All Roll Calls
Yes: 188 • No: 2
UtahH.B. 5662026 General SessionHouseWALLET
Health Care Transparency Amendments
Sponsored By: Katy Hall (Republican)
Signed by Governor
Health InsuranceBusinessHealth and Human ServicesHealth CareContracts and ObligationsAdministrative Rulemaking and ProceduresDepartment of Health and Human ServicesMedicaidNew Rulemaking Authority
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Bill Overview
Analyzed Economic Effects
4 provisions identified: 4 benefits, 0 costs, 0 mixed.
CMS filings and yearly Medicaid reports go public
Beginning May 6, 2026, any managed care plan that sends reports to CMS must send the same to Utah within 30 days. The division posts them within 30 days in searchable, machine-readable form and removes protected health information. Plans must certify in writing that their submissions are accurate and complete. The division publishes a yearly managed care report by November 1 and sends it to legislative committees. These materials are public records, with only limited commercial or nonindividual financial items redacted. The department writes rules to carry out these steps.
Quarterly checks and repayment of improper payments
Beginning May 6, 2026, risk contractors and subcontractors must, every quarter, find and document all improper payments, analyze root causes, and make fixes. They must repay improper payments within 30 days after the related report is due. They must file a quarterly report with the division. The department posts these reports unless posting would disrupt an active OIG or Medicaid Fraud Control Unit investigation. The department sets report due dates and sanctions for failures to repay by rule.
Stronger penalties for noncompliant Medicaid plans
Beginning May 6, 2026, all managed care contracts must require plans to follow the transparency rules, with state sanctions if they do not. If a plan is terminated from Medicaid, it cannot get a new Utah contract for five years. A plan may return sooner only if it gives a written explanation of the fixes it made to meet the transparency rules.
Utah Medicaid plan dashboard goes public
Beginning December 31, 2026, the Medicaid division runs a public dashboard for each managed care plan. It shows quarterly data from January 1, 2023, through September 30, 2026, and updates over time. It lists service counts, types of spending, ER use, payments to subcontractors and related parties, drug spending by ingredient, and how many enrollees had no claims. Data are searchable, machine-readable, and downloadable. The division deidentifies the data before posting.
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Sponsors & Cosponsors
Sponsor
Katy Hall
Republican • House
Cosponsors
Chris H. Wilson
Republican • Senate
Roll Call Votes
House vote • 3/5/2026
House/ concurs with Senate amendment
Yes: 68 • No: 1
Senate vote • 3/4/2026
Senate/ passed 2nd & 3rd readings/ suspension
Yes: 25 • No: 0
House vote • 3/3/2026
Senate Comm - Substitute Recommendation
Yes: 7 • No: 0
House vote • 3/3/2026
Senate Comm - Favorable Recommendation
Yes: 7 • No: 0
House vote • 2/27/2026
House/ passed 3rd reading
Yes: 61 • No: 1
House vote • 2/27/2026
House/ substituted
Yes: 0 • No: 0
House vote • 2/24/2026
House Comm - Substitute Recommendation
Yes: 10 • No: 0
House vote • 2/24/2026
House Comm - Favorable Recommendation
Yes: 10 • No: 0
Actions Timeline
Governor Signed
3/18/2026House/ to Governor
3/12/2026HouseHouse/ received enrolled bill from Printing
3/12/2026HouseHouse/ 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
3/5/2026HouseHouse/ received from Senate
3/5/2026HouseSenate/ to House
3/5/2026SenateSenate/ signed by President/ returned to House
3/5/2026SenateSenate/ received from House
3/5/2026SenateHouse/ to Senate
3/5/2026HouseHouse/ concurs with Senate amendment
3/5/2026HouseHouse/ placed on Concurrence Calendar
3/4/2026HouseHouse/ received from Senate
3/4/2026HouseSenate/ to House with amendments
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/ comm rpt/ substituted
3/3/2026SenateSenate Comm - Favorable Recommendation
3/3/2026Senate Comm - Substitute Recommendation
3/3/2026Senate/ to standing committee
3/2/2026SenateSenate/ 1st reading (Introduced)
3/2/2026Senate
Bill Text
Enrolled
3/7/2026
Substitute #3
3/3/2026
Substitute #2
2/27/2026
Substitute #1
2/24/2026
Introduced
2/16/2026
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