All Roll Calls
Yes: 146 • No: 4
UtahH.B. 1992026 General SessionHouseWALLET
Health Data Amendments
Sponsored By: Norman K Thurston (Republican)
Signed by Governor
Substance AbuseHealth and Human ServicesMental HealthLegislative OperationsSunsets and RepealersHealth Care StatisticsDepartment of Health and Human ServicesLocal Health DepartmentsLocal Mental Health AuthoritiesLocal Substance Abuse AuthoritiesPublic Health
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Bill Overview
Analyzed Economic Effects
15 provisions identified: 4 benefits, 7 costs, 4 mixed.
Children’s coverage program ends July 2025
The Children’s Health Care Coverage Program is repealed on July 1, 2025. Families lose this program’s legal authority and any benefits tied to it on that date.
Hospital assessments and health funds sunset
The hospital provider assessment ends July 1, 2028. The inpatient and Medicaid expansion hospital assessments end July 1, 2034. The Medicaid ACA Fund is repealed July 1, 2034 and the Alternative Eligibility Expendable Revenue Fund is repealed July 1, 2028. The Brain and Spinal Cord Injury Fund is repealed July 1, 2029. These changes alter how Utah finances Medicaid and related health programs, which can affect hospital payments and coverage.
Stronger privacy and opt-out for health data
Beginning May 6, 2026, the department must encrypt identifiable health data when stored and when sent. It keeps this data strictly confidential and bans any attempt to identify people from shared data. You can opt out. If you opt out, the department may not use or share your identifiable data, even past data. The department must use the least personal data needed, may use direct identifiers only for narrow tasks, and may not share any part of your Social Security number.
Stronger privacy rules for health data
The department may share identifiable data only with the immunization system, the Utah Cancer Registry, or the state medical examiner. Other sharing with local health entities must exclude direct identifiers. Anyone who gets identifiable data must use HIPAA‑level safeguards, get approval for any re‑sharing, and usually share only by control number. Recipients must delete data when the allowed period ends or they no longer need it. If you opt out, recipients must delete your identifiable data. Substance use records marked as Part 2 are protected under federal Part 2 rules.
Public plans to guide health data work
Beginning May 6, 2026, the department must publish three plans: a strategic plan, a data management plan, and a data analytics and sharing plan. The plans set what data is needed, from whom, in what format, and how it is checked and shared while preventing reidentification. The law directs data use to improve access, choice, quality, costs, and public health. It also updates definitions to clarify who and what is covered.
Health advisory councils set to end
Several statewide health advisory bodies are repealed on future dates. These include the Digital Health Service Commission (July 1, 2025), the Primary Care Grant Committee (statute removed July 1, 2035, and related references repealed), the Health Data Committee (July 1, 2036), the Brain and Spinal Cord Injury Advisory Committee (July 1, 2029), the Health Workforce Advisory Council (July 1, 2027), and the Coordinating Council for Persons with Disabilities (July 1, 2027). The Utah Health Data Authority also sunsets on July 1, 2036. These changes reduce formal, statutory advice and oversight roles.
Behavioral health and crisis programs sunset
The law schedules the end of many behavioral health and mobile crisis provisions between 2024 and 2033. It also removes a requirement to consult the Behavioral Health Crisis Response Committee on December 31, 2026. These changes can reduce grants, services, and coordination for people who use crisis and behavioral health programs.
Youth and child health programs end
The state ends several youth and child health efforts on set dates. The Youth Prevention Committee and program end July 1, 2030, and related statutory references are removed. The Early Childhood Utah Advisory Council ends July 1, 2029. The Newborn Hearing Screening Committee ends July 1, 2026. The CHAT adolescent prevention pilot ends July 1, 2029. The child care drinking water quality statute ends July 1, 2027.
New reporting and data fees for health payers
After it adopts its plan, the department can require data suppliers such as payers and providers to submit fee schedules, discounts, capitations, and contract terms, as federal law allows. It may not publish data that reveals the exact terms of a current contract between a single provider and a single payer. The department can charge people or companies who use its data to help cover collection costs. These rules take effect May 6, 2026.
Medicaid drug review board ends 2027
On July 1, 2027, the state repeals the Drug Utilization Review board and related rules. This changes how Medicaid reviews and approves medicines, prior approvals, and pharmacy oversight.
State builds claims database for prices
The department, as funding allows, creates an All Payer Claims Database to collect cost and claims data. It shares data with the Insurance Department for risk adjustment and rate review. It reports where prices are higher and flags increases above CPI Medical (measured June to June). It sends monthly enrollment data to a nonprofit coalition, publishes air ambulance charges, and supports the state auditor’s price tool. It restricts publishing so specific contract terms are not revealed. The law takes effect May 6, 2026.
New rules for health data suppliers
The department must make formal rules when the law requires action by people outside the department. If a data request would cost a supplier too much, the department must try to change it or pay the unreasonable costs. A supplier is not liable if an authorized recipient later causes a breach.
Grants and reimbursements end for care
The state ends several payment supports. Reimbursement for a diabetes prevention program ends June 30, 2027. A dental hygienist reimbursement clause ends July 1, 2028. The Rare Disease Advisory Council grant program ends July 1, 2026. People and providers who used these payments may lose that support after those dates.
Hepatitis C outreach pilot ends 2028
The Hepatitis C Outreach Pilot Program ends on July 1, 2028. People who relied on that outreach may lose those resources after that date.
Rural doctor training program ends 2025
The rural residency training program is repealed on July 1, 2025. Ending the program may reduce rural training slots and affect the clinician pipeline.
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Sponsors & Cosponsors
Sponsor
Norman K Thurston
Republican • House
Cosponsors
Kirk A. Cullimore
Republican • Senate
Roll Call Votes
Senate vote • 2/12/2026
Senate/ passed 3rd reading
Yes: 29 • No: 0
Senate vote • 2/11/2026
Senate/ uncircled
Yes: 0 • No: 0
Senate vote • 2/11/2026
Senate/ passed 2nd reading
Yes: 28 • No: 0
Senate vote • 2/5/2026
Senate/ circled
Yes: 0 • No: 0
House vote • 2/3/2026
Senate Comm - Favorable Recommendation
Yes: 5 • No: 0
House vote • 1/29/2026
House/ passed 3rd reading
Yes: 70 • No: 1
House vote • 1/29/2026
House/ substituted
Yes: 0 • No: 0
House vote • 1/22/2026
House Comm - Amendment Recommendation
Yes: 9 • No: 0
House vote • 1/22/2026
House Comm - Favorable Recommendation
Yes: 5 • No: 3
Actions Timeline
Governor Signed
3/17/2026House/ to Governor
3/12/2026HouseHouse/ received enrolled bill from Printing
3/12/2026HouseHouse/ enrolled bill to Printing
3/5/2026HouseEnrolled Bill Returned to House or Senate
3/5/2026Draft of Enrolled Bill Prepared
2/17/2026Bill Received from House for Enrolling
2/17/2026House/ signed by Speaker/ sent for enrolling
2/17/2026HouseHouse/ received from Senate
2/17/2026HouseSenate/ to House
2/12/2026SenateSenate/ signed by President/ returned to House
2/12/2026SenateSenate/ passed 3rd reading
2/12/2026SenateSenate/ 3rd reading
2/12/2026SenateSenate/ passed 2nd reading
2/11/2026SenateSenate/ uncircled
2/11/2026SenateSenate/ circled
2/5/2026SenateSenate/ 2nd reading
2/5/2026SenateSenate/ placed on 2nd Reading Calendar
2/4/2026SenateSenate/ committee report favorable
2/4/2026SenateSenate Comm - Favorable Recommendation
2/3/2026Senate/ to standing committee
2/3/2026SenateSenate/ 1st reading (Introduced)
1/30/2026SenateSenate/ received from House
1/29/2026SenateHouse/ to Senate
1/29/2026HouseHouse/ passed 3rd reading
1/29/2026House
Bill Text
Enrolled
3/5/2026
Substitute #1
1/27/2026
Amended 1/23/2026 11:01:847
1/23/2026
Introduced
1/8/2026
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