All Roll Calls
Yes: 95 • No: 21
UtahH.B. 4712026 General SessionHouseWALLET
Social Services Amendments
Sponsored By: Logan Monson (Republican)
Signed by Governor
Health InsuranceHealth and Human ServicesPublic AssistanceDepartment of Workforce ServicesWorkforce ServicesDepartment of Health and Human ServicesMedicaid
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Bill Overview
Analyzed Economic Effects
7 provisions identified: 1 benefits, 6 costs, 0 mixed.
Tighter Medicaid citizenship and household rules
Beginning October 1, 2026, Utah generally limits Medicaid to listed citizenship or immigration groups, except where federal law requires otherwise. These include U.S. citizens and nationals, qualifying permanent residents, Cuban or Haitian entrants, Compact of Free Association residents, and certain lawfully present children. Utah must also count all income of ineligible household members when federal law allows. Applications for temporary Medicaid coverage must include immigration status and an attestation that the applicant belongs to a listed group. Hospitals and clinics must collect and send these attestations; Utah must regularly check federal records, including the SAVE immigration verification system.
Tighter SNAP status and household rules
Beginning May 6, 2026, SNAP participants must be U.S. residents in listed citizenship or immigration groups, following federal law. Listed groups include U.S. citizens and nationals, qualifying permanent residents, Cuban or Haitian entrants, and Compact of Free Association residents. Utah must require status documents or use the federal SAVE system when documents are unavailable, at enrollment and renewal. Subject to USDA approval, Utah must count an ineligible noncitizen household member’s income, deductions, and resources without prorating or excluding them. These rules can reduce grocery benefits or end eligibility.
Work checks for Medicaid expansion adults
Beginning January 1, 2027, covered expansion and qualifying waiver applicants must prove they met federal work rules the month before applying. This applies to adults ages 19–64 who are not pregnant and do not have Medicare Part A or B. Utah must use documents or verified records, not self-attestation alone, and check compliance during each eligibility period before renewal. Exemptions require proof unless reliable records establish them; health plans may supply data but cannot grant exemptions. Medical exemptions cover blindness, disability, serious mental illness, major daily-living limits, substance use disorders, serious medical conditions, and homelessness. Utah may provisionally approve medical or special-needs exemptions when electronic records are insufficient, then verify them through records or a health professional. Annual reports on compliance, exemptions, and enrollment effects begin August 31, 2027.
More frequent Medicaid eligibility and residency checks
Beginning January 1, 2027, Utah must verify income, residency, identity, and citizenship or immigration status before enrollment, unless federal law requires otherwise. Self-attestation alone is not enough; eligibility reviews occur every six months for expansion enrollees and every 12 months for others, subject to federal law. Utah must review address changes and out-of-state electronic benefit transactions, then promptly check eligibility when changes matter, except during protected continuous coverage. Monthly submissions to the national Medicaid enrollment database must begin by October 1, 2029, to detect enrollment in multiple states. Annual reports on people flagged, removals for multi-state enrollment, and estimated fiscal effects begin August 31, 2028.
Shorter Medicaid coverage for earlier bills
Beginning January 1, 2027, initial Medicaid applications have shorter limits on coverage for care received before applying. Expansion coverage reaches back no more than one month before the month a completed application is submitted. Traditional Medicaid coverage reaches back no more than two months; continuous and ongoing coverage are unchanged. Applicants may owe bills for earlier care, and Utah must notify applicants and providers about the limits. Annual reports on applications processed and estimated state savings begin August 31, 2027.
Utah stops Medicaid payments after death
Beginning May 6, 2026, Utah must check Social Security and state death records against Medicaid enrollment at least quarterly. After confirming a death, Utah must promptly remove the enrollee and prevent payments for services after death. Utah must recover payments for care or health-plan coverage after death; this does not create a new family payment duty. The Medicaid inspector general must periodically review compliance.
Lawmakers must approve SNAP work waivers
Beginning May 6, 2026, Utah’s SNAP agency needs prior approval before requesting a waiver from federal work requirements. The Legislature and governor must approve the request through a concurrent resolution. This approval rule does not itself impose new work requirements or change SNAP benefit amounts or eligibility.
Sponsors & Cosponsors
Sponsor
Logan Monson
Republican • House
Cosponsors
Keven J. Stratton
Republican • Senate
Roll Call Votes
Senate vote • 3/4/2026
Senate/ passed 2nd & 3rd readings/ suspension
Yes: 20 • No: 5
Senate vote • 3/2/2026
Senate Comm - Favorable Recommendation
Yes: 5 • No: 0
House vote • 2/24/2026
House/ floor amendment
Yes: 0 • No: 0
House vote • 2/24/2026
House/ passed 3rd reading
Yes: 55 • No: 13
House vote • 2/18/2026
House Comm - Favorable Recommendation
Yes: 6 • No: 3
House vote • 2/18/2026
House Comm - Amendment Recommendation
Yes: 9 • No: 0
Actions Timeline
Governor Signed
3/24/2026House/ 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/ floor amendment
2/24/2026HouseHouse/ 3rd reading
2/24/2026HouseHouse/ 2nd reading
2/19/2026HouseHouse/ comm rpt/ amended
2/19/2026House
Bill Text
Enrolled
3/7/2026
Amended 2/24/2026 15:02:950
2/24/2026
Amended 2/19/2026 09:02:557
2/19/2026
Substitute #1
2/17/2026
Introduced
2/3/2026