Social Services Base Budget, the official text

Social Services Base Budget
2026 GENERAL SESSION
STATE OF UTAH
Chief Sponsor: Raymond P. Ward
Senate Sponsor: Keven J. Stratton

LONG TITLE
General Description:
This bill supplements or reduces appropriations otherwise provided for the support and operation of state government for the fiscal year beginning July 1, 2025 and ending June 30, 2026 and appropriates funds for the support and operation of state government for the fiscal year beginning July 1, 2026 and ending June 30, 2027.
Highlighted Provisions:
This bill: provides appropriations for the use and support of certain state agencies;
provides appropriations for other purposes as described; and
provides intent language.

Money Appropriated in this Bill: This bill appropriates ($90,397,300) in operating and capital budgets for fiscal year 2026, all of which is from the various sources as detailed in this bill. This bill appropriates $826,600 in business-like activities for fiscal year 2026, all of which is from the various sources as detailed in this bill. This bill appropriates $8,597,058,800 in operating and capital budgets for fiscal year 2027, including: $1,588,381,800 from General Fund; and $4,357,600 from Income Tax Fund; and $7,004,319,400 from various sources as detailed in this bill. This bill appropriates $1,776,100 in expendable funds and accounts for fiscal year 2027, including: $303,000 from General Fund; and $1,473,100 from various sources as detailed in this bill. This bill appropriates $5,237,200 in business-like activities for fiscal year 2027, all of which is from the various sources as detailed in this bill. This bill appropriates $146,879,100 in restricted fund and account transfers for fiscal year 2027, including: $53,379,200 from General Fund; and $93,499,900 from various sources as detailed in this bill. This bill appropriates $221,493,900 in fiduciary funds for fiscal year 2027, all of which is from the various sources as detailed in this bill. Other Special Clauses: This bill provides a special effective date. Uncodified Material Affected: ENACTS UNCODIFIED MATERIAL

Be it enacted by the Legislature of the state of Utah:
Section 1. FY 2026 Appropriations.
The following sums of money are appropriated for the fiscal year beginning July 1, 2025, and ending June 30, 2026. These are additions to amounts previously appropriated for fiscal year 2026. Subsection 1(a). Operating and Capital Budgets Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, the Legislature appropriates the following sums of money from the funds or accounts indicated for the use and support of the government of the state of Utah. SOCIAL SERVICES DEPARTMENT OF HEALTH AND HUMAN SERVICES ITEM 1 Department of Health and Human Services - Operations From Federal Funds, One-time (1,865,700) From Beginning Nonlapsing Balances 2,725,600 From Closing Nonlapsing Balances 754,200 Executive Director Office 1,267,700 Ancillary Services 669,000 Finance Administration (1,792,300) Data, Systems, Evaluations 809,300 Public Affairs, Education Outreach 256,400 American Indian / Alaska Native 12,500 Continuous Quality Improvement 341,800 Customer Experience 49,700 The Legislature intends that the Department of Health and Human Services report to the Social Services Appropriations Subcommittee by May 1st, 2026 on the following related to Attorney General representation costs for the Division of Child and Family Services: (1) Attorney General costs incurred and paid for by the Division in fiscal years 2021 through 2025 and the sources from which they were paid; (2) Historical requests by the Division during that same time period for supplemental appropriations and the reasons for the requests; (3) Analysis of what has driven over budget costs and how to better plan for those costs; (4) An analysis of the availability of AG ISF funds to cover shortfalls within the Division; and (5) Legislative suggestions to support more stable funding of legal costs within the Division. ITEM 2 Department of Health and Human Services - Clinical Services From Federal Funds, One-time (11,869,700) From Dedicated Credits Revenue, One-time (680,300) From Revenue Transfers, One-time (742,500) From Beginning Nonlapsing Balances 2,539,100 Medical Examiner 99,900 State Laboratory (10,313,300) Primary Care and Rural Health 2,808,900 Health Equity (3,154,900) Medical Education Council 221,000 Forensic Psychiatry Grant Program (415,000) ITEM 3 Department of Health and Human Services - Department Oversight From Federal Funds, One-time (250,400) From Dedicated Credits Revenue, One-time (633,300) From Revenue Transfers, One-time (349,800) From Other Financing Sources, One-time (50,000) From Beginning Nonlapsing Balances (4,115,100) From Closing Nonlapsing Balances 4,394,900 Licensing Background Checks (876,600) Internal Audit (157,100) Admin Hearings 59,300 Utah Developmental Disabilities Council (29,300) ITEM 4 Department of Health and Human Services - Health Care Administration From Federal Funds, One-time (98,700) From Expendable Receipts, One-time (3,200) From Beginning Nonlapsing Balances 99,000 From Closing Nonlapsing Balances (14,000) Integrated Health Care Administration (7,372,200) Long-Term Services and Supports Administration 62,900 Provider Reimbursement Information System for Medicaid 5,936,900 Utah Developmental Disabilities Council (21,800) Substance Use Mental Health Administration 1,466,000 Aging Adult Services Administration (88,700) ITEM 5 Department of Health and Human Services - Integrated Health Care Services From Dedicated Credits Revenue, One-time (3,334,100) From Expendable Receipts, One-time (129,700) From Expendable Receipts - Rebates, One-time (71,880,300) From Revenue Transfers, One-time (1,170,700) From Beginning Nonlapsing Balances 26,303,900 Children's Health Insurance Program Services (11,254,900) Medicaid Accountable Care Organizations 70,272,200 Medicaid Behavioral Health Services 3,831,900 Medicaid Home and Community Based Services 12,997,500 Medicaid Hospital Services (24,933,500) Medicaid Pharmacy Services (21,046,100) Medicaid Long Term Care Services 8,872,800 Medicare Buy-In and Clawback Payments 28,702,600 Medicaid Other Services (106,607,300) Offsets to Medicaid Expenditures 13,796,900 Expansion Accountable Care Organizations 9,645,500 Expansion Behavioral Health Services 1,327,100 Expansion Hospital Services (21,462,200) Expansion Other Services 13,594,200 Expansion Pharmacy Services (50,642,800) Non-Medicaid Behavioral Health Treatment and Crisis Response 22,220,700 State Hospital 474,500 Under the provisions of Utah Code Annotated Title 63G Chapter 6b, the Legislature intends that the Department of Health and Human Services provide direct award grants of $150,000 to Fit to Recover and $100,000 to the School of Addiction Recovery in Fiscal Year 2026 for services to individuals recovering from substance use disorders. ITEM 6 Department of Health and Human Services - Long-Term Services Support From Federal Funds, One-time (564,300) From Revenue Transfers, One-time (1,503,200) From Beginning Nonlapsing Balances 19,803,900 From Closing Nonlapsing Balances (526,500) Aging Adult Services (576,300) Adult Protective Services 320,500 Office of Public Guardian 344,400 Aging Waiver Services (65,700) Services for People with Disabilities (664,300) Community Supports Waiver Services 6,181,300 Disabilities - Non Waiver Services 100,000 Utah State Developmental Center 11,570,000 Notwithstanding the intent language included in Laws of Utah 2025, Chapter 539, Item 380, the Legislature intends that under the provisions of Utah Code Annotated Title 63G, Chapter 6b, $200,000 one-time provided by Laws of Utah 2025, Chapter 539, Item 396, be utilized by the Department of Health and Human Services to support dementia care in rural areas. ITEM 7 Department of Health and Human Services - Public Health, Prevention, and Epidemiology From Federal Funds, One-time (28,600,100) From Expendable Receipts, One-time (3,348,200) From Dedicated Credits Revenue, One-time (7,500) From Revenue Transfers, One-time (4,363,900) From Beginning Nonlapsing Balances 217,900 Communicable Diseases (5,613,900) Integrated Health Promotion and Prevention (373,100) Preparedness and Response 12,292,100 Contracts and Pass-through (22,800,500) Population Health 678,500 State Epidemiology Informatics and Surveillance Public Health Infrastructure 2,182,600 Emerging Infections Surge Response (22,467,500) The Legislature intends that the Department of Health and Human Services provide potential options to change latent tuberculosis treatment guidelines issued by the Department of Health and Human Services for individuals identified via employment and school screening to have the private healthcare system be responsible for treatment to the Social Servies Appropriations Subcommittee by June 1, 2026. The Legislature authorizes the Department of Health and Human Services to charge the following fees in FY 2026: (1) $10,000 access to immunization records database - up to 100,000 records, (2) $15,000 access to immunization records database - 100,001-200,000 records, (3) $20,000 access to immunization records database - unlimited records, and (4) $150,000 access to immunization records database - unlimited records + customizations. The Legislature intends that the Department of Health and Human Services report to the Social Services Appropriations Subcommittee by June 1, 2026 on possible alternatives to the $81,000 annual payment to reserve two beds for non-compliant active tuberculosis patients and feasibility of serving compliant active tuberculosis patients with other providers. ITEM 8 Department of Health and Human Services - Children, Youth, Families From Expendable Receipts - Rebates, One-time (57,300) From Dedicated Credits Revenue, One-time (553,800) From Expendable Receipts, One-time (1,459,300) From Revenue Transfers, One-time (2,240,000) From Beginning Nonlapsing Balances (133,300) From Closing Nonlapsing Balances (1,860,000) Child Family Services (6,252,400) Domestic Violence (2,910,500) In-Home Services 103,500 Out-of-Home Services 504,500 Adoption Assistance 2,350,600 Child Abuse Prevention and Facility Services 4,207,100 Children with Special Healthcare Needs (304,200) Maternal Child Health (1,583,800) Family Health (1,347,700) Office of Coordinated Care and Regional Supports (250,000) DCFS Selected Programs 1,816,200 Office of Early Childhood (2,637,000) ITEM 9 Department of Health and Human Services - Office of Recovery Services From Federal Funds, One-time (493,400) From Dedicated Credits Revenue, One-time (177,100) From Expendable Receipts, One-time (234,300) From Revenue Transfers, One-time (143,400) Recovery Services (443,700) Child Support Services (350,700) Children in Care Collections 13,000 Attorney General Contract (229,400) Medical Collections (37,400) ITEM 10 Department of Health and Human Services - Juvenile Justice Youth Services From Federal Funds, One-time (594,600) From Expendable Receipts, One-time (600) From Dedicated Credits Revenue, One-time (52,900) From Revenue Transfers, One-time (343,100) From Beginning Nonlapsing Balances (1,257,800) Juvenile Justice Youth Services (4,882,600) Secure Care 2,409,900 Youth Services 442,300 Community Programs (218,600) ITEM 11 Department of Health and Human Services - Correctional Health Services From Beginning Nonlapsing Balances 976,900 From Closing Nonlapsing Balances (2,510,600) Correctional Health Services (1,533,700) Subsection 1(b). Expendable Funds and Accounts The Legislature has reviewed the following expendable funds. The Legislature authorizes the State Division of Finance to transfer amounts between funds and accounts as indicated. Outlays and expenditures from the funds or accounts to which the money is transferred may be made without further legislative action, in accordance with statutory provisions relating to the funds or accounts. SOCIAL SERVICES DEPARTMENT OF HEALTH AND HUMAN SERVICES ITEM 12 Department of Health and Human Services - Allyson Gamble Organ Donation Contribution Fund From Beginning Fund Balance (87,400) From Closing Fund Balance 87,400 ITEM 13 Department of Health and Human Services - Brain and Spinal Cord Injury Fund From Beginning Fund Balance 398,100 From Closing Fund Balance (398,100) ITEM 14 Department of Health and Human Services - Maurice N. Warshaw Trust Fund From Beginning Fund Balance 4,600 From Closing Fund Balance (4,600) ITEM 15 Department of Health and Human Services - Out and About Homebound Transportation Assistance Fund From Beginning Fund Balance (2,000) From Closing Fund Balance 2,000 ITEM 16 Department of Health and Human Services - Utah State Developmental Center Long-Term Sustainability Fund From Beginning Fund Balance 5,322,200 From Closing Fund Balance (5,322,200) ITEM 17 Department of Health and Human Services - Utah State Developmental Center Miscellaneous Donation Fund From Beginning Fund Balance 9,900 From Closing Fund Balance (9,900) ITEM 18 Department of Health and Human Services - Utah State Developmental Center Workshop Fund From Beginning Fund Balance 100 From Closing Fund Balance (100) ITEM 19 Department of Health and Human Services - Utah State Hospital Unit Fund From Beginning Fund Balance 14,000 From Closing Fund Balance (14,000) ITEM 20 Department of Health and Human Services - Mental Health Services Donation Fund From Beginning Fund Balance (65,700) From Closing Fund Balance 65,700 ITEM 21 Department of Health and Human Services - Suicide Prevention and Education Fund From Beginning Fund Balance (324,900) From Closing Fund Balance 324,900 ITEM 22 Department of Health and Human Services - Licensed Provider Assessment Fund From Beginning Fund Balance (471,400) From Closing Fund Balance 471,400 Subsection 1(c). Business-like Activities The Legislature has reviewed the following proprietary funds. Under the terms and conditions of Utah Code 63J-1-410, for any included Internal Service Fund, the Legislature approves budgets, full-time permanent positions, and capital acquisition amounts as indicated, and appropriates to the funds, as indicated, estimated revenue from rates, fees, and other charges. The Legislature authorizes the State Division of Finance to transfer amounts between funds and accounts as indicated. SOCIAL SERVICES DEPARTMENT OF HEALTH AND HUMAN SERVICES ITEM 23 Department of Health and Human Services - Qualified Patient Enterprise Fund From Dedicated Credits Revenue, One-time (3,397,700) From Interest Income, One-time (50,000) From Beginning Fund Balance 1,308,500 From Closing Fund Balance 2,965,800 Qualified Patient Enterprise Fund 826,600 Subsection 1(d). Restricted Fund and Account Transfers The Legislature authorizes the State Division of Finance to transfer the following amounts between the following funds or accounts as indicated. Expenditures and outlays from the funds to which the money is transferred must be authorized by an appropriation. SOCIAL SERVICES ITEM 24 Medicaid ACA Fund From Beginning Fund Balance (48,935,800) From Closing Fund Balance 48,935,800 ITEM 25 Alternative Eligibility Account From Beginning Fund Balance (3,517,800) From Closing Fund Balance 3,517,800 Subsection 1(e). Fiduciary Funds The Legislature has reviewed proposed revenues, expenditures, fund balances, and changes in fund balances for the following fiduciary funds. SOCIAL SERVICES DEPARTMENT OF HEALTH AND HUMAN SERVICES ITEM 26 Department of Health and Human Services - Human Services Client Trust Fund From Beginning Fund Balance 156,900 From Closing Fund Balance (156,900) ITEM 27 Department of Health and Human Services - Human Services ORS Support Collections From Beginning Fund Balance (126,100) From Closing Fund Balance 126,100 ITEM 28 Department of Health and Human Services - Utah State Developmental Center Patient Account From Beginning Fund Balance (68,100) From Closing Fund Balance 68,100 ITEM 29 Department of Health and Human Services - Utah State Hospital Patient Trust Fund From Beginning Fund Balance (30,200) From Closing Fund Balance 30,200

Section 2. FY 2027 Appropriations.
The following sums of money are appropriated for the fiscal year beginning July 1, 2026, and ending June 30, 2027. These are additions to amounts previously appropriated for fiscal year 2027. Subsection 2(a). Operating and Capital Budgets Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, the Legislature appropriates the following sums of money from the funds or accounts indicated for the use and support of the government of the state of Utah. SOCIAL SERVICES DEPARTMENT OF HEALTH AND HUMAN SERVICES ITEM 30 Department of Health and Human Services - Operations From General Fund 7,061,800 From Federal Funds 3,118,400 From Dedicated Credits Revenue 300 From Revenue Transfers 222,100 Public Affairs, Education Outreach 2,512,800 American Indian / Alaska Native 705,600 Continuous Quality Improvement 4,491,800 Customer Experience 2,692,400 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Operations line item performance measures for FY 2027: 1. Number of DHHS Audit Recommendations Unresolved After One Year (Target = 5); 2. Percent of Key Data Systems That Are Modernized, Optimized, and Integrated by 2026 (American Rescue Plan Act Project Tracking) (Target = 100%); and 3. Percent of Strategic Objectives That Are Due and Completed per Fiscal Year (Target = 80%). ITEM 31 Department of Health and Human Services - Clinical Services From General Fund 8,772,700 From Federal Funds 357,700 From Dedicated Credits Revenue 2,192,000 From Expendable Receipts 74,000 From Department of Public Safety Restricted Account 469,700 From General Fund Restricted - Opioid Litigation Proceeds Restricted Account 280,000 Medical Examiner 12,146,100 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Clinical Services line item performance measures for FY 2027: 1. Percent of Operational Units or Offices That Increase Their Activity Score After Participating in the Building Organizational Capacity Project (Target = 100%); 2. Percentage of Autopsy Reports Completed Within 60 Days (Target = 90%); and 3. Percentage of Turnaround Times Standards Met (Target = 90%). ITEM 32 Department of Health and Human Services - Department Oversight From General Fund 10,280,900 From Federal Funds 6,972,200 From Dedicated Credits Revenue 2,926,200 From Revenue Transfers 3,428,500 Licensing Background Checks 19,325,800 Internal Audit 2,259,800 Admin Hearings 1,363,900 Utah Developmental Disabilities Council 658,300 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Department Oversight line item performance measures for FY 2027: 1. Number of Days Between Criminal Record Released and Staff Determination (Target = 5) and 2. Rate of Increased Provider Compliance With Licensing Rules (Target = 5%). ITEM 33 Department of Health and Human Services - Health Care Administration From General Fund 13,365,400 From Income Tax Fund 57,300 From Federal Funds 161,305,000 From Dedicated Credits Revenue 14,300 From Expendable Receipts 19,978,700 From General Fund Restricted - Statewide Behavioral Health Crisis Response Account 782,700 From Ambulance Service Provider Assess Exp Rev Fund 20,000 From General Fund Restricted - Alternative Eligibility Account 4,600 From General Fund Restricted - Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account 5,200 From Hospital Provider Assessment Fund 219,500 From Medicaid ACA Fund 3,620,500 From Nursing Care Facilities Provider Assessment Fund 1,232,500 From General Fund Restricted - Opioid Litigation Proceeds Restricted Account 165,200 From Suicide Prevention Fund 13,200 From General Fund Restricted - Tobacco Settlement Account 22,500 From Revenue Transfers 50,360,900 Integrated Health Care Administration 68,646,200 Provider Reimbursement Information System for Medicaid 25,603,200 Seeded Services 147,728,100 Substance Use Mental Health Administration 9,190,000 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Health Care Administration line item performance measures for FY 2027: 1. Average Decision Time of Medicaid Medical Prior Authorizations (Target = 5); 2. Health Program Representative Customer Service Line Average Call Wait Time (Target = 2); and 3. Percent of Medicaid Members/patients/clients That Report Adequate Access to DHHS Program Services (Target = 85%). ITEM 34 Department of Health and Human Services - Integrated Health Care Services From General Fund 807,198,200 From Federal Funds 4,480,194,900 From Expendable Receipts 354,081,200 From Dedicated Credits Revenue 5,784,000 From Expendable Receipts - Rebates 301,047,700 From General Fund Restricted - Statewide Behavioral Health Crisis Response Account 38,367,700 From Ambulance Service Provider Assess Exp Rev Fund 9,044,000 From General Fund Restricted - Alternative Eligibility Account 4,500,000 From General Fund Restricted - Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account 257,400 From Hospital Provider Assessment Fund 192,288,700 From Medicaid ACA Fund 108,918,300 From Nursing Care Facilities Provider Assessment Fund 43,591,200 From General Fund Restricted - Opioid Litigation Proceeds Restricted Account 6,638,700 From General Fund Restricted - Tobacco Settlement Account 12,127,500 From Revenue Transfers 310,446,800 From Pass-through 1,813,000 Children's Health Insurance Program Services 196,909,100 Medicaid Accountable Care Organizations 1,726,509,300 Medicaid Behavioral Health Services 339,284,000 Medicaid Home and Community Based Services 661,942,100 Medicaid Hospital Services 407,513,000 Medicaid Pharmacy Services 181,958,900 Medicaid Long Term Care Services 540,143,800 Medicare Buy-In and Clawback Payments 211,362,400 Medicaid Other Services 410,204,000 Offsets to Medicaid Expenditures (49,650,500) Expansion Accountable Care Organizations 829,313,400 Expansion Behavioral Health Services 151,366,600 Expansion Hospital Services 331,201,600 Expansion Other Services 313,570,100 Expansion Pharmacy Services 131,939,800 Non-Medicaid Behavioral Health Treatment and Crisis Response 185,246,400 State Hospital 107,485,300 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Integrated Health Care Services line item performance measures for FY 2027: 1. Annual State General Funds Saved Through Preferred Drug List (Target = $20,000,000); 2. Average Percent of Patients in Delay (Target = 19.9%); 3. Percent of Clean Claims Adjudicated by Provider Reimbursement Information System for Medicaid Within 30 Days of Submission (Target = 90%); 4. Percent of Medicaid Adult Members That Receive Services From an Integrated Health Plan or Other Integrated Model (Target = 40%); 5. Percent of Medicaid Adults and Adolescents With Major Depressive Episodes Who Receive Treatment (Target = 60.9%); 6. Percent of Medicaid Members Who Promptly Receive Outpatient Treatment After Visiting a Hospital for Mental Health Issues (Target = 59%); 7. Percentage of Adult Clients With Improved Symptoms, or Recovered, as Measured by the Adult Mental Health Outcome (Target = 45%); 8. Percentage of Individuals Who Transitioned From Intermediate Care Facilities to Community-based Services (Target = 10%); 9. Percentage of Youth Clients With Improved Symptoms, or Recovered, as Measured by the Youth Outcome Questionnaires (Target = 50%); and 10. Rates of Utahns Dying of Drug-Related Causes (Target = -1.0). ITEM 35 Department of Health and Human Services - Long-Term Services Support From General Fund 301,095,000 From Income Tax Fund 204,900 From Federal Funds 15,334,300 From Dedicated Credits Revenue 1,839,200 From Expendable Receipts 1,400,000 From General Fund Restricted - Division of Services for People with Disabilities Restricted Account 4,017,400 From Revenue Transfers 465,051,500 From Beginning Nonlapsing Balances 540,500 From Closing Nonlapsing Balances (69,600) Aging Adult Services 21,379,400 Adult Protective Services 6,115,600 Office of Public Guardian 1,951,200 Aging Waiver Services 2,167,400 Services for People with Disabilities 16,237,700 Community Supports Waiver Services 594,307,900 Disabilities - Non Waiver Services 3,196,700 Disabilities - Other Waiver Services 68,120,400 Utah State Developmental Center 66,053,100 Aging and Adult Services Administration 2,421,900 Services for People with Disabilities Administration 7,461,900 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Long-Term Services Support line item performance measures for FY 2027: 1. People Receiving Supports in Their Home or a Family Member's Home Rather Than a Residential Setting (Target = 57%); 2. Percent of Adults Who Report That Services and Supports Help Them Live a Good Life (Target = 92%); 3. Percent of Individuals Who Do Not Currently Have a Paid Job in the Community, but Would Like a Job in the Community (NCI) (Target = 44%); 4. Percent of Office of the Public Guardian (OPG) Referrals Where an Alternative to Guardianship With OPG Is Made (Target = 60%); and 5. The Percentage of APS Clients Who Accept Referrals to Community Services (Target = 60%). ITEM 36 Department of Health and Human Services - Public Health, Prevention, and Epidemiology From General Fund 9,338,600 From Income Tax Fund 3,320,700 From Federal Funds 13,745,200 From Dedicated Credits Revenue 8,325,300 From Expendable Receipts 275,000 From Opioid Litigation Proceeds Fund 1,300,000 From Gen. Fund Rest. - State Lab Drug Testing Account 801,500 From Revenue Transfers 1,063,400 Utah Public Health Laboratory 26,500,600 Office of Health Equity 850,200 Office of Primary Care Rural Health 7,497,900 Utah Medical Education Program 1,271,000 Medical Residency Grant Program 1,500,000 Forensic Psychiatry Grant Program 550,000 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Public Health, Prevention, and Epidemiology line item performance measures for FY 2027: 1. Decrease the Percent of Utah Adults Who Report Fair or Poor General Health in Very High Health Improvement Index Areas (Target = -1%); 2. Number of Utahns Who Experience a Preventable Illness or Injury of Public Health Concern (Target = 149); and 3. Percentage of Rules, Disease Plans, and Response Plans That Are Current (Target = 75%). ITEM 37 Department of Health and Human Services - Children, Youth, Families From General Fund 217,241,900 From Income Tax Fund 173,600 From Federal Funds 163,764,100 From Dedicated Credits Revenue 2,097,400 From Expendable Receipts - Rebates 7,944,000 From Expendable Receipts 438,100 From General Fund Restricted - Adult Autism Treatment Account 1,570,100 From General Fund Restricted - Victim Services Restricted Account 3,207,700 From General Fund Restricted - Children's Account 340,000 From Gen. Fund Rest. - K. Oscarson Children's Organ Transp. 113,800 From Revenue Transfers (7,155,000) From Beginning Nonlapsing Balances 1,860,000 Child Family Services 123,772,100 Domestic Violence 15,951,700 In-Home Services 4,600,000 Out-of-Home Services 47,357,400 Adoption Assistance 25,604,200 Child Abuse Prevention and Facility Services 9,391,900 Children with Special Healthcare Needs 10,745,300 Maternal Child Health 76,076,900 Family Health 938,900 Office of Coordinated Care and Regional Supports 8,014,500 DCFS Selected Programs 14,038,900 Office of Early Childhood 40,232,900 DCFS Attorney General 14,871,000 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Children, Youth, Families line item performance measures for FY 2027: 1. Average Number of Caseworkers per Case (percent Decrease From FY22 Rate) (Target = 5); 2. Average Number of Placements per Child (moves per 1,000 Days) (Target = 4.48); 3. Case Worker Turnover Rate (Target = 22.4%); 4. Percent of Children Confirmed as Victims of Abuse or Neglect Who Experienced Repeat Maltreatment Within 12 Months (Target = 9.7%); 5. Percent of Reunification (percent Increase Over the FY21 Rate) (Target = 2%); and 6. Percent Of_children Who Demonstrated Improvement in Social-emotional_skills, Including Social Relationships. (Target = 56%). ITEM 38 Department of Health and Human Services - Juvenile Justice Youth Services From General Fund 113,644,600 From Federal Funds 1,015,900 From Dedicated Credits Revenue 753,300 From Expendable Receipts 8,500 From General Fund Restricted - Juvenile Justice Reinvestment Account 250,000 From Revenue Transfers (480,300) Juvenile Justice Youth Services 25,635,200 Secure Care 26,555,000 Youth Services 37,606,900 Community Programs 25,394,900 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Juvenile Justice Youth Services line item performance measures for FY 2027: 1. Percent of Youth During Custody Who Have Reduced Dynamic Risk (Target = 80%) and 2. Percent of Youth Who Avoid JJYS, DCFS, or Formal Probation Orders Within 90 Days of Release From the Implementation Phase of the Youth Services Plan (Target = 100%). ITEM 39 Department of Health and Human Services - Correctional Health Services From General Fund 51,899,400 From Dedicated Credits Revenue 650,000 From Revenue Transfers (830,700) From Beginning Nonlapsing Balances 2,510,600 Correctional Health Services 54,229,300 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Correctional Health Services line item performance measures for FY 2027: 1. Percentage of Dental Exams Performed Within 7 Days of Admission (or Evidence of Refusal) (Target = 90%); 2. Percentage of Initial Health Assessments Completed Within 7 Days of Admission (or Evidence of Refusal) (Target = 90%); 3. Percentage of Inmates Failing to Keep Appointments (Target = 10%); and 4. Percentage of Mental Health Screenings Completed Within 14 Days of Admission (Target = 90%). Subsection 2(b). Expendable Funds and Accounts The Legislature has reviewed the following expendable funds. The Legislature authorizes the State Division of Finance to transfer amounts between funds and accounts as indicated. Outlays and expenditures from the funds or accounts to which the money is transferred may be made without further legislative action, in accordance with statutory provisions relating to the funds or accounts. SOCIAL SERVICES DEPARTMENT OF HEALTH AND HUMAN SERVICES ITEM 40 Department of Health and Human Services - Allyson Gamble Organ Donation Contribution Fund From Dedicated Credits Revenue 224,600 From Interest Income 13,000 From Beginning Fund Balance 430,800 From Closing Fund Balance (430,800) Allyson Gamble Organ Donation Contribution Fund 237,600 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Allyson Gamble Organ Donation Contribution Fund line item performance measure for FY 2027: Increase Division of Motor Vehicle/Driver's License Division Donations (Target = 3%). ITEM 41 Department of Health and Human Services - Brain and Spinal Cord Injury Fund From General Fund 203,000 From Dedicated Credits Revenue 556,400 From Beginning Fund Balance 398,100 Brain and Spinal Cord Injury Fund 1,157,500 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Brain and Spinal Cord Injury Fund line item performance measure for FY 2027: Percentage of Participants Who Had an Increase in Functional Activity (Target = 70%). ITEM 42 Department of Health and Human Services - Maurice N. Warshaw Trust Fund From Interest Income 1,000 From Beginning Fund Balance 181,100 From Closing Fund Balance (182,100) ITEM 43 Department of Health and Human Services - Out and About Homebound Transportation Assistance Fund From Dedicated Credits Revenue 75,600 From Interest Income 3,000 From Beginning Fund Balance 122,300 From Closing Fund Balance (122,300) Out and About Homebound Transportation Assistance Fund 78,600 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Out and About Homebound Transportation Assistance Fund line item performance measure for FY 2027: Number of Internal Reviews Completed for Compliance With Statute, Federal Regulations, and Other Requirements (Target = 1). ITEM 44 Department of Health and Human Services - Utah State Developmental Center Long-Term Sustainability Fund From Dedicated Credits Revenue 12,100 From Interest Income 14,500 From Revenue Transfers 38,700 From Beginning Fund Balance 38,338,200 From Closing Fund Balance (38,403,500) In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Utah State Developmental Center Long-Term Sustainability Fund line item performance measure for FY 2027: Number of Internal Reviews Completed for Compliance With Statute, Federal Regulations, and Other Requirements (Target = 1). ITEM 45 Department of Health and Human Services - Utah State Developmental Center Miscellaneous Donation Fund From Dedicated Credits Revenue 6,000 From Interest Income 6,000 From Beginning Fund Balance 628,500 From Closing Fund Balance (628,500) Utah State Developmental Center Miscellaneous Donation Fund 12,000 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Utah State Developmental Center Miscellaneous Donation Fund line item performance measure for FY 2027: Number of Internal Reviews Completed for Compliance With Statute, Federal Regulations, and Other Requirements (Target = 1). ITEM 46 Department of Health and Human Services - Utah State Developmental Center Workshop Fund From Dedicated Credits Revenue 140,000 From Beginning Fund Balance 17,500 From Closing Fund Balance (17,500) Utah State Developmental Center Workshop Fund 140,000 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Utah State Developmental Center Workshop Fund line item performance measure for FY 2027: Internal Reviews of the Utah State Developmental Center Workshop Fund (Target = 1). ITEM 47 Department of Health and Human Services - Utah State Hospital Unit Fund From Interest Income 8,000 From Dedicated Credits Revenue 42,400 From Beginning Fund Balance 267,100 From Closing Fund Balance (267,100) Utah State Hospital Unit Fund 50,400 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Utah State Hospital Unit Fund line item performance measure for FY 2027: Internal Reviews of the Utah State Hospital Unit Fund (Target = 1). ITEM 48 Department of Health and Human Services - Mental Health Services Donation Fund From General Fund 100,000 From Beginning Fund Balance 364,700 From Closing Fund Balance (364,700) Mental Health Services Donation Fund 100,000 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Mental Health Services Donation Fund line item performance measure for FY 2027: Number of Internal Reviews Completed for Compliance With Statute, Federal Regulations, and Other Requirements (Target = 1). ITEM 49 Department of Health and Human Services - Suicide Prevention and Education Fund From Beginning Fund Balance 904,900 From Closing Fund Balance (904,900) In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Suicide Prevention and Education Fund line item performance measure for FY 2027: Number of Internal Reviews Completed for Compliance With Statute, Federal Regulations, and Other Requirements (Target = 1). ITEM 50 Department of Health and Human Services - Licensed Provider Assessment Fund From Beginning Fund Balance 133,200 From Closing Fund Balance (133,200) Subsection 2(c). Business-like Activities The Legislature has reviewed the following proprietary funds. Under the terms and conditions of Utah Code 63J-1-410, for any included Internal Service Fund, the Legislature approves budgets, full-time permanent positions, and capital acquisition amounts as indicated, and appropriates to the funds, as indicated, estimated revenue from rates, fees, and other charges. The Legislature authorizes the State Division of Finance to transfer amounts between funds and accounts as indicated. SOCIAL SERVICES DEPARTMENT OF HEALTH AND HUMAN SERVICES ITEM 51 Department of Health and Human Services - Qualified Patient Enterprise Fund From Dedicated Credits Revenue 3,720,300 From Interest Income 280,000 From Beginning Fund Balance 7,700,100 From Closing Fund Balance (6,463,200) Qualified Patient Enterprise Fund 5,237,200 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Qualified Patient Enterprise Fund line item performance measure for FY 2027: Audit Compliance Rate of Recommending Medical Providers, Medical Cannabis Cardholders, and Pharmacy Medical Providers (Target = 95%). Subsection 2(d). Restricted Fund and Account Transfers The Legislature authorizes the State Division of Finance to transfer the following amounts between the following funds or accounts as indicated. Expenditures and outlays from the funds to which the money is transferred must be authorized by an appropriation. SOCIAL SERVICES ITEM 52 Medicaid ACA Fund From Expendable Receipts 7,870,700 From Interest Income 21,500,000 From Dedicated Credits Revenue 153,600,000 From Revenue Transfers 987,400 From Beginning Fund Balance 391,064,200 From Closing Fund Balance (481,522,400) Medicaid ACA Fund 93,499,900 ITEM 53 General Fund Restricted - Statewide Behavioral Health Crisis Response Account From General Fund 37,879,200 Statewide Behavioral Health Crisis Response Account 37,879,200 ITEM 54 General Fund Restricted - Adult Autism Treatment Account From General Fund 1,000,000 Adult Autism Treatment Account 1,000,000 ITEM 55 Alternative Eligibility Account From General Fund 4,500,000 Alternative Eligibility Account 4,500,000 ITEM 56 General Fund Restricted - Medicaid Growth Reduction and Budget Stabilization Account From General Fund 10,000,000 Medicaid Growth Reduction and Budget Stabilization Account 10,000,000 Subsection 2(e). Fiduciary Funds The Legislature has reviewed proposed revenues, expenditures, fund balances, and changes in fund balances for the following fiduciary funds. SOCIAL SERVICES DEPARTMENT OF HEALTH AND HUMAN SERVICES ITEM 57 Department of Health and Human Services - Human Services Client Trust Fund From Interest Income 9,100 From Trust and Agency Funds 4,907,600 From Beginning Fund Balance 2,200,900 From Closing Fund Balance (2,200,900) Human Services Client Trust Fund 4,916,700 ITEM 58 Department of Health and Human Services - Human Services ORS Support Collections From Trust and Agency Funds 212,842,300 From Beginning Fund Balance 2,000,000 From Closing Fund Balance (2,000,000) Human Services ORS Support Collections 212,842,300 ITEM 59 Department of Health and Human Services - Utah State Developmental Center Patient Account From Interest Income 1,000 From Trust and Agency Funds 2,002,900 From Beginning Fund Balance 548,100 From Closing Fund Balance (548,100) Utah State Developmental Center Patient Account 2,003,900 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Utah State Developmental Center Patient Account line item performance measure for FY 2027: Number of Internal Reviews Completed for Compliance With Statute, Federal Regulations, and Other Requirements (Target = 1). ITEM 60 Department of Health and Human Services - Utah State Hospital Patient Trust Fund From Trust and Agency Funds 1,731,000 From Beginning Fund Balance 299,600 From Closing Fund Balance (299,600) Utah State Hospital Patient Trust Fund 1,731,000 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Utah State Hospital Patient Trust Fund line item performance measure for FY 2027: Number of Internal Reviews of the Utah State Hospital Patient Trust Fund (Target = 1).

Section 3. FY 2027 Appropriations.
The following sums of money are appropriated for the fiscal year beginning July 1, 2026, and ending June 30, 2027. These are additions to amounts previously appropriated for fiscal year 2027. Subsection 3(a). Operating and Capital Budgets Under the terms and conditions of Title 63J, Chapter 1, Budgetary Procedures Act, the Legislature appropriates the following sums of money from the funds or accounts indicated for the use and support of the government of the state of Utah. SOCIAL SERVICES DEPARTMENT OF HEALTH AND HUMAN SERVICES ITEM 61 Department of Health and Human Services - Operations From General Fund 17,523,300 From Income Tax Fund 601,100 From Federal Funds 7,333,800 From Dedicated Credits Revenue 3,452,200 From Medicaid ACA Fund 5,100 From Revenue Transfers 348,600 From Beginning Nonlapsing Balances 2,617,800 Executive Director Office 6,534,300 Ancillary Services 4,659,000 Finance Administration 9,379,500 Data, Systems, Evaluations 11,309,100 ITEM 62 Department of Health and Human Services - Public Health, Prevention, and Epidemiology From General Fund 13,855,800 From Federal Funds 103,605,600 From Dedicated Credits Revenue 486,800 From Expendable Receipts 3,174,300 From Expendable Receipts - Rebates 3,748,100 From General Fund Restricted - Cigarette Tax Restricted Account 3,150,000 From General Fund Restricted - Electronic Cigarette Substance and Nicotine Product Proceeds Restricted Account 9,566,400 From General Fund Restricted - Tobacco Settlement Account 3,475,000 From Revenue Transfers 3,232,800 Communicable Diseases 16,050,300 Integrated Health Promotion and Prevention 21,151,700 Preparedness and Response 14,328,000 Contracts and Pass-through 81,025,400 Population Health 1,687,400 State Epidemiology Informatics and Surveillance Public Health Infrastructure 7,290,300 Emerging Infections Surge Response 2,761,700 The Legislature intends that the Department of Health and Human Services and local health departments shall report by October 1, 2026 to the Social Services Appropriations Subcommittee on the feasibility of billing public health services for managing tuberculosis cases to insurance. The report shall include estimates of implementation costs and potential revenue. ITEM 63 Department of Health and Human Services - Office of Recovery Services From General Fund 17,104,200 From Federal Funds 32,313,700 From Dedicated Credits Revenue 3,599,500 From Expendable Receipts 2,000,000 From Medicaid ACA Fund 58,700 From Revenue Transfers 3,582,800 Recovery Services 20,300,400 Child Support Services 27,018,600 Children in Care Collections 749,300 Attorney General Contract 6,700,000 Medical Collections 3,890,600 In accordance with UCA 63J-1-903, the Legislature intends that the Department of Health and Human Services report on the following Office of Recovery Services line item performance measures for FY 2027: 1. Current Support Collection Rates (Target = 65%); 2. Medical Coverage for Children (Target = 65%); and 3. Overall Cost Effectiveness of the Office of Recovery Services (Target = 4.5%).

Section 4. Effective Date.
(1) Except as provided in Subsection (2), this bill takes effect July 1, 2026.
(2) The actions affecting Section 1 (Effective upon governor's approval) take effect: (a) except as provided in Subsection (2)(b), May 6, 2026; or
(b) if approved by two-thirds of all members elected to each house: (i) upon approval by the governor;
(ii) without the governor's signature, the day following the constitutional time limit of Utah Constitution, Article VII, Section 8; or
(iii) in the case of a veto, the date of veto override.

1-16-26 11:37 AM