All Roll Calls
Yes: 197 • No: 0
UtahH.B. 3472025 General SessionHouseWALLET
Social Services Program Amendments
Sponsored By: James A. Dunnigan (Republican)
Signed by Governor
Health InsuranceSubstance AbuseHealth and Human ServicesHealth CareMental HealthMedicaidOffice of Licensing and Background ChecksSubstance Use Disorder TreatmentPharmaceuticals
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Bill Overview
Analyzed Economic Effects
8 provisions identified: 6 benefits, 1 costs, 1 mixed.
More Medicaid access to psychiatric medicines
Beginning July 1, 2025, Medicaid must cover qualifying nonpreferred psychiatric medicines for enrollees starting treatment on or after that date. Claims records or a provider’s statement must show a similar preferred drug failed within the previous 365 days. Alternatively, those records must show the enrollee was stable on the nonpreferred drug at enrollment. Utah must also include atypical antipsychotic drugs on Medicaid’s preferred list. Providers can override that list with “dispense as written,” but this does not override separate state prescription-substitution rules.
More Medicaid reentry services for inmates
Beginning May 7, 2025, Utah’s limited Medicaid inmate benefit includes services from certified community health workers. The person must otherwise qualify for Medicaid but be barred from coverage because of incarceration. Services must come through Utah’s qualified-inmate Medicaid waiver. This adds covered services, not a cash payment.
Accredited adult treatment sites can skip inspections
Beginning May 7, 2025, approved adult substance use and mental health sites can skip state on-site license renewal inspections. Sites need recognized national accreditation, required accreditation records, and good standing; they cannot serve anyone under 18. Licensees need no moderate, high, or extreme violations within 24 months and no unpaid fees or civil penalties. Renewal fees still apply, and Utah retains authority to investigate complaints and incidents. Utah must revoke this status for specified compliance failures or missing or adverse accreditation records.
Behavioral health funding for nursing facilities
The law sets a funding plan for behavioral health services in skilled nursing facilities. It states legislative intent for $300,000 in fiscal year 2026. Beginning in fiscal year 2027, that plan calls for $1.05 million in ongoing funding. The money supports services, not individual cash payments.
Grants expand local behavioral health services
For fiscal year 2026, the law directs a $200,000 grant to Valley Behavioral Health to expand Tooele County services. It also directs $600,000 to Odyssey House for people leaving inpatient substance use treatment, jail, or unstable housing. The Odyssey House grant includes $150,000 in ongoing money and $450,000 in one-time money. Each grant is paid in one lump sum. These legislative funding directions support services, not individual cash payments.
Ongoing medical care funding for homeless people
For fiscal year 2026, the law shifts $100,000 for homeless medical respite and end-of-life care from one-time to ongoing funding. The total funding for this item does not change. The money supports these services through Utah’s Office of Homeless Services.
Medicaid fund loses one revenue source
Beginning May 7, 2025, savings from placing psychiatric medicines on Medicaid’s preferred list no longer fund the Medicaid ACA Fund. Medicaid expansion savings and the specified sales tax revenue remain funding sources. This financing change does not specify any change to individual Medicaid eligibility, benefits, or costs.
Statewide certification rules for case managers
Beginning May 7, 2025, Utah must adopt rules to certify adults as case managers qualified to work statewide. This replaces the prior certification provision for targeted case management. Applicants must meet state rules covering training, allowed services, supervision, continuing education, and renewal. The law itself does not set the final requirements or certification fees.
Sponsors & Cosponsors
Sponsor
James A. Dunnigan
Republican • House
Cosponsors
Evan J. Vickers
Republican • Senate
Roll Call Votes
Senate vote • 3/6/2025
Senate/ circled
Yes: 0 • No: 0
House vote • 3/6/2025
House/ concurs with Senate amendment
Yes: 73 • No: 0
Senate vote • 3/6/2025
Senate/ passed 2nd & 3rd readings/ suspension
Yes: 28 • No: 0
Senate vote • 3/6/2025
Senate/ substituted
Yes: 0 • No: 0
Senate vote • 3/6/2025
Senate/ uncircled
Yes: 0 • No: 0
Senate vote • 2/25/2025
Senate Comm - Favorable Recommendation
Yes: 4 • No: 0
House vote • 2/18/2025
House/ passed 3rd reading
Yes: 72 • No: 0
House vote • 2/10/2025
House Comm - Favorable Recommendation
Yes: 10 • No: 0
House vote • 2/10/2025
House Comm - Substitute Recommendation
Yes: 10 • No: 0
Senate vote • Unknown
Senate/ substituted
Yes: 0 • No: 0
Senate vote • Unknown
Senate/ uncircled
Yes: 0 • No: 0
Senate vote • Unknown
Senate/ circled
Yes: 0 • No: 0
Actions Timeline
Governor Signed
3/24/2025House/ to Governor
3/17/2025HouseHouse/ received enrolled bill from Printing
3/17/2025HouseHouse/ enrolled bill to Printing
3/14/2025HouseEnrolled Bill Returned to House or Senate
3/14/2025Draft of Enrolled Bill Prepared
3/7/2025Bill Received from House for Enrolling
3/7/2025House/ signed by Speaker/ sent for enrolling
3/7/2025HouseHouse/ received from Senate
3/7/2025HouseSenate/ to House
3/7/2025SenateSenate/ signed by President/ returned to House
3/7/2025SenateSenate/ received from House
3/7/2025SenateHouse/ to Senate
3/6/2025HouseHouse/ concurs with Senate amendment
3/6/2025HouseHouse/ placed on Concurrence Calendar
3/6/2025HouseHouse/ received from Senate
3/6/2025HouseSenate/ to House with amendments
3/6/2025SenateSenate/ passed 2nd & 3rd readings/ suspension
3/6/2025SenateSenate/ substituted
3/6/2025SenateSenate/ uncircled
3/6/2025SenateSenate/ circled
3/6/2025SenateSenate/ 2nd & 3rd readings/ suspension
3/6/2025SenateSenate/ Rules to 2nd Reading Calendar
3/6/2025SenateSenate/ 2nd Reading Calendar to Rules
3/5/2025SenateSenate/ placed on 2nd Reading Calendar
2/25/2025Senate
Bill Text
Enrolled
3/14/2025
Substitute #4
3/6/2025
Substitute #3
3/5/2025
Substitute #2
3/4/2025
Substitute #1
2/10/2025
Introduced
1/28/2025