UtahS.B. 1742026 General SessionSenate

Exercise of Religious Beliefs and Conscience Amendments

Sponsored By: Keven J. Stratton (Republican)

Signed by Governor

Emergency ManagementAbortionHealth and Human ServicesHealth Care FacilitiesAntidiscriminationLabor and EmploymentHealth Care ProfessionalsGovernment Operations (State Issues)HospitalsEmergency Medical Services

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Bill Overview

Analyzed Economic Effects

6 provisions identified: 1 benefits, 1 costs, 4 mixed.

Broader protections for refusing abortion care

Beginning May 6, 2026, providers can refuse abortion-related services for religious or conscience reasons without civil liability or punishment. This covers abortions, procedures intended or likely to end pregnancy, and disposal of remains from either. Facilities can refuse admission or performance of these procedures, subject to other legal requirements. These protections can limit patients' access; retaliation against providers for protected refusals or filing or threatening lawsuits is barred. People harmed by violations can seek damages and court orders, including reinstatement, but must sue within three years after the claim arises.

New conduct rules for care providers

Beginning May 6, 2026, providers can face license discipline for violating the conscience-rights law. The law also expands conduct rules covering unlicensed practice, impersonation, licensing fraud, improper prescribing, and helping others violate rules. It sets evidence and liability rules, including strict liability for specified violations, subject to stated limits. Providers can depart from established medical standards only within their authorized practice and training, without violating law. They must show that potential benefits outweigh harms, explain standard care and risks, and obtain a written patient-specific notice. That notice must explain the departure, risks, benefits, and reasons. Patients may also be asked to enter an optional agreement defining negligence related to that departure.

Providers can refuse care for beliefs

Beginning May 6, 2026, Utah health care providers can refuse specific services that conflict with religious beliefs or conscience. Covered services include contraception, gender transition, artificial insemination, medicines, research, and decisions about life-sustaining care. Providers face no civil, criminal, or administrative liability for protected refusals, which can limit patients' access. They must still provide federally required emergency screening and stabilizing treatment, plus other care that does not conflict. A refusal alone does not prove unlawful discrimination. Institutions also receive liability protection when the refusing provider is an employee, contractor, or has admitting privileges. Institutions remain liable for their own acts or failures to act.

Providers gain protection against conscience retaliation

Beginning May 6, 2026, providers are protected from discrimination for using conscience rights or reporting possible violations. Protection also covers actual or expected participation in investigations or proceedings, but does not permit illegal disclosures. Retaliation can include losing a job, pay, benefits, license, privileges, certification, grants, contracts, or training opportunities. A nonpunitive move to an equal job is not retaliation. Providers can complain about another provider to Utah's Division of Professional Licensing, which may investigate or enforce the law. Complaints about institutions go to the state health department, which must investigate and take licensing or certification action, or seek court enforcement. Providers can sue if the responsible agency does not investigate and take action. Remedies include court orders and damages; people who win may recover reasonable attorney fees and costs.

Provider contracts limit conscience rights

Beginning May 6, 2026, contracts limit providers' use of conscience protections at religious or conscience-based health care institutions. This applies to employees, providers with admitting privileges, and others providing services at or for the institution. Providers cannot use these protections to refuse a service their contract requires or provide a service their contract bars. The same limits apply to contract terms governing how a service is provided.

Care refusals require notices and staffing

Beginning May 6, 2026, providers refusing care for conscience reasons must prominently post notices online and in each reception area. Notices must identify refused services and include the state health department's website and assistance phone number. Providers covered by the reporting rule must also tell the department which services they refuse. The department must maintain online information about providers offering those services and phone help for people without web access. Providers must give their employer or relevant institution advance notice identifying the service and religious or conscience reason. Employers and institutions must adjust staffing when reasonably practicable, but the rule does not guarantee that services remain available.

Sponsors & Cosponsors

Sponsor

  • Keven J. Stratton

    Republican • Senate

Cosponsors

  • Karianne Lisonbee

    Republican • House

Roll Call Votes

All Roll Calls

Yes: 116 • No: 31

House vote • 3/4/2026

House/ passed 3rd reading

Yes: 54 • No: 13

House vote • 3/4/2026

House Comm - Favorable Recommendation

Yes: 8 • No: 3

Senate vote • 3/2/2026

Senate/ uncircled

Yes: 0 • No: 0

Senate vote • 3/2/2026

Senate/ passed 3rd reading

Yes: 22 • No: 7

Senate vote • 2/27/2026

Senate/ circled

Yes: 0 • No: 0

Senate vote • 2/26/2026

Senate/ circled

Yes: 0 • No: 0

Senate vote • 2/26/2026

Senate/ substituted

Yes: 0 • No: 0

Senate vote • 2/26/2026

Senate/ passed 2nd reading

Yes: 20 • No: 4

Senate vote • 2/26/2026

Senate/ uncircled

Yes: 0 • No: 0

Senate vote • 2/19/2026

Senate Comm - Favorable Recommendation

Yes: 3 • No: 1

Senate vote • 2/18/2026

Senate Comm - Substitute Recommendation

Yes: 6 • No: 0

Senate vote • 2/18/2026

Senate Comm - Motion to Recommend Failed

Yes: 3 • No: 3

Actions Timeline

  1. Governor Signed

    3/25/2026
  2. Senate/ to Governor

    3/13/2026Senate
  3. Senate/ received enrolled bill from Printing

    3/13/2026Senate
  4. Senate/ enrolled bill to Printing

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

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

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

    3/6/2026
  8. Senate/ signed by President/ sent for enrolling

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

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

    3/4/2026House
  11. House/ signed by Speaker/ returned to Senate

    3/4/2026House
  12. House/ passed 3rd reading

    3/4/2026House
  13. House/ 3rd reading

    3/4/2026House
  14. House/ 2nd reading

    3/4/2026House
  15. House/ Rules to 3rd Reading Calendar

    3/4/2026House
  16. House/ return to Rules due to fiscal impact

    3/4/2026House
  17. House/ committee report favorable

    3/4/2026House
  18. House Comm - Favorable Recommendation

    3/4/2026
  19. House/ to standing committee

    3/4/2026House
  20. House/ 1st reading (Introduced)

    3/4/2026House
  21. House/ received from Senate

    3/4/2026House
  22. Senate/ to House

    3/2/2026Senate
  23. Senate/ passed 3rd reading

    3/2/2026Senate
  24. Senate/ uncircled

    3/2/2026Senate
  25. Senate/ circled

    2/27/2026Senate

Bill Text

  • Enrolled

    3/11/2026

  • Substitute #4

    2/25/2026

  • Substitute #3

    2/19/2026

  • Substitute #2

    2/16/2026

  • Substitute #1

    2/10/2026

  • Introduced

    1/21/2026

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