UtahH.B. 4162026 General SessionHouseWALLET

First Responder Health Modifications

Sponsored By: Jordan D. Teuscher (Republican)

Signed by Governor

Workers' CompensationLabor and EmploymentPublic Retirement and InsuranceFirefighters' RetirementOccupational Disease

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Bill Overview

Analyzed Economic Effects

8 provisions identified: 5 benefits, 2 costs, 1 mixed.

Volunteer Medical Responders Gain Insurance Eligibility Options

From May 6, 2026, the temporary volunteer emergency medical insurance program counts participation in 20% of operations over a rolling 12 months. This replaces the test based on responding to 20% of calls. Utah residents must be licensed EMTs, advanced EMTs, or paramedics able to perform their licensed duties. They must serve as volunteers or part-time workers without benefits under local government direction in a qualifying community or third- through sixth-class county. Health and dental coverage also depends on separate employer, government-coverage, or alternative-premium-cost criteria; the program ends July 1, 2027.

Former Responders Face New Care Eligibility Rules

Beginning July 1, 2026, leaving a first responder job after a critical incident no longer blocks separated-worker eligibility. Instead, workers whose separation results from misconduct or disciplinary action do not qualify under this definition. Eligible former responders and their spouses fall under the law's mental health access rule for at least three years from a request. The definition change alone does not guarantee services.

Mental Health Funding for Small Responder Agencies

Beginning July 1, 2026, Utah creates a restricted account for first responder mental health services and administration. It receives state funding, agency contributions, gifts, grants, specified existing funds, and interest. Small agencies qualify with 10 or fewer employees, mostly volunteer staff, or a fifth- or sixth-class county or city location, or a town location. Public Safety may serve qualifying agencies that contribute, using up to 25% of remaining grant funds and account money. Account spending needs legislative approval, and services can stop when funds run short. Participating agencies must name a representative to promptly report critical incidents.

Funding Supports Firefighter Cancer Screenings and Records

Utah transfers $3.7 million to Utah Valley University's firefighter cancer screening program in each of fiscal years 2027 and 2028. Beginning in fiscal year 2027, it also transfers $250,000 for the program's record-keeping system. Beginning July 1, 2026, the university's statewide fire and rescue training program must obtain and use that system. These transfers use revenue from the covered taxes and fund programs, not individual cash payments.

Insurance Taxes Support Firefighter Retirement and Disability

Starting in fiscal year 2027, Utah's retirement office receives the first $4 million annually from specified fire-related property insurance taxes. It also receives the first $1 million annually from life insurance premium taxes. The money supports firefighter long-term disability until fully funded, and retirement until the system reaches and can maintain 110% funding, as determined by its actuary. The law also repeals earlier premium-tax formula and deposit rules, state funding-offset and share rules, and related reporting requirements. This allocation does not change household tax rates.

New Trust Supports Firefighter Cancer Benefits

Beginning July 1, 2026, Utah creates a trust fund for cancer benefits for covered firefighters and their beneficiaries. It can receive state funding, donations, grants, and other revenue, and pay reasonable administrative costs. Its assets are protected from creditors of the board and employers liable for benefits under the program. Starting in fiscal year 2027, the trust receives annual net revenue from the covered taxes, excluding specified General Fund diversions. The law sets no individual benefit amount.

First Responder Agency Grant Authority Ends

Starting July 1, 2027, Utah repeals the covered grant authority for first responder agencies and the related grant-funding provision. Agencies lose access to grants authorized by those rules. The supplied provisions do not specify grant amounts or identify all affected programs.

Participating Responder Agencies Pay Annual Contributions

For fiscal years beginning on or after July 1, 2026, contributing small responder agencies pay $25 per employed first responder annually. This payment goes to the Mental Health Resources for First Responders Restricted Account. The charge applies only to agencies that choose to contribute, not to individual responders.

Sponsors & Cosponsors

Sponsor

  • Jordan D. Teuscher

    Republican • House

Cosponsors

  • Nelson T. Abbott

    Republican • House

  • Cheryl K. Acton

    Republican • House

  • John Arthur

    Democratic • House

  • Emily Buss

    Forward Party • Senate

  • Jennifer Dailey-Provost

    Democratic • House

  • James A. Dunnigan

    Republican • House

  • Jake Fitisemanu

    Democratic • House

  • Jill Koford

    Republican • House

  • Jason B. Kyle

    Republican • House

  • Lee, T.

    Affiliation unavailable

  • Calvin Roberts

    Republican • House

  • Scott D. Sandall

    Republican • Senate

  • Mike Schultz

    Republican • House

  • Casey Snider

    Republican • House

  • Stephen L. Whyte

    Republican • House

  • Ryan D. Wilcox

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 205 • No: 2

Senate vote • 3/6/2026

Senate/ circled

Yes: 0 • No: 0

Senate vote • 3/6/2026

Senate/ substituted

Yes: 0 • No: 0

Senate vote • 3/6/2026

Senate/ uncircled

Yes: 0 • No: 0

Senate vote • 3/6/2026

Senate/ passed 2nd & 3rd readings/ suspension

Yes: 29 • No: 0

House vote • 3/6/2026

House/ concurs with Senate amendment

Yes: 58 • No: 0

Senate vote • 3/6/2026

Senate/ substituted

Yes: 0 • No: 0

Senate vote • 3/5/2026

Senate/ passed 2nd & 3rd readings/ suspension

Yes: 27 • No: 0

Senate vote • 2/26/2026

Senate Comm - Favorable Recommendation

Yes: 6 • No: 0

House vote • 2/18/2026

House/ passed 3rd reading

Yes: 70 • No: 1

House vote • 2/9/2026

House Comm - Favorable Recommendation

Yes: 7 • No: 1

House vote • 2/9/2026

House Comm - Substitute Recommendation

Yes: 8 • No: 0

Actions Timeline

  1. Governor Signed

    3/26/2026
  2. House/ to Governor

    3/16/2026House
  3. House/ received enrolled bill from Printing

    3/16/2026House
  4. House/ enrolled bill to Printing

    3/12/2026House
  5. Enrolled Bill Returned to House or Senate

    3/12/2026
  6. Draft of Enrolled Bill Prepared

    3/11/2026
  7. Bill Received from House for Enrolling

    3/11/2026
  8. House/ signed by Speaker/ sent for enrolling

    3/11/2026House
  9. House/ received from Senate

    3/11/2026House
  10. Senate/ to House

    3/10/2026Senate
  11. Senate/ signed by President/ returned to House

    3/10/2026Senate
  12. Senate/ received from House

    3/10/2026Senate
  13. House/ to Senate

    3/6/2026House
  14. House/ concurs with Senate amendment

    3/6/2026House
  15. House/ placed on Concurrence Calendar

    3/6/2026House
  16. Senate/ to House with amendments

    3/6/2026Senate
  17. Senate/ passed 2nd & 3rd readings/ suspension

    3/6/2026Senate
  18. Senate/ substituted

    3/6/2026Senate
  19. Senate/ uncircled

    3/6/2026Senate
  20. Senate/ circled

    3/6/2026Senate
  21. Senate/ substituted

    3/6/2026Senate
  22. Senate/ 2nd reading

    3/6/2026Senate
  23. Senate/ motion to reconsider

    3/6/2026Senate
  24. Senate/ recalled by Senate

    3/6/2026Senate
  25. House/ recalled by House

    3/6/2026House

Bill Text

  • Enrolled

    3/12/2026

  • Substitute #3

    3/6/2026

  • Substitute #4

    3/6/2026

  • Substitute #5

    3/6/2026

  • Substitute #2

    2/9/2026

  • Substitute #1

    2/3/2026

  • Introduced

    1/28/2026

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