# Utah H.B. 15: Medicaid Amendments Utah H.B. 15, Medicaid Amendments, is a 2026 General Session House bill sponsored by Steve Eliason (Republican); status signed, last action 2026-03-18 (Governor Signed); PRIA reads it as touching household money (as of 2026-10-14). - Canonical: https://policyrisk.com/state-bill/UT-HB15-2026GS - As of: 2026-10-14 - Plain-text twin of the page above; the HTML and this file carry the same facts. ## Facts - Bill: Utah H.B. 15 - State: Utah - Session: 2026 General Session - Title: Medicaid Amendments - Status: signed - Chamber: House - Introduced: 2025-12-04 - Last action: 2026-03-18, Governor Signed - Sponsor: Steve Eliason (Republican) - Cosponsors: 1 - Subjects: Health Insurance, Health and Human Services, Department of Health and Human Services, Medicaid, Homelessness - Touches household money: yes - Roll calls: 7 (106 yes, 1 no in all) - Economic provisions PRIA read: 9 ## Summary No summary available. ## Bill overview: provisions PRIA read - More low-income adults qualify for Medicaid: benefit, high. Beginning May 6, 2026, Utah raises the Medicaid expansion income limit from 95% to below 133% of the federal poverty level. Applicants must also meet the program's other eligibility requirements. Medicaid must cover people authorized to enroll under state law Sections 26B-3-113 or 26B-3-210. The he… - Housing help for Medicaid expansion enrollees: benefit, medium. Beginning May 6, 2026, Utah can use federal Medicaid money for housing support with federal approval. This help is limited to Medicaid expansion enrollees eligible for housing support. The law does not set the amount or type of help. - Longer coverage periods for Medicaid enrollees: benefit, medium. Beginning May 6, 2026, federal approval allows Medicaid expansion and Health Coverage Improvement Program coverage periods of up to 12 months. The health department sets the period's length within that limit. For improvement program enrollees, specified income-limit and eligibility-rule changes do… - Federal funding cuts end expansion authority: cost, high. Beginning May 6, 2026, Utah's expansion authority ends if the federal expansion matching rate falls below 90%. Authority ends the day after the next General Legislative Session following that reduction adjourns for good. On that day, the health department must begin ending the expansion waiver and… - Medicaid funding gaps can trigger cuts: cost, medium. Beginning May 6, 2026, the health department can cut optional Medicaid services when expansion costs exceed the listed available funds. Enrollees using affected services can lose access to them. The department can put resulting savings into the Medicaid ACA Fund. It can also seek federal waivers ne… - New limits on Medicaid expansion access: cost, medium. Beginning May 6, 2026, Utah can impose Medicaid expansion lockouts for violations of department-defined program rules, with federal approval. The law does not set the lockout length. With federal approval, the department can also limit when qualified organizations grant temporary coverage while ful… - Medicaid hospital payments face funding limits: cost, low. Beginning May 6, 2026, certain directed Medicaid hospital payments are limited to available funds. Inpatient and outpatient amounts use submitted care records for the covered Medicaid groups. They reflect the gap between managed-care plan payments and the maximum payable amounts. The payment-limit… - Medicaid funding backstop requires agency cuts: mixed, medium. Beginning May 6, 2026, Utah must fund expansion's state share entirely through the Medicaid ACA Fund, county contributions, or nonstate-agency sources. With federal approval, Utah can use a per-person federal funding cap that adjusts yearly for inflation and enrollee-group costs. A projected curren… - Program closures protect Medicaid federal funding: mixed, low. Beginning May 6, 2026, the health department must end or leave a program when doing so prevents an expansion matching-rate cut. The program must receive less than $50 million in state funds yearly and be easy to end without disrupting other programs. It must cause the rate reduction, and ending dep… ## Sponsors and cosponsors - Sponsor: Steve Eliason (Republican), House - Cosponsor: Keith Grover (Republican), Senate ## Roll call votes | Date | Chamber | Motion | Result | Yes | No | Other | | --- | --- | --- | --- | --- | --- | --- | | 2026-03-06 | Senate | Senate/ passed 3rd reading | pass | 27 | 0 | | | 2026-03-06 | Senate | Senate/ circled | fail | 0 | 0 | | | 2026-03-06 | Senate | Senate/ uncircled | fail | 0 | 0 | | | 2026-03-02 | Senate | Senate Comm - Favorable Recommendation | pass | 4 | 0 | | | 2026-03-02 | Senate | Senate Comm - Consent Calendar Recommendation | pass | 4 | 0 | | | 2026-02-24 | House | House/ passed 3rd reading | pass | 63 | 1 | | | 2026-02-18 | House | House Comm - Favorable Recommendation | pass | 8 | 0 | | ## Actions (34) - 2026-03-18: Governor Signed - 2026-03-16: House/ to Governor (House) - 2026-03-16: House/ received enrolled bill from Printing (House) - 2026-03-12: House/ enrolled bill to Printing (House) - 2026-03-12: Enrolled Bill Returned to House or Senate - 2026-03-10: Draft of Enrolled Bill Prepared - 2026-03-10: Bill Received from House for Enrolling - 2026-03-06: House/ signed by Speaker/ sent for enrolling (House) - 2026-03-06: House/ received from Senate (House) - 2026-03-06: Senate/ to House (Senate) - 2026-03-06: Senate/ signed by President/ returned to House (Senate) - 2026-03-06: Senate/ passed 3rd reading (Senate) - 2026-03-06: Senate/ uncircled (Senate) - 2026-03-06: Senate/ circled (Senate) - 2026-03-06: Senate/ 3rd reading (Senate) - 2026-03-03: Senate/ 2nd reading (Senate) - 2026-03-03: Senate/ comm rpt/ placed on Consent Calendar (Senate) - 2026-03-02: Senate Comm - Consent Calendar Recommendation - 2026-03-02: Senate Comm - Favorable Recommendation - 2026-02-26: Senate/ to standing committee (Senate) - 2026-02-25: Senate/ 1st reading (Introduced) (Senate) - 2026-02-24: Senate/ received from House (Senate) - 2026-02-24: House/ to Senate (House) - 2026-02-24: House/ passed 3rd reading (House) - 2026-02-24: House/ 3rd reading (House) - 2026-02-18: House/ 2nd reading (House) - 2026-02-18: House/ committee report favorable (House) - 2026-02-18: House Comm - Favorable Recommendation - 2026-02-13: House/ to standing committee (House) - 2026-02-13: Bill Substituted by Sponsor in House Rules Comm - 2026-01-20: House/ 1st reading (Introduced) (House) - 2026-01-20: House/ received fiscal note from Fiscal Analyst (House) - 2026-01-14: House/ received bill from Legislative Research (House) - 2025-12-04: Numbered Bill Publicly Distributed ## Bill text - Enrolled, 2026-03-12: [PDF](https://le.utah.gov/Session/2026/bills/enrolled/HB0015.pdf) - Substitute #2, 2026-02-13: [PDF](https://le.utah.gov/Session/2026/bills/introduced/HB0015S02.pdf) - Substitute #1, 2026-02-02: [PDF](https://le.utah.gov/Session/2026/bills/introduced/HB0015S01.pdf) - Introduced, 2025-12-04: [PDF](https://le.utah.gov/Session/2026/bills/introduced/HB0015.pdf) ## Related bills - H.B. 94: Criminal Accounts Receivable Amendments (signed) - H.B. 101: Firearm Background Check Amendments (signed) - H.B. 178: School Zone Speeding Amendments (signed) - H.B. 134: Offender Transfer Amendments (signed) - H.B. 136: Unlicensed Driver Amendments (signed) - H.B. 220: Public Safety Data Amendments (signed) ## Sources - [Enrolled (PDF)](https://le.utah.gov/Session/2026/bills/enrolled/HB0015.pdf) - [Substitute #2 (PDF)](https://le.utah.gov/Session/2026/bills/introduced/HB0015S02.pdf) - [Substitute #1 (PDF)](https://le.utah.gov/Session/2026/bills/introduced/HB0015S01.pdf) - [Introduced (PDF)](https://le.utah.gov/Session/2026/bills/introduced/HB0015.pdf) ## Related - [H.B. 94: Criminal Accounts Receivable Amendments](https://policyrisk.com/state-bill/UT-HB94-2026GS) - [H.B. 101: Firearm Background Check Amendments](https://policyrisk.com/state-bill/UT-HB101-2026GS) - [H.B. 178: School Zone Speeding Amendments](https://policyrisk.com/state-bill/UT-HB178-2026GS) - [H.B. 134: Offender Transfer Amendments](https://policyrisk.com/state-bill/UT-HB134-2026GS) - [H.B. 136: Unlicensed Driver Amendments](https://policyrisk.com/state-bill/UT-HB136-2026GS) - [H.B. 220: Public Safety Data Amendments](https://policyrisk.com/state-bill/UT-HB220-2026GS) - [Utah bills](https://policyrisk.com/states/utah/bills) - [Utah state hub](https://policyrisk.com/states/utah) - [All state legislation](https://policyrisk.com/state-bills) Source: PRIA, https://policyrisk.com/state-bill/UT-HB15-2026GS (as of 2026-10-14).