All Roll Calls
Yes: 141 • No: 1
UtahH.B. 1222026 General SessionHouseWALLET
Pregnant and Postpartum Inmate Amendments
Sponsored By: Candice B. Pierucci (Republican)
Signed by Governor
Substance AbuseHealth CareDepartment of CorrectionsLaw Enforcement and Criminal JusticeInmatesCorrectional Facilities
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Bill Overview
Analyzed Economic Effects
6 provisions identified: 3 benefits, 0 costs, 3 mixed.
Required medical and addiction care in jail
Beginning May 6, 2026, county jails must give needed medical care when a serious illness or injury can be helped and delay risks harm. The sheriff must keep medication‑assisted treatment going for people who were on MAT before arrest, and medicines are given as prescribed. Each person is screened for substance use within 30 days using an evidence‑based tool, and results guide treatment. Health providers may tell booking staff if someone is medically cleared for jail and must give it in writing if asked.
Birth control and pregnancy care in jail
Beginning May 6, 2026, jails offer inmates the option to keep using prescribed birth control at intake (pills, shots, patch, or ring). An IUD is offered to continue only if it was prescribed earlier because other methods caused serious, lasting side effects. Jails must offer a pregnancy test to females under 50 held more than 72 hours; they can decline. The state health department pays for the jail’s contraceptive continuation services instead of the county.
Stronger jail and prison reporting
Beginning May 6, 2026, the Department of Corrections files a yearly report by June 15 on deaths, pregnancy, restraints, treatment policies, parents of minors, and transgender placements. The state commission compiles DOC and county jail data, removes identifying details as required by law, and sends it to legislative committees and the protection and advocacy agency by November 1. County jails also send yearly data, or let the commission access it under an MOU that protects active investigations. Before releasing an accessed‑data report, the commission must first give the jail and any named arresting agency four weeks to approve or publish a response.
Gender dysphoria care rules in jail
Beginning May 6, 2026, sheriffs may provide psychotherapy and other mental health care for gender dysphoria in jail. Sheriffs may not start cross‑sex hormone treatment or sex‑characteristic surgeries while someone is in custody. The rule allows mental health treatment but limits starting certain medical procedures.
Jail intake rules and alternative programs
Beginning May 6, 2026, sheriffs must have written jail admission and classification rules that separate by gender and other safety factors and apply evenly. Sheriffs may run alternative incarceration programs only when the jail is at maximum operating capacity or a court orders it; people in these programs stay under full sheriff custody. When a county hires a private contractor for required services, the sheriff only has to perform the tasks listed in the contract. The law also clarifies that people in DOC custody housed in a county jail at DOC’s request count as inmates.
Transgender inmate housing rules and reviews
Beginning May 6, 2026, prisons and county jails may not house people born male with people born female, or the reverse, unless a detailed, low‑risk security review allows it. The review must consider anatomy, criminal history, behavior in custody, staff safety, and health and reentry risks, and document how safety is met. If placed in a different‑sex area, the jail must reassess after any security incident and at set intervals, and must reassign if low‑risk conditions are no longer met. County jails must follow state prison rules for these living‑area assignments and reporting.
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Sponsors & Cosponsors
Sponsor
Candice B. Pierucci
Republican • House
Cosponsors
Heidi Balderree
Republican • Senate
Roll Call Votes
Senate vote • 2/20/2026
Senate/ passed 3rd reading
Yes: 25 • No: 0
Senate vote • 2/19/2026
Senate/ passed 2nd reading
Yes: 25 • No: 0
Senate vote • 2/19/2026
Senate/ uncircled
Yes: 0 • No: 0
Senate vote • 2/19/2026
Senate/ circled
Yes: 0 • No: 0
House vote • 2/17/2026
Senate Comm - Favorable Recommendation
Yes: 5 • No: 0
House vote • 2/10/2026
House/ passed 3rd reading
Yes: 66 • No: 1
House vote • 2/2/2026
House Comm - Amendment Recommendation
Yes: 10 • No: 0
House vote • 2/2/2026
House Comm - Favorable Recommendation
Yes: 10 • No: 0
Actions Timeline
Governor Signed
3/26/2026House/ to Governor
3/3/2026HouseHouse/ received enrolled bill from Printing
3/3/2026HouseHouse/ enrolled bill to Printing
2/25/2026HouseEnrolled Bill Returned to House or Senate
2/25/2026Draft of Enrolled Bill Prepared
2/24/2026Bill Received from House for Enrolling
2/24/2026House/ signed by Speaker/ sent for enrolling
2/20/2026HouseHouse/ received from Senate
2/20/2026HouseSenate/ to House
2/20/2026SenateSenate/ signed by President/ returned to House
2/20/2026SenateSenate/ passed 3rd reading
2/20/2026SenateSenate/ 3rd reading
2/20/2026SenateSenate/ passed 2nd reading
2/19/2026SenateSenate/ uncircled
2/19/2026SenateSenate/ circled
2/19/2026SenateSenate/ 2nd reading
2/19/2026SenateSenate/ placed on 2nd Reading Calendar
2/17/2026SenateSenate/ committee report favorable
2/17/2026SenateSenate Comm - Favorable Recommendation
2/17/2026Senate/ to standing committee
2/13/2026SenateSenate/ 1st reading (Introduced)
2/12/2026SenateSenate/ received from House
2/11/2026SenateHouse/ to Senate
2/10/2026HouseHouse/ passed 3rd reading
2/10/2026House
Bill Text
Enrolled
2/25/2026
Amended 2/3/2026 10:02:62
2/3/2026
Introduced
12/30/2025
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