# Utah H.B. 321: Inmate Medical Treatment Rates Amendments

Utah H.B. 321, Inmate Medical Treatment Rates Amendments, is a 2026 General Session House bill sponsored by Doug Fiefia (Republican); status signed, last action 2026-03-19 (Governor Signed) (as of 2026-10-19).

- Canonical: https://policyrisk.com/state-bill/UT-HB321-2026GS
- As of: 2026-10-19
- Plain-text twin of the page above; the HTML and this file carry the same facts.

## Facts
- Bill: Utah H.B. 321
- State: Utah
- Session: 2026 General Session
- Title: Inmate Medical Treatment Rates Amendments
- Status: signed
- Chamber: House
- Introduced: 2026-01-22
- Last action: 2026-03-19, Governor Signed
- Sponsor: Doug Fiefia (Republican)
- Cosponsors: 1
- Subjects: Health Insurance, Health and Human Services, Health Care, Law Enforcement and Criminal Justice, Inmates, Department of Health and Human Services
- Touches household money: no
- Roll calls: 8 (122 yes, 4 no in all)
- Economic provisions PRIA read: 1

## Summary

No summary available.

## Bill overview: provisions PRIA read

- New funding rules for inmate health care: mixed, low. Beginning May 6, 2026, Utah's health department pays Medicare rates for inmate outpatient care provided by University of Utah Hospitals and Clinics and the university's physician groups. A new restricted account within the General Fund receives 50% of correctional health savings carried forward; th…

## Sponsors and cosponsors

- Sponsor: Doug Fiefia (Republican), House
- Cosponsor: Keven J. Stratton (Republican), Senate

## Roll call votes

| Date | Chamber | Motion | Result | Yes | No | Other |
| --- | --- | --- | --- | --- | --- | --- |
| 2026-03-06 | Senate | Senate/ passed 2nd & 3rd readings/ suspension | pass | 28 | 0 |   |
| 2026-03-02 | Senate | Senate Comm - Favorable Recommendation | pass | 5 | 0 |   |
| 2026-02-25 | House | House/ uncircled | fail | 0 | 0 |   |
| 2026-02-25 | House | House/ passed 3rd reading | pass | 69 | 0 |   |
| 2026-02-23 | House | House/ circled | fail | 0 | 0 |   |
| 2026-02-17 | House | House Comm - Favorable Recommendation | pass | 7 | 0 |   |
| 2026-02-17 | House | House Comm - Substitute Recommendation | pass | 7 | 0 |   |
| 2026-02-12 | House | House Comm - Held | pass | 6 | 4 |   |

## Actions (37)

- 2026-03-19: 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 2nd & 3rd readings/ suspension (Senate)
- 2026-03-06: Senate/ 2nd & 3rd readings/ suspension (Senate)
- 2026-03-05: Senate/ Rules to 2nd Reading Calendar (Senate)
- 2026-03-04: Senate/ 2nd Reading Calendar to Rules (Senate)
- 2026-03-03: Senate/ placed on 2nd Reading Calendar (Senate)
- 2026-03-03: Senate/ committee report favorable (Senate)
- 2026-03-02: Senate Comm - Favorable Recommendation
- 2026-02-27: Senate/ to standing committee (Senate)
- 2026-02-26: Senate/ 1st reading (Introduced) (Senate)
- 2026-02-25: Senate/ received from House (Senate)
- 2026-02-25: House/ to Senate (House)
- 2026-02-25: House/ passed 3rd reading (House)
- 2026-02-25: House/ uncircled (House)
- 2026-02-23: House/ circled (House)
- 2026-02-23: House/ 3rd reading (House)
- 2026-02-17: House/ 2nd reading (House)
- 2026-02-17: House/ comm rpt/ substituted (House)
- 2026-02-17: House Comm - Favorable Recommendation
- 2026-02-17: House Comm - Substitute Recommendation
- 2026-02-12: House Comm - Held
- 2026-02-11: House/ to standing committee (House)
- 2026-02-11: Bill Substituted by Sponsor in House Rules Comm
- 2026-01-30: House/ received fiscal note from Fiscal Analyst (House)
- 2026-01-22: House/ 1st reading (Introduced) (House)
- 2026-01-22: House/ received bill from Legislative Research (House)
- 2026-01-22: Numbered Bill Publicly Distributed

## Bill text

- Enrolled, 2026-03-12: [PDF](https://le.utah.gov/Session/2026/bills/enrolled/HB0321.pdf)
- Substitute #2, 2026-02-13: [PDF](https://le.utah.gov/Session/2026/bills/introduced/HB0321S02.pdf)
- Substitute #1, 2026-02-02: [PDF](https://le.utah.gov/Session/2026/bills/introduced/HB0321S01.pdf)
- Introduced, 2026-01-22: [PDF](https://le.utah.gov/Session/2026/bills/introduced/HB0321.pdf)

## Related bills

- H.B. 136: Unlicensed Driver Amendments (signed)
- H.B. 101: Firearm Background Check Amendments (signed)
- H.B. 134: Offender Transfer Amendments (signed)
- H.B. 178: School Zone Speeding Amendments (signed)
- H.B. 94: Criminal Accounts Receivable Amendments (signed)
- H.B. 220: Public Safety Data Amendments (signed)

## Sources
- [Enrolled (PDF)](https://le.utah.gov/Session/2026/bills/enrolled/HB0321.pdf)
- [Substitute #2 (PDF)](https://le.utah.gov/Session/2026/bills/introduced/HB0321S02.pdf)
- [Substitute #1 (PDF)](https://le.utah.gov/Session/2026/bills/introduced/HB0321S01.pdf)
- [Introduced (PDF)](https://le.utah.gov/Session/2026/bills/introduced/HB0321.pdf)

## Related
- [H.B. 136: Unlicensed Driver Amendments](https://policyrisk.com/state-bill/UT-HB136-2026GS)
- [H.B. 101: Firearm Background Check Amendments](https://policyrisk.com/state-bill/UT-HB101-2026GS)
- [H.B. 134: Offender Transfer Amendments](https://policyrisk.com/state-bill/UT-HB134-2026GS)
- [H.B. 178: School Zone Speeding Amendments](https://policyrisk.com/state-bill/UT-HB178-2026GS)
- [H.B. 94: Criminal Accounts Receivable Amendments](https://policyrisk.com/state-bill/UT-HB94-2026GS)
- [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-HB321-2026GS (as of 2026-10-19).
