All Roll Calls
Yes: 101 • No: 1
UtahH.B. 4022026 General SessionHouse
EMS Controlled Substance Licensing Amendments
Sponsored By: Ryan D. Wilcox (Republican)
Signed by Governor
Controlled SubstancesHealth and Human ServicesHealth Care ProfessionalsLaw Enforcement and Criminal JusticeDepartment of Public SafetyEmergency Medical Services
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Bill Overview
Analyzed Economic Effects
3 provisions identified: 1 benefits, 1 costs, 1 mixed.
Emergency crews gain controlled drug authority
Beginning May 6, 2026, staff employed by licensed Utah emergency medical services agencies may distribute, dispense, or administer controlled drugs. This authority covers Schedule II–V drugs within the agency's license and state and federal law. Staff must follow a written standing order or verbal order from the agency's medical director. Another authorized medical professional may also give a verbal order. These orders allow emergency treatment without the ordering professional being physically present.
Emergency agencies face licensing and fees
Beginning May 6, 2026, federally registered Utah emergency medical services agencies need a state license for each registered location. Each agency must maintain at least one registered location, but separate federal registration is not required for every station. Licenses renew every two years; the Division of Professional Licensing may shift renewal periods by up to one year to stagger renewals. The Division may charge reasonable fees covering license costs; amounts are not specified. After consulting the Bureau of Emergency Medical Services, it may set storage, hospital restocking, and recordkeeping rules. Agencies must keep required drug records and inventories, allow authorized inspections, and avoid unauthorized distributions or false information.
Emergency drug violations bring new penalties
Beginning May 6, 2026, Utah may deny, suspend, revoke, or place emergency agencies' controlled drug licenses on probation. Grounds include false application information, drug-law violations, certain prior licensing actions, refusal of inspections, and conduct threatening public safety. Discipline may cover specific drugs, and imminent public danger allows immediate suspension during proceedings. Federal Drug Enforcement Administration registration denial, surrender, suspension, or revocation requires immediate state suspension; reinstatement generally requires restored federal registration. The Division may seal drugs after suspension, generally keeping them sealed through appeals, subject to court-ordered exceptions. It must promptly notify federal drug officials of license suspensions, revocations, and drug forfeitures. Specified violations carry civil penalties up to $5,000; unpaid penalties may go to collections or court, with attorney fees and costs awarded after successful court collection. Penalty receipts go into the General Fund as dedicated funding for controlled drug database equipment, staff training, and outside grants or matching funds.
Sponsors & Cosponsors
Sponsor
Ryan D. Wilcox
Republican • House
Cosponsors
Evan J. Vickers
Republican • Senate
Roll Call Votes
Senate vote • 3/4/2026
Senate/ passed 2nd & 3rd readings/ suspension
Yes: 23 • No: 0
Senate vote • 3/2/2026
Senate Comm - Favorable Recommendation
Yes: 4 • No: 0
House vote • 2/24/2026
House/ passed 3rd reading
Yes: 66 • No: 1
House vote • 2/19/2026
House Comm - Favorable Recommendation
Yes: 8 • No: 0
Actions Timeline
Governor Signed
3/18/2026House/ 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/ 3rd reading
2/24/2026HouseHouse/ 2nd reading
2/19/2026HouseHouse/ committee report favorable
2/19/2026HouseHouse Comm - Favorable Recommendation
2/19/2026
Bill Text
Enrolled
3/7/2026
Substitute #1
2/3/2026
Introduced
1/27/2026