All Roll Calls
Yes: 95 • No: 21
UtahH.B. 4712026 General SessionHouseWALLET
Social Services Amendments
Sponsored By: Logan Monson (Republican)
Signed by Governor
Health InsuranceHealth and Human ServicesPublic AssistanceDepartment of Workforce ServicesWorkforce ServicesDepartment of Health and Human ServicesMedicaid
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Bill Overview
Analyzed Economic Effects
7 provisions identified: 0 benefits, 5 costs, 2 mixed.
Tighter proof and more Medicaid reviews
Beginning January 1, 2027, the department may not rely on self‑attestation for income, residency, identity, or citizenship/immigration; it must verify these before enrollment, except where federal law requires otherwise. If you are in the expansion group, the state checks eligibility every six months; other groups are checked every 12 months. When the agency gets information that your situation may have changed, it promptly redetermines eligibility unless you have continuous eligibility.
Work rules for Medicaid expansion adults
Beginning January 1, 2027, adults ages 19–64 in Utah’s Medicaid expansion must meet work, training, education, or volunteer rules to get and keep coverage. You must show proof that you met the rules for the month before you apply. The department verifies this using wage records, workforce data, school or training enrollment, or verified volunteer records, not just your statement. Exemptions require proof; managed care plans cannot grant them. The department can give a temporary exemption for medically frail or special‑needs cases while it verifies with records or a provider’s statement.
Citizenship limits and new Medicaid checks
Beginning October 1, 2026, the state provides medical assistance only to “qualified citizens,” except where federal law requires coverage. The department counts income from ineligible household members in financial eligibility where federal law allows. Presumptive eligibility forms must include immigration status, and approvals require you to attest you are a qualified citizen. The department also runs regular checks against federal immigration databases like SAVE.
Shorter retroactive Medicaid coverage
Beginning January 1, 2027, if you are in the expansion group, retroactive coverage is limited to one month before the month you file a complete first application. For traditional Medicaid groups, retroactive coverage is limited to two months before the month you file a complete first application. These limits apply only to initial applications, not ongoing coverage.
Stricter SNAP status and waiver rules
Starting May 6, 2026, you can get SNAP only if you are a U.S. resident and meet allowed citizenship or immigration categories. The department must get documents to prove status; if you lack papers, it verifies through the SAVE system. The state cannot seek a federal waiver of SNAP work rules unless the Legislature and Governor approve it. If USDA approves, the state must also count an ineligible alien’s income and resources in SNAP eligibility and benefit calculations.
Cross-state checks for duplicate Medicaid
Starting January 1, 2027, the state checks returned mail, the National Change of Address file, health plan reports, and out‑of‑state EBT transactions against Medicaid files to spot people who moved. The department acts on likely residency changes. No later than October 1, 2029, the state also sends monthly enrollment data to a federal database to find people enrolled in two states at once. These checks can protect program integrity and may also lead to disenrollment if you have moved or have coverage in another state.
Medicaid removes deceased enrollees, recoups money
Starting May 6, 2026, the state checks Social Security and vital records at least every quarter to find deceased Medicaid enrollees. It stops payments after the date of death and seeks to recover any payments made after death. The Office of Inspector General conducts periodic reviews to ensure compliance.
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Sponsors & Cosponsors
Sponsor
Logan Monson
Republican • House
Cosponsors
Keven J. Stratton
Republican • Senate
Roll Call Votes
Senate vote • 3/4/2026
Senate/ passed 2nd & 3rd readings/ suspension
Yes: 20 • No: 5
House vote • 3/2/2026
Senate Comm - Favorable Recommendation
Yes: 5 • No: 0
House vote • 2/24/2026
House/ floor amendment
Yes: 0 • No: 0
House vote • 2/24/2026
House/ passed 3rd reading
Yes: 55 • No: 13
House vote • 2/18/2026
House Comm - Amendment Recommendation
Yes: 9 • No: 0
House vote • 2/18/2026
House Comm - Favorable Recommendation
Yes: 6 • No: 3
Actions Timeline
Governor Signed
3/24/2026House/ to Governor
3/11/2026HouseHouse/ received enrolled bill from Printing
3/11/2026HouseHouse/ enrolled bill to Printing
3/7/2026HouseEnrolled Bill Returned to House or Senate
3/7/2026Draft of Enrolled Bill Prepared
3/6/2026Bill Received from House for Enrolling
3/6/2026House/ signed by Speaker/ sent for enrolling
3/4/2026HouseHouse/ received from Senate
3/4/2026HouseSenate/ to House
3/4/2026SenateSenate/ signed by President/ returned to House
3/4/2026SenateSenate/ passed 2nd & 3rd readings/ suspension
3/4/2026SenateSenate/ 2nd & 3rd readings/ suspension
3/4/2026SenateSenate/ placed on 2nd Reading Calendar
3/3/2026SenateSenate/ committee report favorable
3/3/2026SenateSenate 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/ floor amendment
2/24/2026HouseHouse/ 3rd reading
2/24/2026HouseHouse/ 2nd reading
2/19/2026HouseHouse/ comm rpt/ amended
2/19/2026House
Bill Text
Enrolled
3/7/2026
Amended 2/24/2026 15:02:950
2/24/2026
Amended 2/19/2026 09:02:557
2/19/2026
Substitute #1
2/17/2026
Introduced
2/3/2026
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