discontinuation.
            </amend>
          </subsection>
        </subsection>
      </section>
    </bsec>
    <bsec buid="4" type="uncod" untype="effdate" src="uncod" uid="EF0000" sort="UZEFF" numlevel="1" lineno="114" slineno="4-1" sn="4">
      <section type="uncod" untype="effdate" display="false" src="uncod">
        <secline lineno="114">Section 4.   
          <bold>Effective date.</bold>
        </secline>
        <sectionText>
          <amend anum="0" ea="amend" pairid="1" style="1" owner="admin" level="1" amendtag="both">
            <tab numlevel="1" lineno="115" slineno="4-2"/>This bill takes effect on May 1, 2024.
          </amend>
        </sectionText>
      </section>
    </bsec>
  </bdy>
  <foot>
    <rev/>
  </foot>
</leg>

