All Roll Calls
Yes: 106 • No: 1
UtahH.B. 152026 General SessionHouseWALLET
Medicaid Amendments
Sponsored By: Steve Eliason (Republican)
Signed by Governor
Health InsuranceHealth and Human ServicesDepartment of Health and Human ServicesMedicaidHomelessness
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Bill Overview
Analyzed Economic Effects
8 provisions identified: 3 benefits, 2 costs, 3 mixed.
More adults qualify for Medicaid, 12-month coverage
Beginning May 6, 2026, adults qualify for expansion Medicaid if income is under 133% of the federal poverty level. People authorized under state law can enroll. With federal approval, you can stay covered for up to 12 months at a time. If federal officials approve, Medicaid can also help with housing support for eligible enrollees. The state health department is authorized to run the expansion.
More hospital funding and stronger quality rules
Beginning May 6, 2026, the state adds $154 million to managed-care rates for hospital inpatient directed payments for long-standing Medicaid groups. It also uses extra funds, when available, to make directed inpatient and outpatient payments up to allowed maximums. The state adopts hospital quality measures from federal programs and can set different standards for rural or specialty hospitals, with penalties for not meeting them.
Expansion depends on federal match and budget
Beginning May 6, 2026, the state can close new expansion enrollment if funding is short or projected costs exceed the year’s appropriation. If the federal match for expansion falls below 90%, state authority to run expansion ends the day after the next General Session adjourns, and the department must start ending the waiver. Within 60 days of a match-drop determination, the department must send cost-cutting options to budget leaders. The department must also stop any program that would lower the expansion match rate. These steps aim to protect funding but can pause or end coverage.
Higher federal match and per-person funding option
Beginning May 6, 2026, the state seeks the highest possible federal match for expansion. If federal officials approve, the state can switch expansion to a per-person funding cap with inflation adjustments and category differences.
Medicaid managed care and integrated mental health
Beginning May 6, 2026, if you live in an area that uses Medicaid managed care plans, your expansion benefits run through those plans. In areas that choose it, your medical and mental health care are integrated under one system to improve coordination.
New rules and penalties for expansion enrollees
Beginning May 6, 2026, expansion adults follow a path to self-sufficiency that can include work activities. If your employer offers a private health plan, you must enroll in that plan. With federal approval, the state can limit presumptive eligibility. If approved, the state can lock you out of coverage for breaking program rules.
Private hospital assessments and reconciliation timing
Beginning May 6, 2026, private hospitals must pay an assessment to fund the hospital share. If collections in a year do not match the required share, the state applies the difference in the year it issues its report.
Health Coverage Improvement Program: priorities and rules
Beginning May 6, 2026, the program first serves people who are chronically homeless. If funding remains, it next covers justice-involved people who need treatment, then others needing treatment. With federal approval, enrollees can have a certification period up to 12 months. The income limit is set in the state budget and can change each year. Medicaid and this program must speed enrollment for people leaving prison or jail who had Medicaid before. If an enhancement waiver begins, the program stops new enrollments and moves members into that waiver within a year; it restarts if that waiver ends. Counties do not have to provide matching funds for new enrollees in this program.
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Sponsors & Cosponsors
Sponsor
Steve Eliason
Republican • House
Cosponsors
Keith Grover
Republican • Senate
Roll Call Votes
Senate vote • 3/6/2026
Senate/ passed 3rd reading
Yes: 27 • No: 0
Senate vote • 3/6/2026
Senate/ circled
Yes: 0 • No: 0
Senate vote • 3/6/2026
Senate/ uncircled
Yes: 0 • No: 0
House vote • 3/2/2026
Senate Comm - Favorable Recommendation
Yes: 4 • No: 0
House vote • 3/2/2026
Senate Comm - Consent Calendar Recommendation
Yes: 4 • No: 0
House vote • 2/24/2026
House/ passed 3rd reading
Yes: 63 • No: 1
House vote • 2/18/2026
House Comm - Favorable Recommendation
Yes: 8 • No: 0
Actions Timeline
Governor Signed
3/18/2026House/ to Governor
3/16/2026HouseHouse/ received enrolled bill from Printing
3/16/2026HouseHouse/ enrolled bill to Printing
3/12/2026HouseEnrolled Bill Returned to House or Senate
3/12/2026Draft of Enrolled Bill Prepared
3/10/2026Bill Received from House for Enrolling
3/10/2026House/ signed by Speaker/ sent for enrolling
3/6/2026HouseHouse/ received from Senate
3/6/2026HouseSenate/ to House
3/6/2026SenateSenate/ signed by President/ returned to House
3/6/2026SenateSenate/ passed 3rd reading
3/6/2026SenateSenate/ uncircled
3/6/2026SenateSenate/ circled
3/6/2026SenateSenate/ 3rd reading
3/6/2026SenateSenate/ 2nd reading
3/3/2026SenateSenate/ comm rpt/ placed on Consent Calendar
3/3/2026SenateSenate Comm - Consent Calendar Recommendation
3/2/2026Senate Comm - Favorable Recommendation
3/2/2026Senate/ to standing committee
2/26/2026SenateSenate/ 1st reading (Introduced)
2/25/2026SenateSenate/ received from House
2/24/2026SenateHouse/ to Senate
2/24/2026HouseHouse/ passed 3rd reading
2/24/2026HouseHouse/ 3rd reading
2/24/2026House
Bill Text
Enrolled
3/12/2026
Substitute #2
2/13/2026
Substitute #1
2/2/2026
Introduced
12/4/2025
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