All Roll Calls
Yes: 129 • No: 1
UtahS.B. 2882026 General SessionSenate
Medicaid Provider Amendments
Sponsored By: Keven J. Stratton (Republican)
Signed by Governor
Health InsuranceHealth and Human ServicesHealth CareHealth Care FacilitiesHealth Care ProfessionalsAdministrative Rulemaking and ProceduresDepartment of Health and Human ServicesMedicaidDisabilitiesServices for People with DisabilitiesNew Rulemaking Authority
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Bill Overview
Analyzed Economic Effects
6 provisions identified: 5 benefits, 0 costs, 1 mixed.
Tracked social care referrals for Medicaid
Beginning May 6, 2026, Utah must implement an electronic referral system for people eligible for Medicaid who need social care. Approved users can send referrals, receive notices, and communicate securely, including through chat. A single record tracks referral results and services delivered. State rules must define approved users and uses; access to personal information requires consent and must follow privacy laws. The system does not guarantee a service or cash payment.
Funding for higher foster care provider rates
The Legislature identifies $2 million in ongoing state funding for higher payments to providers housing foster children. This covers proctor care, group care, and foster care providers. The funding covers July 1, 2026, through June 30, 2027, under the law effective May 6, 2026. It expresses spending intent and does not set a payment increase for each provider or family.
Funding for higher Medicaid facility rates
The Legislature identifies $3 million in ongoing state funding for higher Medicaid payments to nursing homes and intermediate care facilities. The latter facilities serve people with intellectual disabilities. The funding covers July 1, 2026, through June 30, 2027, under the law effective May 6, 2026. This is legislative spending intent, not a set rate increase or a direct household payment.
Funding for higher Medicaid home care rates
The law takes effect May 6, 2026, and adds $42.7783 million in state and federal funding across Medicaid and related services. This funding covers July 1, 2026, through June 30, 2027. The Legislature directs ongoing state funding toward higher provider rates: $1.9259 million for private duty nursing and $2 million for the New Choices Waiver. It also identifies $1.9624 million for home health and $2 million for personal care, split between $162,700 and $1.8373 million. Disability service providers, including support coordinators, get a $4 million rate-increase allocation; Limited Supports Waiver providers are excluded. These amounts express legislative spending intent, not set rate increases or household checks.
Quality-based incentive payments for Medicaid providers
Beginning May 6, 2026, Utah establishes quality measures by provider type and a process for one-time, fee-for-service incentive payments. Measures can cover health outcomes, patient experience, care coordination, data sharing, workforce stability, and care practices. Selected providers, including managed care entities, must document completion or progress; state rules must address exclusions for adverse findings or discipline. Payments require legislative funding and provider-group selection, must follow federal Medicaid rules, and must be distributed proportionally to participating providers. Utah can seek needed federal approval and use up to 2% of incentive funding for administration. Before October 31 each year, the department must report recommendations, quality progress, rate comparisons with other payers, time since rate increases, and incentive effects. In payment years, it must also report distribution details by October 31, including the share paid directly to providers.
Disability service authority and provider notice rules
Beginning May 6, 2026, Utah clarifies and expands its disability services division's authority to run services, outreach, referrals, and public awareness programs. The division can approve, monitor, and sanction providers; manage public funds within legal limits; review representative payees' financial actions; and set operating rules. It can assess equitable service fees and approve, deny, or defer services for applicants and current recipients. Placement protections require initial and periodic reviews; community facilities do not require commitment to the division. Providers must receive at least 30 days' notice before contract changes take effect. Notice exceptions cover contractor-requested changes, service rate increases, natural disasters, and public health emergencies.
Sponsors & Cosponsors
Sponsor
Keven J. Stratton
Republican • Senate
Cosponsors
Steve Eliason
Republican • House
Roll Call Votes
Senate vote • 3/6/2026
Senate/ concurs with House amendment
Yes: 25 • No: 0
House vote • 3/5/2026
House/ floor amendment
Yes: 0 • No: 0
House vote • 3/5/2026
House/ uncircled
Yes: 0 • No: 0
House vote • 3/5/2026
House/ passed 3rd reading
Yes: 69 • No: 1
House vote • 3/4/2026
House/ circled
Yes: 0 • No: 0
Senate vote • 3/3/2026
Senate/ passed 2nd & 3rd readings/ suspension
Yes: 27 • No: 0
Senate vote • 3/3/2026
Senate/ uncircled
Yes: 0 • No: 0
Senate vote • 3/3/2026
Senate/ substituted
Yes: 0 • No: 0
Senate vote • 3/3/2026
Senate/ floor amendment
Yes: 0 • No: 0
Senate vote • 2/26/2026
Senate/ circled
Yes: 0 • No: 0
Senate vote • 2/19/2026
Senate Comm - Substitute Recommendation
Yes: 4 • No: 0
Senate vote • 2/19/2026
Senate Comm - Favorable Recommendation
Yes: 4 • No: 0
Actions Timeline
Governor Signed
3/18/2026Senate/ to Governor
3/13/2026SenateSenate/ received enrolled bill from Printing
3/13/2026SenateSenate/ enrolled bill to Printing
3/11/2026SenateEnrolled Bill Returned to House or Senate
3/11/2026Draft of Enrolled Bill Prepared
3/10/2026Bill Received from Senate for Enrolling
3/10/2026Senate/ signed by President/ sent for enrolling
3/6/2026SenateSenate/ received from House
3/6/2026SenateHouse/ to Senate
3/6/2026HouseHouse/ signed by Speaker/ returned to Senate
3/6/2026HouseHouse/ received from Senate
3/6/2026HouseSenate/ to House
3/6/2026SenateSenate/ concurs with House amendment
3/6/2026SenateSenate/ placed on Concurrence Calendar
3/5/2026SenateSenate/ received from House
3/5/2026SenateHouse/ to Senate
3/5/2026HouseHouse/ passed 3rd reading
3/5/2026HouseHouse/ floor amendment
3/5/2026HouseHouse/ uncircled
3/5/2026HouseHouse/ circled
3/4/2026HouseHouse/ 3rd reading
3/4/2026HouseHouse/ 2nd reading
3/4/2026HouseHouse/ Rules to 3rd Reading Calendar
3/4/2026HouseHouse/ 1st reading (Introduced)
3/4/2026House
Bill Text
Enrolled
3/11/2026
Amended 3/5/2026 17:03:805
3/5/2026
Amended 3/3/2026 19:03:875
3/3/2026
Substitute #3
3/2/2026
Substitute #4
3/2/2026
Substitute #5
3/2/2026
Substitute #2
2/27/2026
Substitute #1
2/17/2026
Introduced
2/11/2026