UtahH.B. 5722026 General SessionHouseWALLET

Behavioral Health, Mental Health, and Social Services Amendments

Sponsored By: Steve Eliason (Republican)

Signed by Governor

Substance AbuseHealth and Human ServicesHealth CareMental HealthCourtsJudicial OperationsLaw Enforcement and Criminal JusticeLegislative OperationsLegislative Committees and Task ForcesAdministrative RulemakingDepartment of Health and Human ServicesAppropriationsCivil CommitmentCommission on Criminal and Juvenile JusticeLegislative Staff OfficesOffice of Licensing and Background ChecksParoleSubstance Abuse and Mental HealthSubstance Use Disorder TreatmentUtah State HospitalNew Rulemaking AuthorityCorrectional Facilities

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Bill Overview

Analyzed Economic Effects

11 provisions identified: 7 benefits, 1 costs, 3 mixed.

Patient rights in court-ordered treatment

Insurers cannot deny coverage just because assisted outpatient treatment is court‑ordered. If you are discharged from a court‑ordered commitment, you get written instructions, referrals, crisis and peer contacts, and a clinically appropriate medication supply; a follow‑up attempt happens within 48 hours when appropriate. Courts appoint two examiners within 24 hours (not counting weekends or holidays) and hold a hearing within 10 days. Hearings are remote unless a court shows good cause; in‑person hearings must use a setting that does not harm mental health. These protections take effect May 6, 2026.

More shelter beds and property aid

Shelters may expand up to 135% of permitted beds through April 30, 2027 with city consent and code compliance. The state updates shelter definitions, including third‑tier shelters (at least 50 beds and open at least three months between Oct 1 and Apr 30). Businesses and property owners within one‑fifth mile of eligible shelters can seek loans or compensation for property loss, with required documentation. Businesses must be in good standing with the State Tax Commission and Commerce Department.

Behavioral health commission and committees

The Utah Behavioral Health Commission leads statewide policy, planning, and accountability beginning May 6, 2026. It reviews laws, studies hospital bed needs, coordinates the workforce, and oversees suicide prevention efforts. Commission‑directed committees, including crisis response and policy review, continue, with members eligible for per diem and travel. These authorities are extended through July 1, 2029.

Stronger suicide prevention and family help

The state runs a statewide suicide prevention program with a coordinator and committee starting May 6, 2026. The Office of Substance Use and Mental Health administers the Governor’s Suicide Prevention Fund and awards grants approved by the governor. Up to $100,000 each year can go to programs that help kids served by juvenile justice. A family outreach specialist contacts next of kin after suicide or overdose deaths and offers bereavement support. The law gives $300,000 one‑time in FY2027 to the Medical Examiner to fund this role.

New sales tax shares for districts

Beginning January 1, 2027, eligible basic special districts receive 50% of each dollar of state sales and use tax collected within their boundaries. For major sporting event venue zones, starting the first quarter after a zone boundary is set, the state transfers 50% of the sales and use tax increment from inside the zone to the creating entity at least once a year.

Alcohol and youth drug prevention funding

Each year, 0.6% of total gross liquor sales goes into a restricted account for underage drinking prevention, starting May 6, 2026. A new committee tracks alcohol‑related offenses, costs, and where products were obtained. Oversight for media and education distributions sits with the Behavioral Health Commission before July 1, 2029, then moves to the department. Cities and counties must file a report by October 1 or payments can be suspended. Any leftover account money is awarded as grants each June. DPS reimburses police for alcohol compliance checks if they report within 90 days. A statewide youth prevention program for e‑cigarettes, nicotine, marijuana, and other drugs runs through July 1, 2030.

State commitment database and consent tools

The department must build a confidential civil‑commitment database by December 31, 2026 and report on privacy rules by November 2026. Local mental health authorities can access commitments in their area. By December 31, 2026, a standard, HIPAA/Part 2‑compliant consent form lets justice‑involved people allow disclosure of their diagnosis to named parties. Starting May 6, 2026, the state also publishes a list of recommended, validated screening tools.

Targeted behavioral-health funds for 2027

For FY2027, the law provides $450,000 for non‑Medicaid behavioral health and crisis response. The intent is to fund: $200,000 for the commitment database or receiving center grants, $100,000 for peer support grants, $50,000 for suicide‑prevention training, and $100,000 to raise Medicaid rates for collaborative care codes.

Short-term Utah health workforce council

The Utah Health Workforce Advisory Council starts May 6, 2026. It has 14 to 19 members, meets each quarter, studies supply and training needs, and makes recommendations. Members may receive per diem and travel pay. The council ends July 1, 2027.

New rules and fees for centers

Starting May 6, 2026, licensed behavioral health receiving centers must notify law enforcement or diversion contacts about a justice‑involved person’s treatment status in set situations, including if they leave against advice within 24 hours. The Office will write the rules and centers must adopt a policy. The Office may also charge application and renewal fees for receiving center licenses to cover licensing costs.

Jail and prison death transparency

Each county jail must report yearly data by June 15, including bookings, policies, and in‑custody deaths. The commission compiles and redacts data and sends it by November 1 to lawmakers and the advocacy agency. On request, jails must share a report with names, causes of death, and the facility. MOUs can let the commission access local data; reports based on MOUs are released only after local review or 4 weeks. The state corrections department must also report in‑custody deaths by June 15; the commission sends a redacted summary by November 1.

Sponsors & Cosponsors

Sponsor

  • Steve Eliason

    Republican • House

Cosponsors

  • Evan J. Vickers

    Republican • Senate

Roll Call Votes

All Roll Calls

Yes: 192 • No: 3

Senate vote 3/5/2026

Senate/ floor amendment

Yes: 0 • No: 0

Senate vote 3/5/2026

Senate/ passed 2nd & 3rd readings/ suspension

Yes: 26 • No: 0

House vote 3/5/2026

House/ concurs with Senate amendment

Yes: 68 • No: 1

Senate vote 3/5/2026

Senate/ uncircled

Yes: 0 • No: 0

Senate vote 3/5/2026

Senate/ substituted

Yes: 0 • No: 0

Senate vote 3/4/2026

Senate/ substituted

Yes: 0 • No: 0

Senate vote 3/4/2026

Senate/ floor amendment

Yes: 0 • No: 0

Senate vote 3/4/2026

Senate/ circled

Yes: 0 • No: 0

House vote 3/3/2026

Senate Comm - Substitute Recommendation

Yes: 4 • No: 0

House vote 3/3/2026

Senate Comm - Favorable Recommendation

Yes: 4 • No: 0

House vote 2/27/2026

House/ circled

Yes: 0 • No: 0

House vote 2/27/2026

House/ uncircled

Yes: 0 • No: 0

House vote 2/27/2026

House/ substituted

Yes: 0 • No: 0

House vote 2/27/2026

House/ passed 3rd reading

Yes: 67 • No: 1

House vote 2/24/2026

House Comm - Favorable Recommendation

Yes: 12 • No: 1

House vote 2/24/2026

House Comm - Substitute Recommendation

Yes: 11 • No: 0

Actions Timeline

  1. Governor Signed

    3/25/2026
  2. House/ to Governor

    3/17/2026House
  3. House/ received enrolled bill from Printing

    3/17/2026House
  4. House/ enrolled bill to Printing

    3/11/2026House
  5. Enrolled Bill Returned to House or Senate

    3/11/2026
  6. Draft of Enrolled Bill Prepared

    3/6/2026
  7. Bill Received from House for Enrolling

    3/6/2026
  8. House/ signed by Speaker/ sent for enrolling

    3/5/2026House
  9. House/ received from Senate

    3/5/2026House
  10. Senate/ to House

    3/5/2026Senate
  11. Senate/ signed by President/ returned to House

    3/5/2026Senate
  12. Senate/ received from House

    3/5/2026Senate
  13. House/ to Senate

    3/5/2026House
  14. House/ concurs with Senate amendment

    3/5/2026House
  15. House/ placed on Concurrence Calendar

    3/5/2026House
  16. House/ received from Senate

    3/5/2026House
  17. Senate/ to House with amendments

    3/5/2026Senate
  18. Senate/ passed 2nd & 3rd readings/ suspension

    3/5/2026Senate
  19. Senate/ floor amendment

    3/5/2026Senate
  20. Senate/ substituted

    3/5/2026Senate
  21. Senate/ uncircled

    3/5/2026Senate
  22. Senate/ circled

    3/4/2026Senate
  23. Senate/ floor amendment

    3/4/2026Senate
  24. Senate/ substituted

    3/4/2026Senate
  25. Senate/ 2nd & 3rd readings/ suspension

    3/4/2026Senate

Bill Text

  • Enrolled

    3/11/2026

  • Amended 3/5/2026 10:03:561

    3/5/2026

  • Substitute #6

    3/4/2026

  • Substitute #4

    3/3/2026

  • Substitute #5

    3/3/2026

  • Substitute #3

    2/27/2026

  • Substitute #1

    2/24/2026

  • Substitute #2

    2/24/2026

  • Introduced

    2/16/2026

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